The epidural Re-dose checklist....

The Epidural Re-Dose Checklist – this checklist will assist you in epidural labor analgesia management.

 Is the patient experiencing pain or discomfort?
 Is her pain Verbal Rating Scale (VRS) ≥ 4 (out of 10)?
 Did the patient obtain previous relief with the current epidural catheter?
 Does the patient have a bilateral T-10 level?
 When was the patient’s last vaginal exam? What is her cervical dilatation?
 Does the patient have complete cervical dilatation? Is it time to push?
 Does the patient have a full bladder? Does her bladder need emptied?
 Does the patient have a 1-sided block? Is she turning every hour?
 Is the PCEA infusion running/working adequately?
 Is patient pushing her PCEA button appropriately?
 Has dystocia/CPD/FTP been ruled out? Is she a candidate for CS?
 Have you checked the catheter site? Is the catheter site intact? Has the catheter moved out of position from its original placement?
 Has the patient had ≥ 2 re-boluses? If so, consider replacing the epidural cathete

Thanks to Dr M. Vallejo for university of Pittsburg for this awesome paper

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