7/22/2014 RE: Pediatric PCAs - Davis, Aurora

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RE: Pediatric PCAs
Yes, that helps a lot. Thank you!
Aurora Davis, RN, BA, BSN, OCN
Relief Charge Nurse
Oncology and Bone Marrow Transplant Unit
University of Colorado Hospital
Aurora.Davis@uchealth.org
From: Montgomery, Robert <Robert.Montgomery@ucdenver.edu>
Sent: Monday, May 12, 2014 8:45 PM
To: Davis, Aurora
Subject: RE: Pediatric PCAs

Aurora,
I would let that comment from Kaizen committee member go and not put anything in the policy. There are
enough resources within pharmacy/anesthesia or elsewhere that a responsible provider could use to determine
a proper dosing if the situation ever comes up (which your effort shows is likely never). If the opioid nave order
set didnt let them order a low enough dose, then they could order any dose they wanted using the opioid
tolerant order set. Monitoring would be no different from the adult.

Does this help?

-Rob

From: Davis, Aurora [mailto:Aurora.Davis@uchealth.org]
Sent: Monday, May 12, 2014 11:05 AM
To: Montgomery, Robert
Subject: Pediatric PCAs

Rob,

I presented the PCA policy changes to the Kaizen Committee today, and somebody finally came up with a
realistic scenario where we might be using a PCA for a pediatric patient. A CF lung transplant
patient: young, typically very low weight, and potentially admitted here for awhile. According to the
transplant charge I spoke with today, we haven't had one that fits this criteria in years, but we HAVE had
one. He even had one of the CADD PCAs while he was here.

Davis, Aurora
Tue 5/13/2014 3:48 PM
To:Montgomery, Robert <Robert.Montgomery@ucdenver.edu>;
7/22/2014 RE: Pediatric PCAs - Davis, Aurora
https://pod51038.outlook.com/owa/#viewmodel=ReadMessageItem&ItemID=AAMkADJmODRkNzU1LWY2MDAtNGYwYS1hZDViLWQ2ZWI2ZDg0NDEyMwBG 2/2
I'm a little at a loss about this. I could put the pediatric section back in, but in one sense, it doesn't seem
to matter, because the docs can't order a pediatric-specific PCA in EPIC, anyway, and the RNs don't have a
parameter in Alaris to allow them to program the pump, even if they did.

Maybe I should just include the weight based dosing information, and the provider would have to order the
appropriate weight based dosing using the opioid naive protocol?

Help?

Aurora

Aurora Davis, RN, BA, BSN, OCN
Relief Charge Nurse
Oncology and Bone Marrow Transplant Unit
University of Colorado Hospital
Aurora.Davis@uchealth.org