What are at least 4 parameters that are checked with another RN regarding a PCA pump?
With another RN, verify the PCA pump settings against the order. Check the patient’s name; the drug, route, and concentration; dose volume limits; lockout interval and frequency; and 4-hour limit. Settings should be rechecked every time the syringe, parameters, or caregiver changes.
What patient teaching should the patient receive regarding the use of the PCA patient-controlled analgesia pump?
The PCA pump is safe to use because you receive medication by pressing the button when you feel pain, but the pump won’t give you the drug if it’s not time to receive another dose yet. Remember, no one should press the button on the PCA pump except you. When the pump is empty, an alarm lets the nursing staff know.
What are the nurse’s responsibilities when placing a patient on a PCA?
Nurses are responsible for the placement of peripheral intravenous lines, setup of PCA pumps, insertion of medication into the pumps, and monitoring of the patient’s pain, sedation, and respiration.
What observations are required when caring for a patient with a PCA?
Patients with PCA need regular observations of pain, nausea, sedation and respiratory rate, in addition to the conventional postoperative recording….Monitoring PCA Infusions
- Pain score must be recorded on the observation chart.
- Sedation scores and respiration rate must be recorded on the observation chart.
Which is important patient teaching regarding the use of patient-controlled analgesia?
How often should the patient-controlled analgesia pump be used? You can use the pump whenever you feel pain. If you’re feeling sleepy, you shouldn’t push the button. The goal of the pump is to keep your pain at a level you can tolerate.
How do you set an IV pump rate?
If you need to set this up on an IV infusion pump, use the formula, volume (mL) divided by time (min), multiplied by 60 min over 1 hour, this equals the IV flow rate in mL/hr. Using this formula, 100 mL divided by 30 min, times 60 min in 1 hr, equals 199.9, rounded to 200 mL/hr.
What should the nurse monitor in patient on PCA pump?
Monitoring the Effects of PCA Monitoring requirements should be developed for patients who are receiving PCA. At a minimum, the patient’s level of pain, alertness, vital signs, and rate and quality of respirations should be evaluated every four hours. The staff must be alert for signs of oversedation.