ERCJA

This is a new subject for our ER. We have recently added new ER physicians that are use to giving propofol in their residency program. I have been told by our OR Director that RNs in the State of Indiana are not covered to push Propofol under the Indiana state practice act. Current literature also indicates this is a hot topic among GI Labs/endoscopy centers in different states because some states require nurse anethetists or anethesiology only to administer this med which can also affect reimbursment from insurers. I have been looking for the information in the 40 page Health Professions Bureau for Indiana and have yet to find it and again, most of the articles out there are controversial depending on the state. Does anyone have any links that you are aware of specifically outlining RN requirements/liability for giving this drug? Or any information on how your facility supported the use of propofol administered by RNs in the ED or ICU, especially related to JCAHO standards, which approve conscious sedation in the ED but not deep sedation. Any info would be greatly appreciated.