Hello. I am new to this group and appreciate any and all advice. We have the ICU Medical Sapphire PCA smart pump. We are finding that our rate of delivery for patient/clinician boluses at 125cc/hr is slow and causing patient's to be locked out of their potential boluses (demand dose).

Am wondering what other places are using in their PCA pumps for rate of delivery of the boluses and demand doses and/or any advice on the topic of what is considered a safe rate of delivery for the usual opioids: dilaudid, morphine, fentanyl and methadone.