Leaving an epidural catheter in

Hello,
I had a patient with low platlets who was given an epidural during labor. Although we discontinued the infusion, I was instructed by the CRNA not to remove the catheter for 12 hours or until we had new labs to determine her platlet count. At 4 hours post partum, I disconnected the epidural distal to the filter and transferred her to the postpartum unit. Was I supposed to put some sort of cap on the end of the filter/catheter? I guess I just assumed it was like an IV port and did not put anything on it.
Quote from 8396204Hello,I had a patient with low platlets who was given an epidural during labor. Although we discontinued the infusion, I was instructed by the CRNA not to remove the catheter for 12 hours or until we had new labs to determine her platlet count. At 4 hours post partum, I disconnected the epidural distal to the filter and transferred her to the postpartum unit. Was I supposed to put some sort of cap on the end of the filter/catheter? I guess I just assumed it was like an IV port and did not put anything on it.

Yes, epidurals need to be capped. It's an opening to the epidural space. You definitely need to ask next time.

OP if you can be identified by your user name, suggest you change it to something more anonymous, also this needs to be looked into ASAP, call any of the staff that SierraBravo suggested or your nurse manager.

Quote from ;8396204Hello,I had a patient with low platlets who was given an epidural during labor. Although we discontinued the infusion, I was instructed by the CRNA not to remove the catheter for 12 hours or until we had new labs to determine her platlet count. At 4 hours post partum, I disconnected the epidural distal to the filter and transferred her to the postpartum unit. Was I supposed to put some sort of cap on the end of the filter/catheter? I guess I just assumed it was like an IV port and did not put anything on it.

Quote from ;8396204Was I supposed to put some sort of cap on the end of the filter/catheter? I guess I just assumed it was like an IV port and did not put anything on it.

Our epidural catheters, you can just unscrew - no cap is needed.I agree that this is something you should have asked a coworker or charge nurse, not an anonymous internet board. Things that immediately affect patient care are best left to people whom you KNOW and from whom you can get an immediate response.

Thank you all. I did hear back from my charge immediately after posting this and we got it taken care of. You are all right, I should have clarified before acting. This is my first acute care position in 8 years, and we all know what happens when we "assume".