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Policy/protocol for Nasal Versed or stock Epinephrine

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Now that we are officially, soft-closed for the year, our district is focusing on working on paperwork that we haven't been able to get to and have wanted to implement. Does anyone have a policy or protocol for nasal Versed and for stock Epinephrine that you are willing to share? Many thanks in advance.

ruby_jane, BSN, RN

Specializes in ICU/community health/school nursing. Has 12 years experience.

I wish I had one for intranasal versed. I had a pharmacist at our children's hospital provide some data on efficacy of this route compared to diastat...but my health services director at the time decided she did not think intranasal midazolam was delegable. I don't think diastat should be delegable either but of the two, I was happier about the nasal mist. At any rate - I don't have access to the hard copy on that.

Most of us agree that the intranasal route is likely efficacious and safe. Check with a pharmacist at your children's hospital for the rationale. Good luck!

BettyGirard, BSN

Specializes in School Nurse.

I'd be interested in seeing the intranasal versed plan. We were starting to see requests for this if for no other reason that intranasal and buccal versed is a lot cheaper than diastat although they're not direct substitutes.

ruby_jane, BSN, RN

Specializes in ICU/community health/school nursing. Has 12 years experience.

On 4/16/2020 at 10:13 AM, BettyGirard said:

I'd be interested in seeing the intranasal versed plan. We were starting to see requests for this if for no other reason that intranasal and buccal versed is a lot cheaper than diastat although they're not direct substitutes.

It's locked in my med cart in the school where they took away my 24hour access because....we're sheltered in place. SORRY!!

But call your children's hospital and talk to a pharmacist.