After initiation of AACA, assess and document An order may be added for “PCA Management” in the medical record the following every 1 hour which will generate a reminder on the “Task x 4 hours and then every 4 hours thereafter in the medical record for the assessment List” unless otherwise ordered: and documentation frequency. Type of assessment Mode The RN must notify LIP of any of the following: AACA Medication Inadequate pain relief Concentration Excessive sedation or change of mental Concentration Unit of Measure status AACA Loading Dose* Fever or temperature >38.5°C Continuous Basal Rate Dose* Flush, rash or persistent itch Continuous Basal Rate Dose Unit of Measure* Demand Dose The patient history must be cleared every 4 hours. Demand Dose Unit of Measure Lockout Interval (minutes) Number of Injections (Delivered) PCA Med Total Dose Infused (mg) PCA Med Total Dose Infused (mcg) Pain assessment Pump related activities* *If applicable Documentation of the following must also be done at a minimum of every 4 hours: Vital Signs PCA Neurological PCA Respiratory PCA Gastrointestinal LIP order is required for changing AACA Document the amount of any supplemental bolus program parameters, administering a doses in the medical record. supplemental bolus dose of opioid using PCA device, renewing AACA narcotics per the Controlled Substance Policy and discontinuing PCA. Maintenance Clamp PCA tubing with clamp on tubing when pump is unlocked (i.e., initiating syringe into pump cassette, changing syringe, reprogramming pump settings).
After initiation of AACA, assess and document in the medical record the following every 1 hour x 4 hours and then every 4 hours thereafter unless otherwise ordered: Type of assessment Mode AACA Medication Concentration Concentration Unit of Measure AACA Loading Dose* Continuous Basal Rate Dose* Continuous Basal Rate Dose Unit of Measure* Demand Dose Demand Dose Unit of Measure Lockout Interval (minutes) Number of Injections (Delivered) PCA Med Total Dose Infused (mg) PCA Med Total Dose Infused (mcg) Pain assessment Pump related activities* *If applicable An order may be added for “PCA Management” which will generate a reminder on the “Task List” in the medical record for the assessment and documentation frequency. The RN must notify LIP of any of the following: Inadequate pain relief Excessive sedation or change of mental status Fever or temperature >38.5°C Flush, rash or persistent itch The patient history must be cleared every 4 hours. Documentation of the following must also be done at a minimum of every 4 hours: Vital Signs PCA Neurological PCA Respiratory PCA Gastrointestinal LIP order is required for changing AACA program parameters, administering a supplemental bolus dose of opioid using PCA device, renewing AACA narcotics per the Controlled Substance Policy and discontinuing PCA. Document the amount of any supplemental bolus doses in the medical record. Maintenance Clamp PCA tubing with clamp on tubing when pump is unlocked (i.e., initiating syringe into pump cassette, changing syringe, reprogramming pump settings).
Policy%20AACA_final%202_6_14.docx