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Background and Aims Epidural analgesia is an effective method for postoperative pain management. Nevertheless, it involves risks that require multidisciplinary awareness and careful patient monitoring. This audit aimed to evaluate whether postoperative epidural care at our District General Hospital adhered to national standards (Faculty of Pain Medicine 2020, RCoA NAP3 2009). A baseline questionnaire was distributed to 55 nurses across ITU, surgical wards, and recovery areas. Findings revealed that motor and sensory block was monitored in only 30% and 32% of cases, respectively. Additionally, 43% of nurses were unfamiliar with the Bromage scale, and 40% were unaware of the dermatome chart for sensory block assessment. This project aimed to improve compliance with national guidelines, increase staff awareness of escalation pathways and enhance monitoring of epidural blocks.Methods In partnership with the Acute Pain Team of our hospital, we developed training videos covering motor and sensory block assessment. We transitioned documentation from paper to an electronic format to streamline monitoring and escalation processes. The pain team conducted in-person teaching sessions, which were complemented by the introduction of a laminated reference guide. This guide included a clear escalation protocol, QR codes linking to our training videos, and a copy of visual aids including the Bromage and Dermatomal charts. These guides were attached to all epidural pumps throughout the hospital.Results Following the implementation of these measures, a follow-up survey (n=25) demonstrated that 92% of the nurses monitored and documented both sensory and motor blocks. In addition, familiarity with the Bromage scale increased to 92% and 100% found the laminated guide helpful.Conclusions Supporting the existing teaching programme with a visual reference tool led to improved compliance with monitoring standards and enhanced staff knowledge in monitoring patients with epidurals.