Application: ieMR Advanced quick reference guide 02.12.2021 - 1 - Single Injection Neuraxial Opioids (Spinal (intrathecal), epidural and caudal morphine or hydromorphone) Quick reference guide Anaesthetists 1. Search and load the Epidural Infusion and Neuraxial PowerPlan, go to the Single Injection Neuraxial phase. 2. Right click and Modify CAUTION order to stipulate time and date of first allowable opioid. 3. Initiate and Sign this phase of the powerplan. Note: If ordering a bolus only PCA/NCA deselect (untick) the vital signs, pain assessment and naloxone orders – complete these within the PCA/NCA powerplan. Post Anaesthesia Care Unit (PACU) Registered Nurses 1. Navigate to Single injection nerve block, found in Interactive View – Lines and Devices. 2. Single Injection Nerve Block Site – tick either Spinal anaesthetic or Epidural/caudal. 3. Drug Administered – tick opioid and local anaesthetic used. 4. Next opiate administration as per APS appears when morphine or hydromorphone is selected. Complete the time to next opioid field as per the anaesthetist handover or “Caution” order. 5. Complete Paraesthesia and Bromage assessment at least ONCE in PACU. 6. Ensure Sedation score, Respiratory rate and Nausea/Vomiting is completed.