Hi, I'm new to this site, but have enjoyed it greatly. Recently at our small hospital(only 3 ob/gyns) we have had some controversy over epidural management. Our manager has told us that we are not allowed to lower or increased the rate of the epidural pumps, but are allowed to turn it off completely, but not back on. The MDs are having "fits" about this. :angryfire They think that if they have given the order, then we are "covered"
they seem to have a tendency to start an induction/augmentation and then around 2000 if no results "turn it off and let the pt rest", which drives us all crazy...then in the am want to call and restart it. Anesthesia, seems to ride the fence, depending on who they are talking to...and of course working nights, they don't want to come in to readjust a pump...just wondering what other hospitals do. What about when a pt is pushing and unable to feel anything, and the MD orders it decreased...any comments on how it's done elsewhere?