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?
Related Healthcare Checklists
- Medication Error Prevention Checklist
- Insulin Safety Verification Checklist
- Medication Storage & Handling
- Controlled Substance Count
- Environmental Services Patient Room Cleaning Checklist
- Antimicrobial Stewardship Review Checklist
- Palliative Care Assessment Checklist
- Contrast Media Administration Safety Checklist