i really appreciate the responses to this post. i am gathering all the materials i can to support the position of requiring a tech in the room to assist the md, so the reference to aacn was helpful. the brn for my state says the following: "the registered nurse managing the care of the patient receiving iv conscious sedation shall have no other responsibilities that would leave the patient unattended or compromise continuous monitoring." i have been basically told that doing the tech functions does not violate this guidline because i can still see the monitor, so the continous monitoring is not compromised. to me though, my attention is split too much when focusing even for a short time on doing the tech functions and i feel that there is a compromise to continous monitoring. also the monitor does not give a complete picture on patient condition. it is an argument that i am willing to have with my employer, and hopefully be able to keep my job. that is why i am trying to get all info i can. thanks again.