RN without ACLS pushing Versed?

Nurses Safety

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Howdy! I am an LPN and am currently working for a company as a Quality coordinator for an outpatient surgery center that deals mostly with pain management.

My question is this: We have RN's in pre-op who administer 2mg Versed prior to epidural steriod injections and I am getting conflicting opinions on whether this dose qualifies as moderate anesthesia in conjunction with wanting to evaluate competency for the nurses pushing the Versed. According to the ASA, 2mg would be minimal not moderate sedation however I know a surveyor for AAAHC and he states that because Versed is on the 'list' we have prove competency to push this med as a moderate sedation? Thoughts?

Specializes in Emergency Department.

Something to consider also is whether or not other nurses in your facility are required to have ACLS to administer lorazapam (Ativan) or diazepam (Valium), especially at lower doses for the purpose of relieving anxiety... You may want to review those guidelines as well as you work on a new guideline for administering midazolam for that same purpose.

Re-inventing the wheel can be such hard work. ;)

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