Cadd pain pump11/24/2023 We’ve contacted Smiths Medical, and they have agreed to work with us to standardize the color-coding system used for their pumps so that confusion among facilities can be avoided. More recently, hospitals around the country have undertaken efforts to standardize wristband colors. Discontinue Epidural Pump or Peripheral Block Pump o Unlock the pump and. Luckily, the mistake was quickly realized and the patient was rescued. Nursing, obtain clarification with pain service (835-5701) for ANY OTHER. ![]() The CADD pump gives a safe amount of pain medicine all the time. The needle is inserted under the skin (subcutaneous), usually in the upper arm. The pain medicine is connected to tubing and given through a small needle. The nurse worked at another hospital in which yellow wristbands were used to identify a restricted extremity that should not be used for drawing lab studies or IV access. CADD stands for Continuous Ambulatory Delivery Device. A nurse had mistakenly placed a yellow wristband on the patient which, in this hospital, was used to designate DNR status. In our Manewsletter, we mentioned an episode in which a patient had been incorrectly identified as DNR (do not resuscitate) during an arrest. We have encountered similar situations with the use of color-coded patient identification wristbands that were not standardized between hospitals. Unfortunately, this could lead to a situation where a nurse “floating” from one CADD-Solis hospital might confuse a color-code when working at a different hospital that uses these pumps. They are set by the individual hospital during customization, not the manufacturer, Smiths Medical. However, the color-codes are not standardized. Clinicians can recognize which protocol is being used because the pump uses color-coding for the graphic display screens (see Figures 1 and 2). The utilization of a continuous-infusion pain pump following augmentation mammaplasty or abdominoplasty is an efficacious method to significantly reduce both the amount of pain patients experience and the quantity of narcotics used postoperatively.The CADD-Solis Ambulatory Infusion Pump is a portable smart infusion pump that allows hospitals to customize various pain management protocols for a variety of therapies, patient types, and delivery routes, including IV patient controlled analgesia (PCA), epidural PCA, subcutaneous PCA, intrathecal opioid infusions, and peripheral nerve blocks. Similarly, patients with the pump saw a statistically significant decrease in the use of the oral narcotic Vicodin™ at 72 h postoperatively (5 mg hydrocodone/500 mg acetaminophen, Abbott Laboratories, Abbott Park, IL) (augmentation mammaplasty: 26.5 mg/2650 mg vs. Patients equipped with the pain pump experienced a statistically significant decrease in perceived pain compared to those without the pump (augmentation mammaplasty: 2.27 vs. ![]() ![]() The self-administration of oral narcotics was also assessed. A retrospective chart review of patients before and after implementation of the pain pump was undertaken to review the perceived pain patients experienced postoperatively with and without the pump. A full line of administration sets and accessories are available. Prior to 2003, patients were prescribed only oral narcotics postoperatively. A portable and reliable multi-therapy infusion pump used for continuous, PCA, TPN, intermittent, and variable infusions in home and alternate site settings. All of these patients were equipped with an elastomeric continuous infusion pump postoperatively and were prescribed oral narcotics. Because this method can lead to undesirable side effects such as sedation, nausea, vomiting, and respiratory depression, a more efficacious method of postoperative analgesia with fewer side effects needs to be implemented in outpatient cosmetic surgery.įrom March of 2003 until December of 2008, 690 patients underwent augmentation mammaplasty and 215 patients underwent abdominoplasty. Postoperative pain management following aesthetic plastic surgery traditionally has been achieved by systemic administration of several narcotic pain medications.
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