Patient-Controlled Analgesia (PCA) Guidelines of Care
San Diego Patient Safety Council


The purpose of this document is to provide San Diego County Acute Care settings with recommendations for the standardization of intravenous Patient Controlled Analgesia (PCA) medication administration in the care of the opioid naïve patient. These recommendations exclude the use of epidural PCA (PCEA), subcutaneous PCA use, the palliative care environment, and patients experiencing chronic pain.

The document is organized into two main sections:

  1. recommended clinical guidelines for Opioid PCA usage, and
  2. recommended plan for implementing the guidelines in your institution.

Patient-Controlled Analgesia (PCA) Guidelines of Care

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