Regarding nurses administering propofol. I seem to be reading a lot about economics, turf battles, and archaic philosophies. Such as nurses should not give propofol because nurses never have. Rarely do I read about patient outcomes, patient satisfaction or patient safety.
So lets address just a few of these. I think that it is much safer to give the 80yo frail patient small incremental doses of propofol for a procedure, than giving boluses of narcotics and benzos then allowing that patient to go home in a narcotic daze only to fall and break something. Propofol patients can be offered a painless procedure. If one patient will come to our facility because of that, and we remove a pre-cancerous polyp I'm happy. This scenario has happened.
Currently there is a shortage anesthesiologists and crna's.
With the ongoing study of nurses giving propofol in the USA and other countries both inpatient and outpatient. The complication rate is less than 0.001% based on 300,000 patients that received sedation.
Throughout the years versed is responsible for, many more, poor outcomes during sedation than is propofol.
We remain on the leading edge of procedural sedation, by offering a safer, smarter and better way of sedating patients. Nursing is moving to evidence based practice and I think the evidence is clear propofol sedation is rapidly becoming recognized as a safe and effective means of administering sedation.