Howdy! I am an LPN and am currently working for a company as a Quality coordinator for an outpatient surgery center that deals mostly with pain management.
My question is this: We have RN's in pre-op who administer 2mg Versed prior to epidural steriod injections and I am getting conflicting opinions on whether this dose qualifies as moderate anesthesia in conjunction with wanting to evaluate competency for the nurses pushing the Versed. According to the ASA, 2mg would be minimal not moderate sedation however I know a surveyor for AAAHC and he states that because Versed is on the 'list' we have prove competency to push this med as a moderate sedation? Thoughts?
Jun 1, '11
Honestly, I wouldn't touch this question with a 10 ft pole, but let me just comment that a 2mg dose would have different effects on different people. Let me use myself as an example. A few years ago, I had an unfortunate accident, and while in the hospital they wanted to do a bedside endoscopic echo. I was told that they gave me up to 15mg of Versed to sedate me enough to shove that probe down my throat, but I was still fighting it. Obviously, it was a good enough dose that I don't remember the procedure, but not enough to sedate me. (you know they were probably holding me down too!) I eventually had to go into the cath lab with an anesthesiologist and a bottle of Propofol to get the job done. I'm 6'5" 200+ lbs. Give 15mg of Versed to a 100 lb person and you'd have a different outcome.
Last edit by Biffbradford on Jun 1, '11