We are currently in the process of revising our epidural standards of practice and procedures. Current practice is to monitor VS/Pain/Sedation/Motor Strength/Site Q 4 hrs. There is a wide variation in literature and in our surrounding areas of how often these are done. We are also exploring assessment of dermatone levels, do your hospitals include that? How often are you assessing epidurals? Do you have patients on continuous oxygen saturation monitoring and for how long? Any help would be appreciated, thanks!