jamesk78

Latest Activity

1. RN Propofol/Vecuronium IV push, is it ever legal???

   jamesk78 replied to jamesk78's topic in MICU

   Yea, my manager handed me that document as she wrote me up, however at the very end of it it stated that under certain conditions it is within the scope of practice of an RN to dose and monitor pt for procedural sedation. That info is supposedly out...

2. RN Propofol/Vecuronium IV push, is it ever legal???

   jamesk78 replied to jamesk78's topic in MICU

   Thanks for the info. I was afraid of the "during rapid intubation" clause. I've had a number of MD's instruct me to bolus a small dose of Propofol to intubated and nonintubated pts for bedside procedures, just got cited for it and a little irritate...

3. RN Propofol/Vecuronium IV push, is it ever legal???

   jamesk78 posted a topic in MICU

   I found some old threads from like 2005 on this topic and thought the responses might not be accurate in 2012. I know the Maryland scope of practice states an RN is not allowed to bolus Propofol, but is it legal to push at the direction of an MD whi...

4. Accepting tranfer of patient not qualified to care for...

   jamesk78 replied to jamesk78's topic in Safety

   Thank you all who have offered the excellent feedback. I have actually seen this situation occur in person. Let's say hypothetically that a pediatric patient was brought back to the PICU post-op placement of a particular device the RN's on the floo...

5. Accepting tranfer of patient not qualified to care for...

   jamesk78 posted a topic in Safety

   Is there any ethical/legal issues against accepting the transfer of a patient with an issue, being vented for instance, that you aren't experienced with if the hospital provides a support RN 24/7 to manage that aspect of care? In my opinion this sho...