Briefly discuss what should have happened if good processes were in place; what was the originally designed system/process? Were there breeches in established steps?
Patient control analgesia case project. Part I: Case Description Our case occurred at an urban, academic medical center with patient Mr. S, who was sent to PACU after a routine surgery. Standard post-operative orders include a patient-controlled analgesia (PCA) for his type of surgery. In the PACU, the RN started Mr. S on a Morphine […]