Final answer:
Nursing actions before an epidural placement include confirming patient details and procedure with the team and emptying the bladder to reduce discomfort and risk of urinary retention.
Step-by-step explanation:
Before an epidural is placed, several important nursing actions are required to ensure the safety and comfort of the patient. The nurse must confirm with the anesthesia professional that key checks have been performed. This includes verbally confirming the identity of the patient, the procedure to be conducted, the site of surgery, and the consent for the procedure. Additionally, it is essential to:
- Empty the bladder – This reduces the risk of urinary retention following epidural anesthesia and decreases discomfort.
While other actions such as administering a sedative, encouraging ambulation, or providing a warm bath might be beneficial in different contexts, they are not standard required actions before an epidural placement. The team, including the surgeon, nurse, and anesthesia professional, must also review aloud the key concerns for the recovery and care of the patient.