AT RVH, our routine is: 1. Intrathecal (Epimorph): * Resp rate and sedation score monitored q30min x2 * then q1h x12 hrs * then q4h until d/c
Vital signs monitored: q1h x2, then q2h x2, then q4h until d/c
2. PCA Analgesia: Resp rate and sedation score monitored: * q30 min x2 * then q1h x12 * then q4h until PCA d/c Vital signs: * q1h x2 * then q2h x2 * then q4h until PCA d/c
3. Epidural (continuous) *Resp rate and sedation score q15 min x1 (then q1h x12, then q2h) * motor & sensory block checked q1h x2 (then q2h x2, then q4h) * Vitals and pain score q15 min x1hr (then q1h x2, then q2h x5 * Vital signs and pain score q15 min x1 hour
At Eastern Health Adult sites, the corporate policy states the following (which is intended for all post operative monitoring):
Epidural or Intrathecal Single bolus of narcotic:
RR Q1h x4 if Fentanyl or Sufentanil Q1h x1 if Lidocaine
Infusion: RR Q1h Sedation scale Q1h, Q4h while asleep.
L.A. Bolus: B/P, Pulse & RR Q5min x4 Q15minx2 Q1h x4 if Bupivocaine or Ropivocaine, Q1h X1 check if Lidocaine. Dermantome and motor Q1h (Q4h if asleep).
L.A infusion (with or without narcotic) B/B Pulse, RR Q1h. Dermatome and motor check Q1h (q4h while asleep).
2 comments:
AT RVH, our routine is:
1. Intrathecal (Epimorph):
* Resp rate and sedation score monitored q30min x2
* then q1h x12 hrs
* then q4h until d/c
Vital signs monitored:
q1h x2, then q2h x2, then q4h until d/c
2. PCA Analgesia:
Resp rate and sedation score monitored:
* q30 min x2
* then q1h x12
* then q4h until PCA d/c
Vital signs:
* q1h x2
* then q2h x2
* then q4h until PCA d/c
3. Epidural (continuous)
*Resp rate and sedation score q15 min x1 (then q1h x12, then q2h)
* motor & sensory block checked q1h x2 (then q2h x2, then q4h)
* Vitals and pain score q15 min x1hr (then q1h x2, then q2h x5
* Vital signs and pain score q15 min x1 hour
At Eastern Health Adult sites, the corporate policy states the following (which is intended for all post operative monitoring):
Epidural or Intrathecal Single bolus of narcotic:
RR Q1h x4 if Fentanyl or Sufentanil
Q1h x1 if Lidocaine
Infusion:
RR Q1h
Sedation scale Q1h, Q4h while asleep.
L.A. Bolus: B/P, Pulse & RR
Q5min x4
Q15minx2
Q1h x4 if Bupivocaine or Ropivocaine,
Q1h X1 check if Lidocaine.
Dermantome and motor Q1h (Q4h if asleep).
L.A infusion (with or without narcotic) B/B Pulse, RR Q1h.
Dermatome and motor check Q1h (q4h while asleep).
For PCA B/P and pulse Q4h.
Daphne
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