PCA BY proxy - page 2
Hello all - I was wondering if any of you have heard of a policy covering PCA by proxy (meaning someone else, Nurse or family pushes button) - It seems to be a problem when well meaning staff or... Read More
Jan 19, '05Dear Sarah,
Thanks for posting that. We addressed this at my hospital and were told that PCA meds were ONLY to be given BY THE PT! This avoids overmedication of an already sedated pt. The settings on the pump are to keep the pt from overdoing it. But, if a pt is asleep then that protects them from overdoing it too. If they need a continous dose, then the Doc will prescribe that. That's why you can program both a continuous dose and a PCA dose.
The PCA may be more convenient for us nurses, but it's primary purpose is to provide pt controlled self administration of pain meds for better pain control.