Epidural Monitoring - Frequency of Assessment/Dermatone Levels
- 0Aug 17, '10 by ABSTANDRWe 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!
- 0Aug 17, '10 by cardiacmadelineWe assess vital signs, motor strength, site every 4 hours, everything you do. We don't assess dermatone levels. We document respiratory rate every hour for the first 15 hours. We also have them on continuous oximetry for the first 15 hours and then discontinue it if they are stable.
- 0Aug 18, '10 by Up2nogood RNAfter post op vs are done than Q4 vs/dermatomes and site check Q 8. Cont pulse ox and foley can't be d/c'd until 12 hrs after epi line has been pulled. Thankfully we don't have too many epidurals as we use to, alot of extra monitoring/charting. A lot of our pts do receive intrathecals + PCAs nowadays though.