Podcast
Questions and Answers
What is a potential issue associated with PCA pumps according to the available literature?
What is a potential issue associated with PCA pumps according to the available literature?
Which of the following resources focuses on blood transfusion safety?
Which of the following resources focuses on blood transfusion safety?
What is a documented patient experience after surgery highlighted in a longitudinal study?
What is a documented patient experience after surgery highlighted in a longitudinal study?
What is the function of an antireflux valve mentioned in the literature?
What is the function of an antireflux valve mentioned in the literature?
Signup and view all the answers
When was the edition regarding sleep apnoea published by the Clinical Excellence Commission?
When was the edition regarding sleep apnoea published by the Clinical Excellence Commission?
Signup and view all the answers
What is a critical safety concern related to PCA pump use found in literature from 1997?
What is a critical safety concern related to PCA pump use found in literature from 1997?
Signup and view all the answers
Which of the following statements is true regarding the management of oxygen therapy?
Which of the following statements is true regarding the management of oxygen therapy?
Signup and view all the answers
What category of management does the document from WSLHD regarding PCA address?
What category of management does the document from WSLHD regarding PCA address?
Signup and view all the answers
When is PCA particularly applicable for patients?
When is PCA particularly applicable for patients?
Signup and view all the answers
What characteristic do PCA pumps have across all WSLHD facilities?
What characteristic do PCA pumps have across all WSLHD facilities?
Signup and view all the answers
What medication was added to the PCA device in Westmead?
What medication was added to the PCA device in Westmead?
Signup and view all the answers
What was updated in the PCA chart according to the given content?
What was updated in the PCA chart according to the given content?
Signup and view all the answers
Who contributed to the PCA examples and chart updates?
Who contributed to the PCA examples and chart updates?
Signup and view all the answers
Which statement about PCA devices is incorrect?
Which statement about PCA devices is incorrect?
Signup and view all the answers
What is the referred format of the updated PCA chart for adults?
What is the referred format of the updated PCA chart for adults?
Signup and view all the answers
What information is missing from the description of the PCA device?
What information is missing from the description of the PCA device?
Signup and view all the answers
What is the term used to refer to individuals trained for specific medical procedures?
What is the term used to refer to individuals trained for specific medical procedures?
Signup and view all the answers
Where should one look for the storage location of the PCA pump?
Where should one look for the storage location of the PCA pump?
Signup and view all the answers
What procedure is not utilized at Westmead or BMDH according to the content?
What procedure is not utilized at Westmead or BMDH according to the content?
Signup and view all the answers
Who made the request regarding the subdirectory in the context?
Who made the request regarding the subdirectory in the context?
Signup and view all the answers
What is one critical element that must be included in the PCA prescription?
What is one critical element that must be included in the PCA prescription?
Signup and view all the answers
What kind of information was moved into the Equipment section?
What kind of information was moved into the Equipment section?
Signup and view all the answers
What specific locations are mentioned in connection with the removal of anaesthetists?
What specific locations are mentioned in connection with the removal of anaesthetists?
Signup and view all the answers
What is the main safety alert associated with PCA administration?
What is the main safety alert associated with PCA administration?
Signup and view all the answers
Which drug is specifically contraindicated for PCA prescription?
Which drug is specifically contraindicated for PCA prescription?
Signup and view all the answers
What was removed references to PCEA and epidural procedures associated with?
What was removed references to PCEA and epidural procedures associated with?
Signup and view all the answers
What does PCA stand for in the context of administering pain relief?
What does PCA stand for in the context of administering pain relief?
Signup and view all the answers
Which parameter is NOT part of the PCA prescription requirements?
Which parameter is NOT part of the PCA prescription requirements?
Signup and view all the answers
In administering PCA, which of the following is expected to be monitored regularly?
In administering PCA, which of the following is expected to be monitored regularly?
Signup and view all the answers
What should be included in the labelling of the PCA opioid solution?
What should be included in the labelling of the PCA opioid solution?
