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Re: epidural pumps From: len2976@AOL.com Tue Jan 27 23:05:54 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GIN11153@aol.com: "Two new Mag Sulfate and CP articles" Previous message: Dr. Ainsworth: "Re: epidural pumps" Maybe in reply to: Glen Elrod: "epidural pumps" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: epidural pumps" In our facility only the anesthiologists or CRNAs adjust the pump rates. The nurses can only turn them off. ------Original Message------ From: Glen ElrodSender: ob-gyn-l@obgyn.net To: Multiple recipients of list OB-GYN-L ReplyTo: ob-gyn-l@obgyn.net Subject: epidural pumps Sent: Jan 27, 2009 11:06 PM 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 Sent via BlackBerry by AT&T Next message: GIN11153@aol.com: "Two new Mag Sulfate and CP articles" Previous message: Dr. Ainsworth: "Re: epidural pumps" Maybe in reply to: Glen Elrod: "epidural pumps" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: epidural pumps"

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