Re: Epidurals was CNM's

From: Efrain Ramirez (eramirezt@coqui.net)
Mon Jul 7 17:45:28 2003


That is very convenient - but I would not do it that way - IMHO...

.. At Mon, 7 Jul 2003, Len2976@aol.com wrote: >
>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

--
"The opposite of a correct statement is a false statement.
But the opposite of a profound truth may well be another profound truth."

Niels Bohr (1885 - 1962)





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