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Reply To: End-of-Life Pain Management on Inpatient Hem/Onc Unit
So glad you are being proactive in managing EOL pain and other symptoms on the floor! It has made a world of difference for our patients and their families to be with the staff that know them so well and in an environment that has supported them.
We are able to do all opioid PCAs and drips on the floor. We also are able to do Dexmedetomidine, Ketamine, and Versed drips on the floor as well. We do require an allow natural death/DNR order for EOL care. Other uses for sedation meds have to be done in the PICU. Opioid PCAs and NCAs can be done on the floor regardless of code status.
We collaborated closely with our Anesthesia Pain Team on the policies and procedures for this. The palliative care team manages them for EOL patients, but Anesthesia Pain Service manages them for all other patients. We also had to petition our state Board of Nursing to be able to do them on the floor. I am not sure what the Florida regulations are though.
Good luck! It is so worth the administrative hassle.