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Re: epidural pumpsFrom: Dr. Ainsworth (ainsron@sbcglobal.net)Tue Jan 27 21:58:25 2009
This is a multipart message in MIME format. The rates are set and adjusted by anesthesia only. Our nursing staff say it is out of their scope of practice to give bolus or adjust the rate. I will give a bolus if anesthesia is not available. From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen Elrod Sent: Tuesday, January 27, 2009 8:07 PM To: Multiple recipients of list OB-GYN-L Subject: epidural pumps General question to the group. Who in your OB departments is/are responsible for adjusting the epidural pump rates? Not, who gives the order, but who physically punches the buttons to adjust the rate. Evidently, AWHONN and ASA have been having turf war for quite a few years regarding who is qualified to adjust the pump. That debate has finally hit our humble unit and now nursing doesn't want to touch the pumps because AWHONN says they shouldn't, because its out of their scope of practice. ASA says there is no data to suggest nurses adjusting pumps is any more risky than patients giving self administered boluses by the PCEA. Who wins? I'll be interested to hear the responses and then how those decisions were taken by the 'losing' side. Glen
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