RNlmbhb

Did you get the job? Do you mind me asking, did you have PALS or NRP? Did you do your preceptorship in the NICU? I have over 10 years of LVN experience and recently got my RN and BSN and did my preceptorship in the NICU. I didn't get an interview. I am just wondering what it takes to get into CHOC? Are there just tons that apply? Do they hire from schools that they work with? Any information would be helpful! Thanks!

When I type in "Propofol" under state board of nursing...it comes up 1.5 pages on CONSCIOUS SEDATION; the first paragraph states: "It is within the scope of practice of registered nurses to administer medications for the purpose of induction of conscious sedation for short-term therapeutic, diagnostic or surgical procedures.Authority for RNs to administer medication derives from Section 2725(b)(2) of the Nursing Practice Act(NPA). This section places no limits on the type of medication or route of administration; there is only a requirement that the drug be ordered by one lawfully authorized to prescribe. Other relevant sections of the NPA do impose additional requirements. Specifically, the registered nurse must be competent to perform the function, and the function must be performed in a manner consistent with the standard of practice. [business and Professions Code 2761(a)(1); California Code of Regulations 1442, 1443,1443.5.] In administering medications to induce conscious sedation, the RN is required to have the same knowledge and skills as for any other medication the nurse administers. This knowledge base includes but is not limited to: effects of medication; potential side effects of the medication; contraindications for the administration of the medication; the amount of the medication to be administered. The requisite skills include the ability to: competently and safely administer the medication by the specified route;anticipate and recognize potential complications of the medication; recognize emergency situations and institute emergency procedures. Thus the RN would be held accountable for knowledge of the medication and for ensuring that the proper safety measures are followed. National guidelines for administering conscious sedation should be consulted in establishing agency policies and procedures." From reading this, sounds like it is legal for RN's to give Propofol in CA. I wouldn't do this unless I had proper training and there was an anesthesiologist on site all the time and if the airway is secure. If anyone else has found any other information for the BON for California, please let me know! Thanks.

Thanks! This is very helpful. I'm from Texas and knew it isn't legal in TX, but CA board of nursing does not go into detail like TX does. I will try to find out more what Ca board says. I know the place has an anathesiaologist on site, but not sure if he is there all the time. It sounded like he was just for cases that needed general anethesia. Not sure. I'll have to have her clarify. Thank you!

Correct. They would train me and I would make sure I am comfortable with it before doing it. It is for an endoscopy job doing pre op, sedation and recovery. It's a small center (not in a hospital). So I'm a little skeptical, may ask her to clarify.

I am new to California and looked up the policy for sedation meds that RNs can give and it is very vague. It states that a RN can give any medication as long as it a appropriately prescribed. I know in most states, RNs CANNOT give Propofol and just wanted to know if there is some other information I am missing?? I interviewed for a job today and the nurse manager told me that they give Propofol. I need to clarify with her if the RNs do, but from what it sounded like, they do.