NERVE BLOCK ORDERS

  • PRESCRIPTION FOR GENEVA WOODS INFUSION PHARMACY

  • Ropivacaine 0.2% Nerve Block

    to be infused through nerve block catheter via CADD pump for up to 72 consecutive hours


  • Continuous Rate =

  • to

  • mL/hour
  • .
  • .

  • Bolus Dose =

  • to

  • mL

  • Every

  • minutes
  • NURSING ORDERS

    • Geneva Woods nurse to teach patient and/or caregiver the care and use of therapy-related devices as well as educate
    regarding possible adverse events related to the therapy and nerve block catheter.
    • Geneva Woods nurse to deliver drug, pump, and related supplies to the patient in the hospital after surgery, attach drug
    and pump to patient’s catheter, and start pump.
    • Geneva Woods nurse to visit patient at home during course of therapy as needed for patient assessments.
    • Geneva Woods nurse to discontinue the line after therapy is complete or as directed by the prescriber. Line removal
    procedure is as follows: (1) remove dressing, (2) cut and remove sutures securing the catheter, (3) remove the catheter, (4) clean incisional area with povidone-iodine and alcohol or with chlorhexidine and apply sterile gauze, and (5) secure with Covaderm Plus.
  • Please fax completed form to Geneva Woods Infusion Pharmacy
    907.334.8587