Quote from EDinNC
yes, we use Propofol for a vented pt, in the ED, can't push Diprivan, but can put it on a drip. Stupid if you ask me. Can push drugs for RSI (succs, etc), but can't push Ketamine? If we're qualified for a paralytic, then we should be qualified for a lesser anesthetic. That needs to be re-evaluated and give RN's the credit they deserve for not being numnuts.
Do you honestly think you are "qualified" to push paralytics? What in your education has taught you to assume airway control and maintenance? That's right, nothing. 5 minutes at the airway station for ACLS doesn't really count either. Nurses are not taught airway management outside of CRNAs and Flight RNs. This is along the same lines of nurses pushing propofol for non-vented patients for CS. If you, the RN for that patient, can't manage what the medicine causes, then you shouldn't be pushing the drug. Nurses give this medicine as MDs are standing there waiting to intubate and your license probably rests on the MD's ability to successfully intubate or at least adequately ventilate that patient.
Nurses are not numnuts or idiots. They are the backbone of healthcare and patient care / advocacy. Nurses watch the care that other practitioners prescribe like a hawk and rightly so. I am a former ICU / ED/ critical care transport nurse so I know how things are in a hospital... So don't take this as a rant about nursing in general, but..
Nurses do not manage airways, bottom line. So nurses being "qualified" to give paralytics or other medicines listed as general anesthetics........that's a laughable concept.