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Discussion

Clarification on Florida RN scope of practice r/t propofol, etomidate, succs, etc...

Can someone help me find the Florida board of Nursing's SPECIFIC guidance on this topic? Everything I find on the Deptof Health/ Nursing site is in general terms. Truly no help but a drag on time. I am an experienced RN in the ED and know what my experiences are with these drugs( most who reply will have the same answers to this topic that I have) but, I need to have the Board's black and white answer.

Does any one know where this is?

Thank you in advance,

JJTRN

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There was a thread on Nurses administering propofol a while back and the only thing I remember from it was that Florida took a very conservative view on it (ie Nurses can't give it).

The search function on AN isn't all that useful so I can't find the thread, or anything from your Board directly, but I did find this: "The problem with propofol (brand name Diprivan) is that it is considered by the FDA to be an anesthetic agent, and should be administered by persons trained in the administration of general anesthesia. "So right now we have some states that have said explicitly that administration of propofol for sedation is not within the scope of practice for RNs (e.g., Florida), some that say that it is within the scope of the RN to administer drugs such as propofol for sedation, but no anesthetic agents for anesthesia (e.g., Maine),"

Anesthesia,anesthesiologist for the safe use of propofol

One thing to keep in mind though is that these declatory statements often don't cover intubated patients or those in an ICU level of care, which covers many ER's.

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