According to professional standards (AWHONN,2007)the nonanesthetist registered nurse caring for a woman with an epidural is permitted to perform all actions except:

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Only qualified,licensed anesthesia care providers are permitted to insert a catheter,initiate epidural anesthesia,verify catheter placement,inject medication through the catheter,or alter the medication or medications including type,amount,or rate of infusion.The nonanesthetist nurse is permitted to monitor the status of the woman,the fetus,and the progress of labor.Replacement of the empty infusion bags or syringes with the same medication and concentration is permitted.If the need arises the nurse may stop the infusion,initiate emergency measures,and remove the catheter if properly educated to do so.Complications can require immediate interventions.Nurses must be prepared to provide safe and effective care during the emergency situation.

According to Professional Standards (AWHONN,2007)the Nonanesthetist Registered Nurse Caring for a Woman