Reply To: PCA monitoring

  • Mary Lynn Rae

    March 5, 2014 at 9:23 am

    For PCAs or narcotics all patients are hooked up to a pulse ox (we do not use CO2).  For VS monitoring we do baseline HR, RR, BP, O2 sat and repeat at 15 min.  Then at 30, 45, and 60 we do HR, RR, and O2.  I have attached an ISMP newsletter from 2013 that gives a good overview of PCAs (case study, monitoring etc). 

    Mary Lynn Rae
    Ann & Robert Lurie Children’s Hospital
    Chicago, IL
    United States

    Original Message:
    Sent: 03-05-2014 09:17 AM
    From: Donna Ruedisueli
    Subject: PCA monitoring

    We are a children’s hospital within an adult hospital. Recently, our adult services changed the PCA policy in response to ISMP and the Joint Commission sentinel event publication. We are looking at aligning our policy with the adult policy but wanted to find out what are the monitoring parameters other children’s hospitals use upon initiation and with rate changes (frequency of vital signs). Also, do you use pulse oximetry or end-tidal CO2 measurement or both?

    Donna Ruedisueli
    Director of Women’s and Children’s Services
    Mercy Children’s Hospital
    Toledo, Ohio
    United States