Here is the American Assoc of Nurse Anesthetists website information on conscious sedation. When and if something happens to one of your patients that you are taking care of these are the guidelines the lawyers will be looking at. http://www.aana.com/resources.aspx?u...enuID=6&id=706
1. The registered nurse is allowed by state law and institutional policy to administer sedation and analgesia.
2. The health care facility shall have in place an educational/credentialing mechanism which includes a process for evaluating and documenting the individual’s competency relating to the management of patients receiving sedation and analgesia. Evaluation and documentation occur on a periodic basis.
3. The registered nurse managing and monitoring the care of patients receiving sedation and analgesia is able to:
Demonstrate the acquired knowledge of anatomy, physiology, pharmacology, cardiac arrhythmia recognition and complications related to sedation and analgesia sedation and medications.
Assess the total patient care requirements before and during the administration of sedation and analgesia, including the recovery phase.
Understand the principles of oxygen delivery, transport and uptake, respiratory physiology, as well as understand and use oxygen delivery devices.
Recognize potential complications of sedation and analgesia sedation for each type of agent being administered.
Posses the competency to assess, diagnose, and intervene in the event of complications and institute appropriate interventions in compliance with orders or institutional protocols.
Demonstrate competency, through ACLS or PCLS, in airway management and resuscitation appropriate to the age of the patient.
The registered nurse administering sedation and analgesia understands the legal ramifications of providing this care and maintains appropriate liability insurance.
I would show the AANA website link to the nurse manager, especially #2 . There are also similar JC/JACHO guidelines on conscious sedation.
It is just not worth the risk, if something goes wrong you are the one going to be liable. As far as a nurse in recovery that isn't even BLS certified......You have got to be kidding!
This place is just waiting for a lawsuit/pt to die!