CADD PUMP
Code for CADD Solis pump
What is 210?
Two things required for initial PCA administration
What is 2 RN Verification of order and Dual Sign on EPIC?
Confirmation with second RN includes:
What is minimal or no response to stimuli, RASS < or = 4, RR <8, O2 < 92%, decreasing SBP < 90 mm/Hg?
Time frame in which patients are at high risk for excess sedation
What is 24 hours?
Part of pump that a patient must have at bedside
What is the PCA cord?
Items required for documentation purposes q4h
What is number of injections, attempts, and cumulative dose information?
The time recommended for safe Narcan administration
What is over 2 minutes?
Frequency for sedation level assessment at initiation of PCA
What is every 2 hours for 24 hours?
Three places that must be locked on the CADD pump
What is the pole clamp, CADD cartridge, and CADD box?
Intervals for vital signs for patients with PCA initiation
What is q15 x 4, q30 x 2, q2h x 24 hours, then q4 if stable?
Additional route for Narcan if no IV access is present.
What is IM?
Acceptable scores for sedation per RASS Scale
What is 0, -1, and -2?
Volume needed to prime PCA tubing down to catheter bifercation.
What is 3.3 mls?
Other ongoing items to document
What is pain level, sedation level, and respiratory status?
Where Narcan can be administered per standardized procedure.
What is all inpatient and observation units, SPU, cardiac cath and EP labs?
First thing to do for a patient who becomes unstable?
What is STOP the infusion or remove fentanyl patch?
Report to locate volume infused and PCA dose counters
What is Given and PCA Dose Counters?
Other requirements to document for patients on PCA
What is care plan and patient and family education?
Person who can obtain order for Narcan per standardized procedure.
What is Rapid Response or Attending MD?
People to notify in case of opioid induced respiratory depression
What is clinical coordinator, nursing supervisor, RT, RR RN and MD?