MEDICATION ERRORS: Default could lie with de pump

December 2004 
Volume 34  Number 12
Pages 12 - 14
  PDF Version Available!

© 2004 Lippincott Williams & Wilkins, Inc. Volume 34(12)             December 2004             p 12–14 Default could lie with de pump [MEDICATION ERRORS: ERRONEOUS PCA]


President of the Institute for Safe Medication Practices

A prescriber ordered patient-controlled analgesia (PCA) for a postoperative patient using the opioid fentanyl according to facility protocol. This called for a 50 mcg/ml concentration, 10 mcg demand doses, a 6 minute lockout, and 20 mcg clinician boluses. The nurse programming the PCA pump accidentally entered the fentanyl concentration as 1 mcg/ml and the demand dose as 0.1 mcg. Another nurse who'd been present but left to take a phone call asked the first nurse to read the settings when she returned, but neither of them detected the errors.

Because the pump contained fentanyl, 50 mcg/ml, and demand doses had been ...

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!

1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.

Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

What internal motivators drive RNs to pursue a BSN?
Nursing2014 , October 2014
Free access will expire on November 24, 2014.

Breast Cancer Risk Assessment in Primary Care
MCN, The American Journal of Maternal/Child Nursing, September/October 2014
Free access will expire on November 10, 2014.

Nurses spurring innovation
Nursing Management, October 2014
Free access will expire on November 10, 2014.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events