ASPMN Position Statement: Authorized Agent Controlled

Pain Manag Nurs · Jun 2024

Practice Guideline

ASPMN Position Statement: Authorized Agent Controlled Analgesia.

The American Society for Pain Management Nursing (ASPMN) has reviewed and updated its position statement on the use of authorized agent controlled analgesia (AACA) for patients who are unable to independently utilize a self-dosing analgesic infusion pump, commonly known as patient-controlled analgesia (PCA). ASPMN continues to support the use of AACA to provide timely and effective pain management while promoting equitable care for vulnerable patient populations who are unable to use PCA. ⋯ This position statement includes an updated review of the evidence related to AACA. Clinical practice recommendations for authorized agents, nurses, prescribers, and organizations are provided with an emphasis on the importance of appropriate authorized agent selection, education, diligent patient assessment and medication management.

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- Michelle Czarnecki, Maureen F Cooney, and Elsa Wuhrman.
- Jane B. Pettit Pain and Headache Center, Children's Wisconsin, Milwaukee, Wisconsin. Electronic address: mczarnecki@chw.org.
- Pain Manag Nurs. 2024 Jun 1; 25 (3): 209210209-210.
AbstractThe American Society for Pain Management Nursing (ASPMN) has reviewed and updated its position statement on the use of authorized agent controlled analgesia (AACA) for patients who are unable to independently utilize a self-dosing analgesic infusion pump, commonly known as patient-controlled analgesia (PCA). ASPMN continues to support the use of AACA to provide timely and effective pain management while promoting equitable care for vulnerable patient populations who are unable to use PCA. ASPMN does not support the use of "PCA by Proxy" in which unauthorized individuals activate PCA for a patient. This position statement includes an updated review of the evidence related to AACA. Clinical practice recommendations for authorized agents, nurses, prescribers, and organizations are provided with an emphasis on the importance of appropriate authorized agent selection, education, diligent patient assessment and medication management.Copyright © 2024. Published by Elsevier Inc.

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ASPMN Position Statement: Authorized Agent Controlled Analgesia.

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