I would appreciate your response to the following:
1. Does your institution limit use of PCAs with basal rates on opioid-tolerant patients only?
2. Does your institutions limit the location where PCA​ with basal rate may be used (ICU, Step-Down, etc.?)
3. Any limits on prescribing authority of PCA with a basal rate (i.e. only a specific service(s) may initiate)?
4. Is EtCO2 monitoring required for patients on PCA, with or without basal rate?
5. Any other safety measures in place?
Thank you.

For those of you who use Pyxis or Omnicell in the OR for your anesthesia workflow, what is your time to automated sign off of the machine? There is a concern that needing to sign back in frequently during a case will create delays that could cause harm. The time out for the BioID to remove a controlled substance is usually set much shorter (15 - 45 seconds), where the time to complete sign off has ranged from 15 min - > 4 hours in our area hospitals. We are looking to see what other institutions do.

Thank you!