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Continuing Medical Education: Pain Management CME: Parent/Nurse-Controlled Analgesia (PNCA) as a Standard of Care: How to Make it Safe: Dannemiller: June 2009-June 30, 2010
Dannemiller's mission is to enhance patient outcomes by planning, developing, and
delivering educational activities that are based on identified practice
gaps and improve the healthcare professional’s competence in providing
optimal care for their patients.
By Dannemiller
Published on 06/11/2009
Parent/Nurse-Controlled Analgesia (PNCA) as a Standard of Care: How to Make it Safe
This educational activity is intended for physicians, advanced practice
nurses, physician assistants, and nurses working with hospitalized
children in pain.
Parent/Nurse-Controlled Analgesia (PNCA) as a Standard of Care: How to Make it Safe
CME Sponsor: Dannemiller Course Instructors: Michelle L. Czarnecki, MSN, RN-BC, APNP, Advanced Practice Nurse Jane B. Pettit Pain & Palliative Care Center Children’s Hospital of Wisconsin
Steven J. Weisman, M.D., FAAP Jane B. Pettit Chair in Pain Management Jane B. Pettit Pain and Palliative Care Center Children’s Hospital of Wisconsin
Number of Credits:
Physicians: 1.0 AMA PRA Category 1 Credit(s).™ RNs: 1.2 Contact hours Nurse Practitioners: This program is pending CE approval with the American Academy of Nurse Practitioners.
Course Fees: The material is free for review; however, if credit is desired, participants must complete the post-test and are assessed a $5 certificate processing fee
Many hospitalized children continue to report unacceptable levels of pain during their hospital stay (Ellis, et al., 2002). Even more vulnerable than children who can advocate for themselves are those who are unable to do so due to age or cognitive disabilities; these populations are at even higher risk for poor pain assessment and management (APS, 2003). Parent/Nurse-Controlled Analgesia (PNCA) is a treatment modality that allows parents and/or nurses to administer a small amount of intravenous (IV) opioid by pushing a button. PNCA has been available for decades, yet many organizations are reluctant to implement it as a standard of care. This article will provide evidence supporting the use of PNCA, as well as the evidence-based practice guidelines necessary to safely utilize PNCA as a means of providing effective pain management to these vulnerable patient populations.
Learning Objectives:
Discuss current issues concerning pediatric pain management.
Identify the advantages of Patient-controlled Analgesia (PCA) and how they apply to Parent/Nurse-Controlled Analgesia (PNCA).
Identify at least two controversies associated with PNCA.
Discuss the evidence supporting PNCA.
Identify at least three evidence-based interventions to keep PNCA safe.