7/14/2014 RE: Patient Controlled Analgesia (PCA): Adult and Pediatric...

- Davis, Aurora
https://pod51038.outlook.com/owa/projection.aspx 1/4
RE: Patient Controlled Analgesia (PCA): Adult and Pediatric Policy
and Procedure Updates, With Changes
Great job. Thanks.

Barb

From: Davis, Aurora
Sent: Monday, May 12, 2014 11:09 AM
To: Krumbach, Barbara
Subject: RE: Patient Controlled Analgesia (PCA): Adult and Pediatric Policy and Procedure Updates, With Changes

Hi, Barb.

I put in the reference to the pain management policy per everyone's request. Regarding the RR and
quality, there's a whole section under "sleeping patient" that talks about this in great detail.

Thanks for the feedback. Kaizen approved our changes today, so my next email to stakeholders will go out
in a few days with all the changes.

Aurora

Aurora Davis, RN, BA, BSN, OCN
Relief Charge Nurse
Oncology and Bone Marrow Transplant Unit
University of Colorado Hospital
Aurora.Davis@uchealth.org
From: Krumbach, Barbara
Sent: Monday, May 5, 2014 5:24 PM
To: Johnson-Bortolotto, Shannon; Davis, Aurora; Montgomery, Robert; Youngwerth, Jean M; Levin, Dimitriy;
Fiegel, Matthew; Swedhin, Amanda M
Subject: RE: Patient Controlled Analgesia (PCA): Adult and Pediatric Policy and Procedure Updates, With
Changes

Hi Aurora, great job. A couple of comments. I am okay with mentioning the pain scales. We might want to say
Krumbach, Barbara
Mon 5/12/2014 11:52 AM
Inbox
To:Davis, Aurora <Aurora.Davis@uchealth.org>;
7/14/2014 RE: Patient Controlled Analgesia (PCA): Adult and Pediatric... - Davis, Aurora
https://pod51038.outlook.com/owa/projection.aspx 2/4
refer to pain management policy.
Under number 4 for monitoring should say a patient with a protected airway Do we need to say rate and
depth of respiration when we refer to respiratory monitoring.


Barbara Krumbach RN,MSN,CPAN,CCRN
Perianesthesia Clinical Educator
University of Colorado Anchultz Medical Campus
Office: 720-848-6697
Pager: 303-266-3784
Barbara.krumbach@uchealth.org
The Department of Professional Resources improves lives by empowering healthcare professionals to influence
quality care through education, discovery and navigation of change.




From: Johnson-Bortolotto, Shannon
Sent: Tuesday, April 29, 2014 4:27 PM
To: Davis, Aurora; Montgomery, Robert; Krumbach, Barbara; Youngwerth, Jean M; Levin, Dimitriy; Fiegel, Matthew;
Swedhin, Amanda M
Subject: RE: Patient Controlled Analgesia (PCA): Adult and Pediatric Policy and Procedure Updates, With Changes

HI Aurora & team;
Nice job on updates!
I added a few suggestions via track changes (attached).
Here are my thoughts:
I added the RASS scale below the MR scale with explanations of who uses which scale.for sedation
assessment. I also attached the RASS scale for you with references.
We need to add the pain assessment tools as well categorized as self-report (010 numeric rating,
faces) and behavioral tools (CPOT in ICU; CNPI in non-ICU) and nursing assessment hierarchy for
neurologic impairment.
I added further clarification for ICU assessment with a protected airway in monitoring section.
Take out any phone #s.as they do change & PPPPC will ask for removal
Do we have anything in this policy for peds? If not, the policy name may have to change for adults
only??
References need to be in APA format, 6
th
edition
o here is a helpful link:
http://office.microsoft.com/en-us/templates/apa-style-report-6th-edition-TC103982351.aspx
Update UCH levels of evidence (new evidence table attached for you)

7/14/2014 RE: Patient Controlled Analgesia (PCA): Adult and Pediatric... - Davis, Aurora
https://pod51038.outlook.com/owa/projection.aspx 3/4
Let me know if you have any further questions. This is a big policy!


Shannon Johnson Bortolotto RN MS APN CCNS
Critical Care Clinical Nurse Specialist
University of Colorado Hospital
Department of Professional Resources
720-848-0945
Please note email change: shannon.bortolotto@uchealth.org

The department of Professional Resources improves lives by empowering healthcare professionals to influence quality care
through education, discovery and navigation of change.




From: Davis, Aurora
Sent: Tuesday, April 29, 2014 3:40 PM
To: Montgomery, Robert; Krumbach, Barbara; Youngwerth, Jean M; Levin, Dimitriy; Fiegel, Matthew; Johnson-Bortolotto,
Shannon; Swedhin, Amanda M
Subject: Patient Controlled Analgesia (PCA): Adult and Pediatric Policy and Procedure Updates, With Changes

Dear Clinical Stakeholders,

In response to feedback from stakeholders, I have made some additional changes to the Patient Controlled
Analgesia (PCA): Adult and Pediatric Policy and Procedure. In addition to the changes noted in my last
email, I have now: changed the PCA dosing table to reflect the recommendations of the Acute Pain
Service; adopted several phrasing tweaks per Dr. Youngwerth; added an additional reference for opioid
sedation management per Barb Krumbach; removed references to pediatric dosing per APS, Dr.
Youngwerth, and UCH Admission Policies for pediatric patients; and verified the appropriateness of using
the terms "Alaris" and "CADD".

Please look over and review the attached policy. I am looking for either your approval as is or
suggestions/rationales for change. Please have all feedback to me by Monday, May 5th, 2014, as I will be
taking the policy to the Kaizen Committee and would like your suggestions before then. If, by May 5th,
2014, your comments have not been received, your approval is assumed.

Thank you.

Attached document:
1. Patient Controlled Analgesia (PCA): Adult and Pediatric Policy and Procedure, Updated
7/14/2014 RE: Patient Controlled Analgesia (PCA): Adult and Pediatric... - Davis, Aurora
https://pod51038.outlook.com/owa/projection.aspx 4/4
Aurora Davis, RN, BA, BSN, OCN
Relief Charge Nurse
Oncology and Bone Marrow Transplant Unit
University of Colorado Hospital
Aurora.Davis@uchealth.org