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Updated 12/25

Dear nurses,

It is important for a nurse to become familiar
with the policies and procedures of the Institution.
On admission to a Healthcare facility, there are
certain guidelines that need to be followed.

Learn more about: Nursing Fundamentals

The standards of care are an essential part of  the
Nursing profession. It provides guidelines within a
framework of practices.

Learn more about : The standards of care

Learn more about : Nursing communication

PCA ( Patient Controlled Analgesia)

Patient Controlled Analgesia may be ordered by
the doctor for the patient who is awake, alert and
able to self medicate. This method of administering
pain medication , is done via a pump, through the
intravenous route. Dosages are decided by the doctor.

However, patient and family teaching should be
included in the care plan. It is not uncommon for
family members to press the pain button for the
patient. Sessions 12 gives an overview of pain
assessment.

Indications for the use of the PCA pump include:

- patients who have surgical intervention

- patients with cancer or chronic pain issues

- conditions such as pancreatitis, sickle cell 

  anemia and more.

The Numerical Pain Scale is a useful tool when
assessing pain. It is based on a scale of 0-10.

A ladder starts from the ground and escalates to|
the highest point, so does pain start from 0-10.

It is important to do a pain assessment after pain
medication has been given. See image for more
information.

Nursing communication skills - Part 1

Nursing communication skills - Part 2