Physician-Patient Alliance for Health & Safety is an advocacy group dedicated to improving patient health and safety. PPAHS seeks to advance key patient health and safety initiatives that significantly impact patient lives and to do so in a prescriptive and practical manner.
“A misunderstanding on the part of nurses that if a PCA pump is ordered and the patient can receive, for example, half of a milligram of Morphine every hour that the patient cannot develop respiratory depression if the order is followed and the pump is setup correctly. That is certainly not true because of the variables, the other medications, or the way the patient is clearing anesthesia out of her body after surgery. You can still end up with respiratory depression even if the instructions are followed on the pump.”
“Monitoring only SPO2 does not assess adequacy of oxygenation, especially in patients receiving oxygen post op. Also, check q 2.5 hours allow too long a time for hypoxic brain damage to occur…continuous monitoring of ETCO2 and respiratory rate must be added.”