[cardiacRN2006]

Originally Posted by JoAnne2005

After reading several of these posts, I am getting the impression that "regular" RN's do the concious sedation administration.

Can this be true? In the hospitals, only a CRNA, Anesthesiologist or Intensivist gives these meds. Can someone enlighten me on this issue.

From a hospital viewpoint, the ICU RNs at my hospital take turns being the "procedure" nurse. So we do the conscious sedation for EGDs, colonoscopies, nephrostomy tube placements, Bxs, etc...In addition, when I'm not the procedure nurse, I will still have to perform CS on my own pt if they are having said test.

In my state, we cannot bolus propofol. It is outside our scope. Yes, we will be in trouble with the BON-that's not fear mongering!

[GIRN]

You were absolutely right in refusing to push meds for conscious sedation without the proper training. If there was a negative outcome you wouldn't have a leg to stand on in court when they asked you why you had pushed meds for which you had had no training. The training is imperative for all nurses because the doctors (I know I shouldn't generalize) may give the orders to push the meds, but they don't always stay on top of what reversal drugs are the right ones. Sounds like leaving the facility was a wise move if your supervisor was willing to let you provide CS without training.