PCA Monitoring Checklist

Patient-controlled analgesia monitoring including sedation assessment, respiratory monitoring, and pump verification per safety guidelines.

  • Industry: Healthcare
  • Frequency: Every 2-4 hours
  • Estimated Time: 10 minutes
  • Role: Nurse
  • Total Items: 32
  • Compliance: ASPMN Guidelines, ISMP PCA Safety, Hospital Policy

Pump Verification

PCA pump status

  • Pump functioning properly?
  • Settings match orders?
  • Pump locked and secure?

Patient Assessment

Clinical monitoring

  • Pain level assessed?
  • Sedation level assessed (Pasero)?
  • Respiratory rate documented?
  • Oxygen saturation documented?

Safety Check

Side effect monitoring

  • No signs of oversedation?
  • No respiratory depression?
  • IV site patent?

Pre-Assessment Information

Initial assessment documentation and patient/facility identification

  • Assessor Name / Credentials
  • Assessment Date
  • Department / Unit
  • Assessment Type (Routine/Annual/Complaint)
  • Previous assessment findings reviewed?

Infection Prevention & Control

Verify infection control practices per CDC and Joint Commission standards

  • Hand hygiene compliance observed?
  • Appropriate PPE available and properly used?
  • Isolation precautions properly implemented?
  • Sharps containers available and not overfilled?
  • High-touch surfaces properly disinfected?

Patient Safety & Identification

Verify patient safety protocols and identification procedures

  • Two patient identifiers used before procedures?
  • Fall risk assessment completed?
  • Call light within patient reach?
  • Bed in lowest position with brakes locked?

Medication Safety & Management

Verify medication handling and administration practices

  • Medications stored securely and at proper temperature?
  • Controlled substances properly secured and counted?
  • No expired medications in stock?
  • High-alert medications properly labeled?

Environment of Care & Safety

Verify facility environment meets safety standards

  • Fire exits clear and unobstructed?
  • Emergency equipment functional and accessible?
  • Spill kits available and stocked?
  • Electrical cords and outlets in safe condition?

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