We have found that a large percentage of epidurals in L&D are "overridden" prior to pharmacy verification. We use a standard formula (but use different rates/PCEA parameters so cant use a standing order), so I don't have huge safety concerns other than the missing allergy check since anesthesia programs the pump but would like to reduce these overrides if possible. Anesthesia says they don't have time to see the patient/put in orders/wait for pharmacy verification prior to placement. Some of it may be "cultural" in that nurses just want everything ready for anesthesia when they get to the room. Has anyone had a similar situation and been able to address override culture in this setting?
Wed, 04/29/2026 - 15:29
#1
Overriding Epidurals in L&D
