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GUIDELINE FOR ADMINISTRATION OF FENTANYL FOR PAIN …

RCP PROVINCIAL GUIDELINE FORADMINISTRATION OF FENTANYL IN LABOUR1 GUIDELINE FOR ADMINISTRATION OF FENTANYL FOR pain RELIEF INLABOUR INTRODUCTIONI ntravenous (IV) FENTANYL is a good option for pain management during labour and shouldbe administered in a safe and competent manner. IV FENTANYL ADMINISTRATION is a sharedcompetency and may be administered by a physician or a registered nurse certified in thisprocedure. Appropriate education and inservicing regarding the ADMINISTRATION of Fentanylis a facility-specific responsibility. Intravenous FENTANYL may only be administered by an RN who has current Cardio-Pulmonary Resuscitation and Neonatal Resuscitation certificates.

• Explain to the woman the li mitations of Fentanyl and the possible maternal and neonatal side effects. Obtain (verbal) consent and document in the patient’s chart. • Perform a vaginal examination within 30 minutes of a dministration to assess the progress of labour and conduct fetal health surveillance according to facility policy.

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