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Thursday, 10/08/2015 9:06:24 AM

Thursday, October 08, 2015 9:06:24 AM

Post# of 32393
Also the SAFEDOSE PCA product. If you want to see why the company is developing these innovative products, you need to understand the huge problem.

http://www.medscape.com/viewarticle/557394_6

PCA by proxy

This is not a small problem. A review of the United States Pharmacopeia (USP) errors database indicated that 6069 PCA errors had been reported, with 460 events resulting in fatality or some level of harm to the patients. Of these errors, 12 cases were attributed to PCA by proxy, with 1 of these cases reported as fatal; in that case, the nurse was the agent to activate the button for the patient.

The American Society for Pain Management Nursing developed a nurse-activated PCA position statement in an effort to help control the use of PCA by agents other than patients. The statement outlines the format for using this technique by implementing specific orders and parameters for use. Both the ISMP and USP recommend development of specific criteria for any situation in which nurse-activated PCA is being used.

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