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We have a 17 bed postpartum unit where we take low risk antepartum, postpartum, well baby and gyn patients. We often back up into Labor and Delivery. A proposal has been made to include medical surgical patients to include male patients. I am trying to find standards/ethical considerations/ or other reasons why care of adult male patients on postpartum would not be the right thing to do. I have queried AWHONN and am actively searching for articles related to this.

We use duramorph very seldom now. I resurrected a policy. We did checks every hour x 24 for resp and loc. Big problem with itching and some nausea. and it wore off in about 14-18 hours. Often put nubain in the IV for itching seems to me. Karen

We use duramorph very seldom now. I resurrected a policy. We did checks every hour x 24 for resp and loc. Big problem with itching and some nausea. and it wore off in about 14-18 hours. Often put nubain in the IV for itching seems to me. Karen

Our vag patients when they come to the floor, generally are able to move if not they are soon and we help them until they can get up. Q1h vs and checks x 2 and then q4h post epidural x 24 h and then q shift. It is the csections that I am trying to get fewer monitoring trips for. We do low dose epidural demerol for 18 -24 hours on the pp floor and are checking the patient , pain, loc, and resp every hour and the pump readings every 4.. karen

Our vag patients when they come to the floor, generally are able to move if not they are soon and we help them until they can get up. Q1h vs and checks x 2 and then q4h post epidural x 24 h and then q shift. It is the csections that I am trying to get fewer monitoring trips for. We do low dose epidural demerol for 18 -24 hours on the pp floor and are checking the patient , pain, loc, and resp every hour and the pump readings every 4.. karen

Thanks. So after the q 1h x 6 when the patients go the PP floor of if you do LDRP after csections do you check resp and LOC more than every 4h when they are on continuous epidural? Karen

I need some information about the monitoring of patients receiving epidural pain management after delivery. On our postpartum floor we are checking these patients every hour for 24 hours and according to some other hospitals in the area this is overkill. The anesthesia director wants some data. Where do I find that information or do any of you have a policy on epidural monitoring that has references? Karen