Name
Competency Statement: To be competent in the management and/or monitoring of a patient with a Patient Controlled
Analgesia Device.
Competency Indicators
st
1 Level
a) Discuss the Wessex Pain
Score.
b) Discuss Abbey Pain
Scale.
c) Discuss the criteria for
patient selection for a
PCA.
d) Discuss appropriate
observations for patients
with a PCA’.
e) Discuss the importance of
using ViEWS/MEOWS
and recording on Vital
Pac.
f) Demonstrate appropriate
handover to Registered
Nurse and Acute Pain
Team.
g) Identify nonpharmacological methods
of alleviating pain.
Achieved
Assessor
signature
Competency Indicators
2nd Level
All of Level 1plus:
a) Attend Acute Pain Study
Day having successfully
completed the IV
competency.
b) Locate Trust policy for IV
opiates and demonstrate
knowledge of protocols
for PCA infusions.
c) Demonstrate learning
outcomes of PCA self
directed learning pack.
d) Read and discuss Ch.5
Patient Controlled
Analgesia, Acute Pain
Management. A
practical Guide.
e) Demonstrate the ability
to correctly set up and
check the equipment.
f) Discuss/identify common
side effects of PCA and
action taken to manage
these.
g) Discuss the action of
opioids with reference to
use in PCA’s.
h) Demonstrate appropriate
handover to other
personnel including
Acute Pain Team,
Medical Personnel,
Physiotherapists and
19/06/2007 proforma –Competency template- v 2 /DJK
Achieved
Assessor
signature
Competency Indicators
3rd level
All of Levels 1& 2 plus:
a) Discuss rationale for
discontinuing PCA and
subsequent pain
management.
b) Discuss appropriate
action to be taken if
analgesia not sufficient.
c) Competence in all of the
above and a
demonstrable interest
Acute Pain Management
and specific liaison with
the Acute Pain Service
i.e. APS Link Nurse.
d) Demonstrate knowledge
and skills to assess
Level 2/3 PCA pump
competencies.
e) Discuss and
demonstrate the
procedure to be taken in
the event of a drug error
or adverse incident.
f) Maintain nonpharmacological
techniques of pain relief.
Achieved
Assessor
signature
Competency Indicators
4th level
All of Levels 1,2 & 3 plus:
a) Demonstrate leadership
in the management of
the CSC patients with
PCA
b) Teach the Acute Pain
Study Day.
c) Lead development of
Clinical Guidelines and
Policies.
d) Demonstrate the ability
to undertake assessment
and give effective
feedback.
e) Maintain and foster links
with both National and
Wessex region Acute
Pain Services regarding
innovation and
development of PCA
management and
guidelines.
Form AC2
Achieved
Assessor
signature
Name
Pharmacy.
Education resources to support your development
Attend Acute Pain Study Day and
update annually via the Acute Pain
Website Training package.
Attend Acute Pain Study Day, once IV
competent.
Update annually via Acute Pain Training
package and attend Acute Pain Study
Day every 3 years.
Complete PCA Self Directed Training
Pack
Ch. 5 Patient-Controlled Analgesia.
Acute Pain Management. A Practical
Guide.
Macintyre, P & Ready, B. 2nd Edition.
Author: Claire Wyman
Department: Acute Pain Service
Acute Pain Nurses to assist in the
teaching of the Acute Pain Study Day,
and then independently run Acute Pain
Study Day
Review Date: April 2016
Record of Achievement.
To verify competence please ensure that you have the appropriate level signed as a record of your achievement in the boxes below either by the educator/ trainer if
attendance on study session and or the workplace assessor when performed in practice.
Level 1
Level 2
Level 3
Level 4
Date:
Date:
Signature of Educator/ Trainer
Date:
Signature of Educator/ Trainer
Date:
Signature of Educator/ Trainer
Date
Date
Date
Date
Signature of Workplace Assessor
Signature of Workplace Assessor
Signature of Workplace Assessor
Signature of Workplace Assessor
Signature of Educator/ Trainer
References to Support Competency
Acute Pain Management. A Practical Guide.
Macintyre, P & Ready, B. 2nd Edition.
Drug Therapy Guideline No 102.01 Issued 25.03.2010
Opioids Intravenous in Post-operative Pain Management. Portsmouth Hospitals NHS Trust.
19/06/2007 proforma –Competency template- v 2 /DJK
Form AC2