4/29/2014

RE: PCA P&P - Davis, Aurora

RE: PCA P&P

Fulton, Krystle L
Thu 2/27/2014 1:16 PM
To:Davis,

Aurora <Aurora.Davis@uchealth.org>;

1 attachment

PCAorderEPIC.docx;

Hi Aurora, Thank you for taking time to talk with me today. I have spoken with Sylvia about your questions. Section 2/B We do not have a reference for this. It is somewhere in the literature, however this exact verbiage was decided on by the Pain Champions, Acute Pain Service and Palliative Care. You can contact them for more guidance. (see attached Screen Shot of EPIC opioid nave order). Section 2/G Again, these were determined the safe PCA dosages by the same teams as above. We are not entirely sure of their rationale, however if you would contact them they would probably say something similar to They have looked extensively at the research and then have tried to match it to best fit our patient population. Now especially that we have merged with North and South. This has been revised to meet ALL of our patients needs. Section2/M Any provider can order the Palliative Care/ONC IV PCA order set. We have had EPIC generate the automatic consult so that ANY provider can place the order, specifically in the night when the Palliative Care Team is not in house. When the consult comes through the next day they can follow up. However the ordering provided does not NEED to consult them prior to orderingthis is the purpose of the AUTOMATIC consult. Section 2/R For subcutaneous PCA infusions it is recommended that Palliative Care is consulted, however it is not necessary. This was decided by the Palliative Care team that this type of infusion can be used by any provided. I hope this helps!! Take Care, Krystle
From: Davis, Aurora Sent: Thursday, February 27, 2014 7:14 AM To: Fulton, Krystle L Subject: RE: PCA P&P

Hi, Krystle. I'm working today and tomorrow as charge, so I can probably find 15 minutes to call you. Any particular times that work or don't work for you? How about this morning? Aurora
https://pod51038.outlook.com/owa/#viewmodel=ReadMessageItem&ItemID=AAMkADJmODRkNzU1LWY2MDAtNGYwYS1hZDViLWQ2ZWI2ZDg0NDEyMwBG 1/3

4/29/2014

RE: PCA P&P - Davis, Aurora

Aurora Davis, RN, BA, BSN, OCN Relief Charge Nurse Oncology and Bone Marrow Transplant Unit University of Colorado Hospital Aurora.Davis@uchealth.org
From: Fulton, Krystle L Sent: Tuesday, February 25, 2014 8:04 AM To: Davis, Aurora Subject: RE: PCA P&P Aurora, So sorry I missed this. I was out of the office yesterday. I will be in the rest of this week. Please let me know if there is another time that works well for you. Take Care, Krystle
From: Davis, Aurora Sent: Sunday, February 23, 2014 3:36 PM To: Fulton, Krystle L Cc: Park, Sylvia Subject: RE: PCA P&P

Hi, Krystle. I'd be happy to call you and talk over your changes. I have tomorrow (2/24) off and someone available to watch my baby so that I could call you. What time would work for you? Thanks, Aurora Aurora Davis, RN, BA, BSN, OCN Relief Charge Nurse Oncology and Bone Marrow Transplant Unit University of Colorado Hospital Aurora.Davis@uchealth.org
From: Fulton, Krystle L Sent: Monday, February 17, 2014 1:28 PM To: Davis, Aurora Cc: Park, Sylvia Subject: PCA P&P Aurora, Attached is the PCA P&P that we have reviewed. We have added our suggestions. Please let us know if you have
https://pod51038.outlook.com/owa/#viewmodel=ReadMessageItem&ItemID=AAMkADJmODRkNzU1LWY2MDAtNGYwYS1hZDViLWQ2ZWI2ZDg0NDEyMwBG 2/3

4/29/2014

RE: PCA P&P - Davis, Aurora

any questions. If it would be helpful we can review this over the phone. Please let me know. Thank You,

Krystle Fulton RN BSN

Medication Safety Clinical Nurse Department of Pharmacy University of Colorado Hospital 12401 East 17th Avenue, 9-069B Aurora, Colorado 80045 Email: krystle.fulton@UCHealth.org Cell: 570-582-8009 Pager: 303-266-1303

https://pod51038.outlook.com/owa/#viewmodel=ReadMessageItem&ItemID=AAMkADJmODRkNzU1LWY2MDAtNGYwYS1hZDViLWQ2ZWI2ZDg0NDEyMwBG

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