On the L&D unit where I work, post-op orders for pain management after c-sections typically include an order for IV PCA with morphine sulfate. Some of the nurses on my unit start the PCA in the recovery room before the pt is sent to postpartum regardless of whether the pt has complaints of pain or not. Others wait until the pt starts to feel onset of pain.
What is the right thing to do? Should the PCA be started before the pt has pain... or should I wait until the pt requests something for pain?
If anyone has advice or can cite research discussing this topic, I would greatly appreciate it.
Nov 14, '12
What do the orders say to do?Usually by the time the patient is requesting something for pain ( and you know she will!) it's at a level where you r now trying to get it under control instead of simply managing it. We all know its harder to get pain under control rather than keeping it under control. On my floor we use pcea morphine or Demerol depending on the doc and we always start it ASAP coming from the or. After a major surgery the patient is going to hurt sooner or later, so why make her suffer when u have the means and orders to keep her comfortable from the start?
Last edit by lovemyjoblandd on Nov 14, '12
: Reason: Typo