Signup and view all the answers
What is the correct initial step for programming the CADD Solis PCA pump?
What is the correct initial step for programming the CADD Solis PCA pump?
Signup and view all the answers
What must prescribers do when ordering additional PRN opioid medications for a patient on PCA?
What must prescribers do when ordering additional PRN opioid medications for a patient on PCA?
Signup and view all the answers
What does PCA stand for in the context of medication administration?
What does PCA stand for in the context of medication administration?
Signup and view all the answers
Which route of administration is NOT associated with PCA?
Which route of administration is NOT associated with PCA?
Signup and view all the answers
When is the programmed dose of medication delivered in a PCA system?
When is the programmed dose of medication delivered in a PCA system?
Signup and view all the answers
What is a primary classification of PCA?
What is a primary classification of PCA?
Signup and view all the answers
What is one implication of PCA in a healthcare setting?
What is one implication of PCA in a healthcare setting?
Signup and view all the answers
Which national standard does PCA comply with?
Which national standard does PCA comply with?
Signup and view all the answers
What is the role of the PCA device in pain management?
What is the role of the PCA device in pain management?
Signup and view all the answers
Which of the following is a potential risk associated with PCA?
Which of the following is a potential risk associated with PCA?
Signup and view all the answers
What does the acronym WSLHD refer to in a healthcare context?
What does the acronym WSLHD refer to in a healthcare context?
Signup and view all the answers
Who is the key contact for the PCA procedure in the document?
Who is the key contact for the PCA procedure in the document?
Signup and view all the answers
Study Notes
Procedure Overview
- Document created on 1st August 2008 and last updated on 9th July 2019.
- Version number is 4.0, approved by the Drug Committee on 15th July 2019.
Purpose and Expected Outcomes
- Ensure correct programming and loading of PCA (Patient-Controlled Analgesia) pumps, following the "5 rights of medication administration."
- Achieve optimal analgesia for patients.
- Regular monitoring for adverse effects from PCA analgesic medications.
- Effective management of any adverse effects noted.
Prescription Guidelines - PCA
- Must include: route, primary drug, dosage (mg/micrograms), total volume, concentration, bolus dose, and lockout time.
- Additional drugs must also be documented, alongside prescriber’s information and date/time of administration.
- Mandatory to add "NOT whilst on PCA" to any orders for opioids or sedatives prescribed concurrently.
Prescription Guidelines - Neuraxial Opioid
- Observations frequency must be specified.
- Documentation includes date/time, drug (morphine only), route (epidural/spinal), and dosage administered.
Prescription Guidelines - Naloxone and Oxygen Delivery
- Specific guidelines provided for the prescription of naloxone and oxygen delivery protocols.
PCA Opioid Solutions Preparation
- Total opioid amount for PCA must be drawn on NSW Health PCA adult chart.
- Correct concentration is achieved when adding the opioid to a sodium chloride bag.
- Bag must be appropriately labeled for safety.
Programming the PCA Pump
- Turn on the CADD Solis PCA pump and confirm initiation for a new patient.
- Ensure the correct hospital is displayed prior to programming the pump.
Safety Alerts
- Contraindications for concurrent prescribing of other opioids or sedatives without prior discussion with the Appropriate Prescriber Service (APS).
- Any PRN opioids must also reflect the restriction regarding PCA.
Version History Overview
- Notable updates made in 2010, 2012, and 2013 detailing procedural changes and clarifications.
- References to specific protocols and modifications at various hospitals in the Western Sydney Local Health District (WSLHD).
Compliance and Contact Information
- Procedures align with NSW Public Health standards regarding medication handling and administration compliance.
- Key contact: Yen Yi Alderton, Drug Committee Pharmacist for inquiries regarding the protocol.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on the guidelines for programming and administering PCA pumps and neuraxial opioids. This quiz covers key concepts including medication administration rights, prescription requirements, and monitoring procedures. Ensure you understand the necessary documentation and safety precautions for optimal patient care.