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.
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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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