Re: epidural pumps

From: Glen Elrod (dr99645@yahoo.com)
Wed Jan 28 17:44:08 2009


That may be our best work around. Our anesthesia group is small and even though they don't make adjustments very often, they are only one person on at a time and are often tied up with ortho or gen surgery and can't get out to personally adjust doses. We are actively looking in to how many adjustments are being made on average to see what impact it might have on their practice.

As an OB I can try and clearly see both sides, but from reading the position statements from AWHONN it sounds like a huge CYA without any data to support the risk or liability they are claiming. But, if the nursing board acts on the AWHONN recommendation, the anesthesia groups hands will be tied and they will be forced to make their own adjustments.

Glen

________________________________ From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. <johnprov@sympatico.ca>

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________________________________
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
Sent: Wednesday, January 28, 2009 2:26:28 PM
Subject: Re: epidural pumps

Where I work, a nurse ,midwife, etc; must take and pass a course given by the department of anesthesia on how to manage the pumps and epidurals, clear protocols are available. You haven't taken and passed the course you can't manage an epidural pump.





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