Reply To: PCA Pumps for end of life patients

  • Mary Lynn Rae

    April 1, 2015 at 6:29 pm

    We have a palliative care profile in the Alaris pumps with increased settings for narcotics.

    Mary Lynn Rae, CPHON, MSN, RN
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States

    Original Message:
    Sent: 04-01-2015 06:17 PM
    From: Cara Johnson
    Subject: PCA Pumps for end of life patients

    This message has been cross posted to the following Discussions: Nurse Managers and APHON Open Forum .

    Help! 😉

    We have come across issues at least once a month where we have an end of life patient receiving narcotics too large for our PCA pumps…..To the point we are switching syringes every hour.  What we have done as a loophole is have the patient use their home care pump which allows a larger volume. We currently use the Alaris PCA pump and have only 30 ml syringes. What has other institutions done? Our PICU hangs infusions not locked in a PCA machine however we don’t do that….do other institutions do that for meds such as Morphine and Fentanyl? We have done for Propofol and Precedex….If you do infusions not locked up what safety mechanisms do you have in place? Thanks for any and all help 🙂  

    Cara Johnson RNIII, BSN, CPON®

    Clinical Manager

    Hematology/Oncology Inpatient

    Cincinnati Childrens Hospital

    Work: (513)803-0306

    Cell: (513) 490-9253