Ketamine

[Quinntb]

I gave A dose ketamine in ga,

Am RN it is outside my scope of practice at the directions of md what will happen to me,

THE DOCTOR was in room when medication was given

ketamine was ordered prior to procedure, it was right med, right dose, right route, right time,

[canoehead, BSN, RN]

Are you a nurse? Was it ordered?

[Quinntb]

Am RN the MD was in room at time of administration

[canoehead, BSN, RN]

That is within the scope of practice for a RN in my country.

[Double-Helix, BSN, RN]

The answer will depend on the specifics of the situation, the nurse practice act in your state, and the policies at your facility.

In many states, RNs may administer IV medications as part of procedural sedation under the direction of an MD. In other states, RNs may not administer the first dose, but may give subsequent doses. Have you asked other nurses that you work with? Looked up your facility's procedural sedation policy?

[~Mi Vida Loca~RN, ASN, RN]

I gave A dose ketamine in ga,

Am RN it is outside my scope of practice at the directions of md what will happen to me,

THE DOCTOR was in room when medication was given

ketamine was ordered prior to procedure, it was right med, right dose, right route, right time,

No one can tell you what is going to happen because it depends on your hospitals policies and states BON. I see GA has stricter nurse regulations for Procedural Sedation, but you didn't say what was going on.

In my state we can give ketamine. In fact some of our docs have really jumped on board for giving it for pain. Most of the hospitals I have been at use Ketamine in CS primarily with children but not adults. Really just varies on facility and doctor preference.

Anyway, did something happen to make you concerned that there is an issue?

[miss.amy-sue]

Look into the policy/ procedures for your hospital/facility. I think it depends on the intended level of sedation. At my hospital, RNs (trained in sedation) are allowed to administer medication to induce moderate sedation. Deep sedation requires an attending provider with deep sedation privileges to administer sedation and monitor the patient. With that being said, I have seen ketamine given as IV push by RNs for an awake bronch. Patient remained lightly sedated throughout the procedure.

Not sure if Georgia has specifics on ketamine administration. Found this on google, not sure how credible this is. https://www.ena.org/government/State/Documents/RNProceduralSedationRules.pdf