Post by seg on Nov 25, 2018 12:42:31 GMT -8
Hello panbc
Thanks for this forum.
Seeking peer feedback around discharge to home in day surgery setting for two situations:
1)lower limb regional blocks:
NAPAN to my understanding says lower limb regional blocksmust have full sensory and motor block of 0 for discharge home. We have surgery and anesthesia advocating for sending bupivicaine blocks ( 12-36 hrs) home with sensory and motor impairments
(Person cannot ambulate without assistance)
2) Discharge of spinals from day surgery:
NAPAN says testing dermatomes w touch or ice ( as long as one is used consistently). We have new nurses who use ice who adamantly oppose touch/pinch and say ice is best practice. I cannot understand why this would be if propricetion/sensory to soles of feet and full motor has returned.
Any opinions?
Thanks so much!
Thanks for this forum.
Seeking peer feedback around discharge to home in day surgery setting for two situations:
1)lower limb regional blocks:
NAPAN to my understanding says lower limb regional blocksmust have full sensory and motor block of 0 for discharge home. We have surgery and anesthesia advocating for sending bupivicaine blocks ( 12-36 hrs) home with sensory and motor impairments
(Person cannot ambulate without assistance)
2) Discharge of spinals from day surgery:
NAPAN says testing dermatomes w touch or ice ( as long as one is used consistently). We have new nurses who use ice who adamantly oppose touch/pinch and say ice is best practice. I cannot understand why this would be if propricetion/sensory to soles of feet and full motor has returned.
Any opinions?
Thanks so much!