PCA and Neuraxial Opioids Guidelines Quiz

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Questions and Answers

What is a potential issue associated with PCA pumps according to the available literature?

Mis-programming leading to insufficient medication delivery

Incompatibility with commonly used anesthetics

Prone to mechanical failure during use

Risk of narcotic over infusions (correct)

Which of the following resources focuses on blood transfusion safety?

Patient Safety Watch by Clinical Excellence Commission

Management of supplemental oxygen therapy

Flippin' Blood: A BloodSafe flip chart (correct)

Administration of Blood Products by WSLHD

What is a documented patient experience after surgery highlighted in a longitudinal study?

Increased episodes of postoperative nausea

Experiences of anxiety, depression, and acute pain (correct)

Reduced anxiety and pain levels

Improvement in sleep quality

What is the function of an antireflux valve mentioned in the literature?

Preventing backflow in PCA delivery systems Signup and view all the answers

When was the edition regarding sleep apnoea published by the Clinical Excellence Commission?

2013 Signup and view all the answers

What is a critical safety concern related to PCA pump use found in literature from 1997?

Mis-programming errors resulting in over infusions Signup and view all the answers

Which of the following statements is true regarding the management of oxygen therapy?

Patients receiving oxygen therapy need constant monitoring Signup and view all the answers

What category of management does the document from WSLHD regarding PCA address?

Controlled analgesia management Signup and view all the answers

When is PCA particularly applicable for patients?

When patients are temporarily transferred to another hospital for tests Signup and view all the answers

What characteristic do PCA pumps have across all WSLHD facilities?

They are the same at all WSLHD facilities Signup and view all the answers

What medication was added to the PCA device in Westmead?

Hydromorphone Signup and view all the answers

What was updated in the PCA chart according to the given content?

The final version of the NSW PCA chart for adults Signup and view all the answers

Who contributed to the PCA examples and chart updates?

E.Edmonds and S.Pagett Signup and view all the answers

Which statement about PCA devices is incorrect?

PCA devices can only administer oral medications. Signup and view all the answers

What is the referred format of the updated PCA chart for adults?

SMR130.025 Signup and view all the answers

What information is missing from the description of the PCA device?

The model number of the device Signup and view all the answers

What is the term used to refer to individuals trained for specific medical procedures?

Anaesthetists Signup and view all the answers

Where should one look for the storage location of the PCA pump?

Subdirectory Signup and view all the answers

What procedure is not utilized at Westmead or BMDH according to the content?

PCEA Signup and view all the answers

Who made the request regarding the subdirectory in the context?

Dr. Halliwell Signup and view all the answers

What is one critical element that must be included in the PCA prescription?

Bolus dose stated in both drug unit and volume Signup and view all the answers

What kind of information was moved into the Equipment section?

Drug concentrations Signup and view all the answers

What specific locations are mentioned in connection with the removal of anaesthetists?

Blacktown and Mt Druitt Signup and view all the answers

What is the main safety alert associated with PCA administration?

No other opioids or sedatives should be prescribed without consulting with the APS. Signup and view all the answers

Which drug is specifically contraindicated for PCA prescription?

Fentanyl Signup and view all the answers

What was removed references to PCEA and epidural procedures associated with?

A documentation review Signup and view all the answers

What does PCA stand for in the context of administering pain relief?

Patient Controlled Analgesia Signup and view all the answers

Which parameter is NOT part of the PCA prescription requirements?

Patient's past medication history Signup and view all the answers

In administering PCA, which of the following is expected to be monitored regularly?

Signs of any adverse effects of analgesic medications Signup and view all the answers

What should be included in the labelling of the PCA opioid solution?

Total volume ordered for correct concentration Signup and view all the answers

What is the correct initial step for programming the CADD Solis PCA pump?

Turn on the pump and start a new patient setup Signup and view all the answers

What must prescribers do when ordering additional PRN opioid medications for a patient on PCA?

Add specific instructions stating 'NOT whilst on PCA' Signup and view all the answers

What does PCA stand for in the context of medication administration?

Patient Controlled Analgesia Signup and view all the answers

Which route of administration is NOT associated with PCA?

Topical Signup and view all the answers

When is the programmed dose of medication delivered in a PCA system?

When a handheld button is pressed Signup and view all the answers

What is a primary classification of PCA?

Therapeutic Procedure Signup and view all the answers

What is one implication of PCA in a healthcare setting?

It encourages patient involvement in pain management. Signup and view all the answers

Which national standard does PCA comply with?

Standard 4 -- Medication Safety Signup and view all the answers

What is the role of the PCA device in pain management?

To allow patients to self-administer pain medication Signup and view all the answers

Which of the following is a potential risk associated with PCA?

Overmedication Signup and view all the answers

What does the acronym WSLHD refer to in a healthcare context?

Western Sydney Local Health District Signup and view all the answers

Who is the key contact for the PCA procedure in the document?

Yen Yi Alderton 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.

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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.