thanks all in advance. I've worked a few facilities and they vary with the policy with fentanyl/dilaudid continuous IV infusion in VENTED patients. Some require a CADD or PCA pump, others allow just an IV drip on a pump.
Our standard concentration is 1000mcg in 100 ml, so 10 ml per hour for 100 mcg. So by the time you prime the tubing, have some run off and so forth your pharmacy drip sheet does not exactly match with what you have infused. The CADD pump or PCA pump is much more accurate, but requires much more documentation every two hours (for allergic reaction pain controll, urinary retention, LOC, breathing), but does not reflect the accurate status of a vented patient, since almost none of that applies as they are sedated as well.
We are considering a new vented fentanyl/dilaudid PCA quick check form to make everyone happy as far as administration safety/ narc documentation and nurses time.
Will you please share a brief moment on how you handle fentanyl/dilaudid drip in the vented patient and what your documentation if extra includes. Thanks so much as my goal is to provide safety but yet limit our documentation. I appreciate your time with your responses!