As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Intensive Care Unit Policy and Procedure Manual includes this customizable template, Pain - Patient Controlled Analgesia (PCA). MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

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Here is some sample content from Pain - Patient Controlled Analgesia (PCA):

	POLICY: Patient controlled analgesia PCA will be offered to patients as a means of controlling pain when appropriate. PCA requires a physician order for medication and dosages. Candidates: Patients with acute post-surgical pain, trauma-related pain, cancer-related pain or any acute pain state where rapid and reliable pain relief via intravenous route is preferred. Age ranges from 3 years with parents operating the button for dosage to elderly patients who may also require family assistance. GUIDELINES: Loading doses for Morphine and Demerol: Morphine is the most commonly ordered for...
Second excerpt:
	...by 10-30% if frequent boluses required. Decrease if excessive sedation occurs. Infusion dose: Increase by 10-15% if frequent boluses required. Decrease if excessive sedation occurs. Meperidine Demerol is another commonly used opioid for adults, but is not recommended for pediatric patients. Meperidine 25 mg IV loading dose and then 10 mg IV per PCA every 15 minutes for a total of 40 mg IV per hour. Precautions: Reduce doses by 25-50% for elderly patients and carefully...