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No. 160
from robrn
Old Feb 13, 2006, 02:21 PM

Default Re: Propofol
:hatparty: Thursday 2-9-06, the Oregon Board of Nursing unanimously agreed that sedation with propofol is both safe and effective when given by RN’s in the procedural arena. I would like to extend my thanks to all those who supported us during this turbulent time. We are seeing evidence based nursing in practice.
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No. 161
from robrn
Old Feb 13, 2006, 02:48 PM

Default Re: Propofol
Originally Posted by robrn
:hatparty: Thursday 2-9-06, the Oregon Board of Nursing unanimously agreed that sedation with propofol is both safe and effective when given by RN’s in the procedural arena. I would like to extend my thanks to all those who supported us during this turbulent time. We are seeing evidence based nursing in practice.
For continued updates on our progress and more about sedation with propofol, get the facts. Don’t rely on outdated opinions or professional biases. Visit Dr. John Walker’s web site www.drnaps.org. Dr. Walker has spent exhaustive research and development of sedation for procedures in both the inpatient and outpatient setting. We look forward to many years of good sedation and very good patient satisfaction in our GI lab
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No. 162
from jwk
Old Feb 13, 2006, 04:28 PM

Default Re: Propofol
Originally Posted by robrn
For continued updates on our progress and more about sedation with propofol, get the facts. Don’t rely on outdated opinions or professional biases. Visit Dr. John Walker’s web site www.drnaps.org. Dr. Walker has spent exhaustive research and development of sedation for procedures in both the inpatient and outpatient setting. We look forward to many years of good sedation and very good patient satisfaction in our GI lab
So obviously you have no professional bias - right.
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No. 163
from rn29306
Old Feb 13, 2006, 11:08 PM
Updated Feb 16, 2006 at 01:49 PM by SmilingBluEyes

Default Re: Propofol
Originally Posted by robrn
and more about sedation with propofol

Its a general anesthetic.

Counterpoint: Georgia BON alligns itself with the ASA and AANA and is against nurse administered propofol and relies on anesthesia providers to administer this general anesthetic. A precendent has been set for this state. Now GA hospitals are changing their rules. Tit for tat.



edited out inflammatory language content
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No. 164
Old Feb 16, 2006, 01:49 PM

Default Re: Propofol
Please keep focused on the topic and keep language friendly. Thank you!
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No. 165
from Siren
Old Feb 18, 2006, 05:32 PM

Default Re: Propofol
In Colorado only a anesthesiologist can administer Propofol and I am glad. I do conscious sedation everyday but I do not want to give Propofol. We use versed and sublimase.
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No. 166
from spaniel
Old Feb 19, 2006, 01:07 AM

Default Re: Propofol
Hi- I'm still putting off my colonoscopy and it is due (family hx colon cancer-father died at age 53, and I am 53). Can you tell me more re the sublimase? By the way, I would not personally do Propofol without a CRNA or anesthesiologist attending. I know for a fact that I'm a hard intubation.
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No. 167
Old Feb 19, 2006, 03:38 AM
Updated Feb 19, 2006 at 03:43 AM by lady_jezebel

Default Re: Propofol
We use propofol gtts for INTUBATED pts in my med/surg ICU. It's a godsend, since pt's can be sedated or awoken within minutes. Our protocol allows us to use it for 8 hrs & then switch to a versed gtt, unless otherwise ordered by the MD. As for conscious sedation with quick bedside medical procedures, nurses are not permitted by law to push propofol in my state (WA) -- only anesthesiologists. I'm not sure if this is true in other states.
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No. 168
from rn29306
Old Feb 19, 2006, 09:01 AM

Default Re: Propofol
Originally Posted by spaniel
Hi- I'm still putting off my colonoscopy and it is due (family hx colon cancer-father died at age 53, and I am 53). Can you tell me more re the sublimase? By the way, I would not personally do Propofol without a CRNA or anesthesiologist attending. I know for a fact that I'm a hard intubation.

Sublimase is fentanyl, often a cornerstone for traditional conscious sedation.
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No. 169
Old Apr 13, 2006, 05:25 PM

Default Re: Propofol
Originally Posted by rn29306
Its a general anesthetic.

Counterpoint: Georgia BON alligns itself with the ASA and AANA and is against nurse administered propofol and relies on anesthesia providers to administer this general anesthetic. A precendent has been set for this state. Now GA hospitals are changing their rules. Tit for tat.



edited out inflammatory language content
Must agree with the counterpoint above. I just ask that you always remember that there are lies, damn lies, and then there are statistics. Well done research should form the basis of quality care choices for all providers but remember---somewhere around 30 million anesthetics are done each year with only a few thousand serious untoward events --numbers that are not statistically significant, but I suspect you would have a very hard time convincing those who were injured or lost members of their families to death or prolonged morbidity, that their experience wasn't significant. You can do a million "routine" sedations with propofol, but it only takes one bad event to wipe out all that went before. It can happen to any of us, but even the best prepared nurses do not have the skills and legal scopes of practice of CRNAs and MDAs. Just not sure why you would want to have to defend the use of an anesthetic agent (stated in drug package insert and PDR) for sedation in a potential court action. Just an alternate viewpoint supported by over thirty years of anesthesia administration and experience as a researcher and teacher. You folks in Oregon, be sure and keep your malpractice insurance current !
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