PCA's in PACU

  1. 0 Is there any hospitals out there where PACU starts the PCA pump for the patient instead of waiting till the patient gets to the floor?
  2. Visit  cthorn518 profile page

    About cthorn518

    Joined Mar '06; Posts: 2.

    28 Comments so far...

  3. Visit  Nursonegreat profile page
    0
    we always started the PCAs in PACU. always.
  4. Visit  truern profile page
    0
    Had an admit from PACU today s/p partial gastrectomy....she arrived with a PCA. So, yeah
  5. Visit  subee profile page
    0
    Quote from Nursonegreat
    we always started the PCAs in PACU. always.


    In my hospital, anesthesia orders all PCA and it is ALWAYS started in PACU.
  6. Visit  Charity profile page
    0
    We generally start PCA's if it is a floor patient waiting on a room and we have used all that our docs have ordered. Then we get an order that we may use surgeons post-op orders for pain control. "May start PCA in PACU" We always start femoral infusions and epidurals in pacu.
  7. Visit  SouthernLPN2RN profile page
    0
    The hospital I'm at does start them in PACU.
  8. Visit  cowpoke_rn profile page
    0
    We just started doing the PCA's in PACU about 2 months ago. Prior to that we had no means to refrigerate them (we don't have pyxis). It's not so bad because you can get it done quickly when there are so many other RN's right in the room to set it up with you. At first we were afraid that it would be too time consuming, but, all in all it's OK. The nurses on the floor really appreciate it.
  9. Visit  jsully13 profile page
    0
    We do not start PCA's in our PACU, but we do start epidural and continuous nerve block medications.
  10. Visit  nowplayingEDRN profile page
    0
    Any place that I have worked PACU, the PACU RNs start the PCA or at least set it up and send it to the floor with the patient. That way all the floor nurse has to do is turn the PCA on, make sure it is programed properly and start the paper work. Epidurals are also started in the PACU but that is because we have to verify that neurovascular status has returned to the limbs before the epidural can be started.
  11. Visit  maggie77 profile page
    0
    We start PCA's in PACU, also. If we send the patient to the floor without it, they have to call the IV team to start the PCA and it is not in the best interest of the patient or the nurse. It's quick and easy during "regular" hours but takes longer for the pharmacy to get it to us on nights.
  12. Visit  Charity profile page
    0
    Quote from pacu_rn
    ... we had no means to refrigerate them (we don't have pyxis).
    Why would one need to refrigerate a package of morphine?
  13. Visit  sharann profile page
    0
    We start them in the PACU immediately upon arrival if the patient is stable and in pain(or even a hint of pain), then we use the normal anesthesia post op orders to augment and get them comfortable. Those IV meds don't last long. If I tried to transport the patient after giving those measly anesthesia IV doses they would be in pain by the time we arrived to their rooms. With the PCA we can have them press the button in the elevator(or we do it for them if they give us permission...they always do). We order a supply of PCA pumps from Central the night before using the next days schedule to anticipate how many we might need. We also "assign" the pump to the patient(using Doctors name i.e: Dr. G#1, Dr G#2 etc..) to facilitate the process as we have to sign the pump out in a log for Central daily.
    It seems like more work but it saves a LOT of time. If the doc doesn't order a PCA then we simply remove the name (we use post its) from the pump and it can be assigned to another who needs one.
  14. Visit  Laurel RN profile page
    0
    We do not start PCAs in PACU. We have standing Anesthesia Orders for pain meds that we use. We do fax the orders to the floor so they can get it ready and hook it up when we get there.


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