Moderate Sedation

[ApplePineApple]

What are your facilities’ policies? how many staff members? How many are providers or RNs? What roles do each staff member have? 
 

For example, apparently it can be nurse, physician, and RT for a sedation and reduction. Every other place I have been there is one nurse to monitor and one nurse to task (meds/supplies/help with procedure/blown IV/suction) and RT for airway.
 

Basically I would be in charge of documenting, monitoring, and doing tasks. Oh and I also was in quick care where no one else was stationed (not even a provider) 

[whitepinesER]

One RN for monitoring/med admin to accompany providers who performed the procedure, and administer propofol if used (although we usually use ketamine/versed). I've never had an RT at bedside.

[canoehead, BSN, RN]

We have a nurse, physician and RT. Another hospital I worked at just used a doc and a nurse. 

[emergenceRN17, ASN, BSN, RN]

I don't work in the ER rather a dental school, but we do moderate sedation. There is me (RN) and two dental assistants.  I am the only ACLS besides the provider.  I moniter patient, draw up the meds, and do all the paperwork associated.  Just like @whitepinesER we also give midazolam and ketamine hydrochloride. (Also fentanyl citrate)

[0.9%NormalSarah, BSN, RN]

Physician and myself. I can put in an OPA if I need an airway which we always keep in the room, I can jaw thrust and call for someone to get me a reversal if we over sedate. We start low and go slow, the risk is low. I always have suction and O2 set up. 

[emergenceRN17, ASN, BSN, RN]

5 hours ago, 0.9%NormalSarah said:

Physician and myself. I can put in an OPA if I need an airway which we always keep in the room, I can jaw thrust and call for someone to get me a reversal if we over sedate. We start low and go slow, the risk is low. I always have suction and O2 set up. 

We do the same. We actually dilute our meds and go slow. You just never know. Even though they are weight based, I’ve seen very thin patients take a lot and heavier patients take a tiny bit…. Always have the romazicon, naloxone, and positive pressure ready .. I’m thankful our surgeon is very much on the low and slow side ☺️

[gere7404, BSN, RN]

RN, RT, MD at all the hospitals I’ve worked at 

[Music in My Heart]

Hospital/department 1: Two RNs doing sedation (opiods/benzos); MD + tech doing procedure

Hospital/department 2: One RN, one MD doing sedation (ketamine, propofol, dexmetomidine); MD + tech doing procedure

Hospital/department 3: One RN for sedation (opioids/benzos) for acute care patients, two for critical care patients.

Hospital/department 4: One RN doing sedation (opioids/benzos); MD + RN doing procedure.

Hospital/department 5: Two RNs for sedation... no MD... (for diagnostics: CT, MRI, PET, etc)

The foregoing is an amalgamation from 2 hospitals, 4 departments (ED, IR, GI, and cards), and multiple services throughout the hospital(s).