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| Author | Comment |
Kirsteen
 Nov 7, 07 - 11:55 AM |
Preparation of Epidural Solution
Does anyone know of any literature to support the preparation of epidural solution in a centralised area i.e. pharmacy in a sterile condition. Unfortunately, our Director of Nursing seems to think that nursing staff on the ward can prepare the solution. Thanks 
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Ali Clarke
Nov 7th, 2007 - 1:08 PM |
Re: Preparation of Epidural Solution
How about the following line: "6.4 Except in special circumstances, the solutions should be prepared aseptically in a special unit." This is from: "Good practice in the management of continuous epidural analgesia in the hospital setting" November 2004 A joint document from: #The Royal College of Anaesthetists. #The Royal College of Nursing #The Association of Anaesthetists ofGreat Britain and Ireland #The British Pain Society #The European Society of Regional Anaesthesia and Pain Therapy You can't get a much better pedigree than that! You can DOWNLOAD THE PDF VERSION BY CLICKING HERE |
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Glenn (pain talk admin)
Nov 7th, 2007 - 1:14 PM |
Re: Preparation of Epidural Solution
whoops, apologies to Ali - that last message is from me. (because I'm logged on as admin it comes up with the user name I last updated) |
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Glenn (pain talk admin)
Nov 7th, 2007 - 1:38 PM |
Re: Preparation of Epidural Solution
Another... "Maximise the use of ready-to-administer epidural infusions to help reduce the need for complex calculations and preparations." That's from; "Safer practice with epidural injections and infusions" National patient safety Agency: Patient safety alert 21 March 2007 You can download the .pdf version of that HERE |
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Shaz' Thomas
Nov 7th, 2007 - 1:41 PM |
Re: Preparation of Epidural Solution
I don't have any links to offer, but can I just add that I find the idea frightening. Pharmacy depts. have clean rooms, and buy in pre-prepared items for a very good reason. The error and/or infection risk is just far too great!
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P. Howard
Nov 7th, 2007 - 1:52 PM |
Re: Preparation of Epidural Solution
Quote: "our Director of Nursing seems to think that nursing staff on the ward can prepare the solution" Welcome to a 3rd world NHS! Talk to your: pharmacists infection control team risk management person I would be amazed if any of them thought this were even remotely acceptable!! 
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