We use propofol quite frequently for conscious sedation in our ED. I have never pushed it, it has always been administered by an MD in cases I have been involved with, because I was under the impression that only an MD or CRNA could push propofol. However, my charge nurse, who overheard me telling this to another nurse informed me that RN's in our ED coud give propofol if we had attended the yearly conscious sedation inservice. Big surprise to me. Just wondering how other ED's handle conscious sedation.