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Re: Level 1 units and epiduralsFrom: Marie Harkins (mharkins@twcny.rr.com)Thu Jun 15 19:22:09 2006
Our local hospital recently moved from a Level 1 to a Level 2 status. We don't have anesthesia in house unless there is a VBAC laboring. Our anesthesia department has become more willing to do epidurals over the last 2 years. Prior to that we used mostly intrathecals for labor analgesia. There is a significant increase in patient demand for epidurals and they have responded to this. According to NY state codes, the L&D nurses can not adjust the dose of the labor epidurals. Nurses are allowed to adjust doses of post-op epidurals on all patients. This is a significant inconvenience for anesthesia who have to come in for any dosage adjustment.
-- Marie Harkins, CNM Ithaca, NY
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