A friend of mine works in a center that performs gyne surgery (tubals, etc) and in some of the procedures the OB/GYN has the RN administer Propofol instead of an anesthesiologist. She is not ACLS certified and feels confused because giving it is under a doctors orders but she is not certified to administer anesthesia. I was under the understanding that a non-CRNA could not administer Propofol if it is to be titrated. An RN can if it is in drip form at a constant rate such as in the ICU where the patient is vented. I've read different rules on this and the rules are governed by each state individually. I have given conscious sedation before with Versed and Fentanyl under the surgeons orders but not Propofol. Have you ever been put in that position? I would not feel comfortable because of safety issues (no reversal agent for one) but she doesn't feel she can refuse.