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.”
“The conclusions and recommendations of APSF are that intermittent ‘spot checks’ of oxygenation (pulse oximetry) and ventilation (nursing assessment) are not adequate for reliably recognizing clinically significant evolving drug-induced respiratory depression in the postoperative period. For the CMS measure to better ensure patient safety, APSF recommends that monitoring be continuous and not intermittent, and that continuous electronic monitoring with both pulse oximetry for oxygenation and capnography for the adequacy of ventilation be considered for all patients.”