Hi, my name's Susan Mingle. I am a clinical nurse educator with Med One Group. Today we'd like to
thank the Adventists University in Mayaguez, Puerto Rico for allowing us to videotape the
PCA end title integration capability. They were kind enough to let us utilize their facility so
that we could share you, live what it looks like when the PCA end tidal actually communicates
with one another the patient gets to respiratory issues and actually pause the PCA program. If you
want any more additional information on just the PCA module itself, we do have a separate
video that you can access via YouTube. Thank you so much for your time hope you enjoy our video.
So we will power up the system so that there's connectivity with the PCA,
the end. title and the PCU. Yes this is a new patient. We're going to use the critical care
profile so those library of drugs come to the forefront. I'll channel select my PCA,
turn my key to program, confirm that that's the correct time of day, look for all syringes. You're
gonna choose BD because that's the manufacturer I have loaded in there. We're going to use morphine
for this purpose and we're going to use acute pain, this is just tighter Guardrails limits
for acute broader Guardrails limits for a chronic person. We're gonna use one to one,
then I'm going to follow the next button to confirm that. Then we have reviewed our PCA
and pause protocol limits, which means if the patient were to dip below the settings we have
in the end tidal the actual device will alarm and stop the medication from going to the patient and
he dose request button also will become disabled. So I'm going to press confirm and this order is
PCA dose plus continuous . We're going to do a dose of 1 a lock out of 10 a continuous dose of
0.5. We're not going to do a max or a load on this order we're going to press confirm,
close and lock the door, press Start, and then our patient will display what we call a capnegraph
so that we can watch their respiratory and their co2 rates as the narcotic is on board and there's
a dose available. So I'm going to go ahead and push that, now we can watch our capnegraph as our
patient receives the medication. We will enter so we can retain that screen to watch that capnegraph
So we're gonna take tell the patient to take a big deep breath, come out of that alarm. Now we're in
a pause protocol, the patient did not come up enough and recover enough because it dipped
below the settings that were set in the end tidal module. So at this point we're coming in the room,
stimulating the patient probably turning up the oxygen, and making a phone call to the physician
to let them know that the patient had dipped below the settings and a pause protocol had
occurred. So we're going to encourage them to take deep breaths because we want to get that
respiratory rate back up, but the phone call to the physician has warranted a change in
the order for me to come in and change to a dose only PCA. No more continuous. So I'll do that by
channel selecting the PCA, pressing the program button, turning my key to the program position,
and changing the mode of delivery to the dose only of the one every 10 minutes and then I'll
compress confirm. Close and lock that door, press start, and it looks like our patient is as good.
Respiratory rate is up and the light is green so you just continue to monitor the patient.