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Re: epidural pumpsFrom: John Perry (docjcp@hotmail.com)Wed Jan 28 23:39:42 2009
The epidural pump on our unit are in locked boxes that only the anesthesia provider has a key too. The only buttons that the nurse's can access in the on/off button. If the rate needs to be adjusted, the anesthesia provider has to get out of bed and change the rate. That is the preference of our provider group. Patient's have a button to give themselves up to 4 boluses per hour. Date: Tue, 27 Jan 2009 22:06:37 -0600From: dr99645@yahoo.comTo: ob-gyn-l@mail.obgyn.netSubject: 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 =TXT_TAGHM_WL_HM_versatility_121208
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