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Re: Epidurals was CNM'sFrom: Len2976@aol.comMon Jul 7 07:23:04 2003
At our facility epidurals can be ordered by either the physician or CNM--even over the telephone. When I first began working here the anesthesia department employed CRNAs, who most often gave the epidurals and stayed in house till the patient delivered. Now, for financial reasons, they no longer have CRNAs. The anesthesiologists do not stay in house--they give the epidural, leave orders for the nurse to start the pump, and leave. CNMs are most often with their patients once labors have progressed to the point of requiring an epidural. Physicians are usually not in house for their patients with epidurals. If there is a problem with the epidural (usually ineffective pain control or a one-sided block), we have to call the anesthioligist back--usually with great difficulty as they are reluctant to return, especially at night. Lenora McCall, CNM
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