Procedural Sedation in the ICU

[NeuroNP]

How many of you are in a place where you (or some anesthesia provider) has to go to the ICU to perform procedural sedation. Here, RNs can't push Propofol, Ketamine etc, so often times the doc will push it with the nurse observing the patient and the doc ALSO performing the procedure. This doesn't seem like a remarkably good idea to me...

How is it done where you are?

[rn29306]

Perhaps this link will explain some views held by posters:

http://www.allnurses.com/forums/showthread.php?t=91385

[mattsmom81]

The question was asked, I answered. Sorry ya'll don't like my answer but I stand by it.

[rn29306]

Sorry you don't like the view of those in your position and have gone to anesthesia school and the fact that propofol is listed as a general anesthetic, don't let that deter you at all, heavens forbid you administer what you can't manage.

Keep in mind most CNRAs induce, from my teaching facility standpoint, 5-7 major surgery patients a day and perhaps more in private practice. At a recent rotation, I induced 8 lap-choles from 07-1200. That gives us credibility to talk about what we know, what we are prepared for, and what we can manage.