PCA - Practical education session

  • PCA

    Review the objectives below with your Pain Link Nurse, Clinical Facilitator or Preceptor
    OBJECTIVE EXPECTED KNOWLEDGE/SKILLS/ATTITUDE/PROCESS
    1. Able to identify patients suitable for PCA  1. Able to identify if a patient is suitable to use PCA and what limitations exist.
    2. Able to provide explanation / education to patient/family about using PCA for pain management.
    3. Identifies whether or not "standard" handset is suitable for a patient and knows how to organise alternative options.
    4. Identifies patients who would manage better with a modified delivery set and reasons why this might be needed.
    5. Correctly connects modified delivery sets to PCA pump.
    6. Seeks assistance if unsure.
     2. Programming and accessing data from PCA pump 1. Able to read screen data to check program against prescription.
    2. Demonstrates how program setting is altered on each pump.
    3. Able to access the patient history to identify relevant information and understands what the terms mean and why this information is recorded.
    4. Understands what documentation is required and where to document.
    5. Able to check programming changes if requested by CPMS or anaesthetic registrar.
    6. Seeks assistance if unsure.
     3. Able to set up PCA pump for delivery 1. Identifies main features of PCA pump.
    2. Explains where to locate PCA keys on ward and is able to lock/unlock cover of both types of PCA pump.
    3. Able to prepare syringe and IV line for PCA pumps.
    4. Able to load syringe into PCA pump, replace cover plunger clamp, close and start PCA.
    5. Ensures the IV line and PCA pump are labelled correctly.
    6. Checks PCA line is connected correctly to patient's IV line
    7. Demonstrates an awareness of interactions of opioids and other infusions.
    8. Seeks assistance if unsure.
     4. Able to identify minor problems with PCA pump 1. Responds to the different alarm sounds and can suggest what might cause alarm to sound.
    2. Is able to trouble-shoot simple problems.
    3. Can check for power source problems and rectify.
    4. Identifies more complex occlusion problems eg plunger clamp.
    5. Knows what to do if PCA not functioning correctly.
    6. Seeks assistance if unsure.

    Updated Aug 2016