Hospira pca pump was placed on pt post-op surgery for small bowel obstruction, in pacu, at approx 6:30pm.Continuous dose of dilaudid infused per orders until approx 0515am on (b)(6) 2014, when pump was turned off.Pt did not receive bolus doses per the hospira pump report.At 0630 (b)(6) 2014, pt was found unresponsive.Rapid response team and physician responded.Narcan was given.Pt was transferred to icu where her heart rate slowed and she was coded.She would regain a normal rate then the heart rate would again slow down to extremely low rates and require resuscitation.This continued several times throughout the morning.At approx 1:30 pm, the pt did not respond to resuscitate efforts and died.Pharmacy reviewed the pump settings per the pump report and confirmed that it was programmed correctly.Dose of medication used coincided with ordered amount plus amount for priming the tubing initially.
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