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Henry Ford Macomb Hospital Warren Campus PAIN MANAGEMENT FLOW SHEET PCA Medication Epidural Concentration Date Dose (ml) Delay Time (mins) Medication 1 Hour Limit Setting (ml) SAMPLE Basal Rate (ml/hr)
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Start by accessing the hfhs-formslibraryorg website.
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Locate the PCA epidural form on the website.
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Read the instructions carefully and gather all the necessary information, such as patient details, medical history, and any allergies.
04
Begin filling out the form by providing the patient's personal information, including their name, date of birth, contact information, and insurance details.
05
Move on to the medical history section and provide accurate information about the patient's current condition, previous surgeries, and medical conditions.
06
Ensure that you accurately document any allergies or adverse reactions the patient may have experienced in the past.
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Next, review the instructions for proper administration and usage of the PCA epidural, including any precautions or contraindications.
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Complete the form by signing and dating it to confirm that the information provided is accurate and complete.
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Make a copy of the filled-out form for your records and submit the original form as required by the healthcare facility.

Who needs pca epidural - hfhs-formslibraryorg:

01
Patients scheduled to undergo a surgical procedure that may require epidural pain management.
02
Individuals suffering from chronic pain conditions who are receiving epidural injections for pain relief.
03
Patients with certain medical conditions that may benefit from the administration of a PCA epidural, as recommended by their healthcare provider.
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PCA epidural is a form used for documenting patient-controlled analgesia administered through an epidural route.
Healthcare providers who administer PCA epidural to patients are required to fill out the form.
The PCA epidural form must be completed by documenting the details of the analgesia administered, patient information, and healthcare provider details.
The purpose of PCA epidural form is to track the administration of analgesia through epidural route and ensure proper documentation for patient care.
The PCA epidural form requires information such as patient name, medication administered, dosage, time of administration, healthcare provider signature, etc.
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