Rad Tech's pushing IV Narcotics for sedation - page 2
I have worked in an interventional radiology department for the last 4 1/2 years. We have 2 rooms, 4 rad techs, and 2 RN's. Our techs do conscious sedations and push IV narcotics. I was told that... Read More
Mar 2, '06Occupation: allnurses Asst Community Manager, APRN Specialty: 25 year(s) of experience in Nephrology, Cardiology, ER, ICU ; From: US ; Joined: Apr '00; Posts: 53,570; Likes: 26,661What about your hospital's Risk Manager?
Mar 3, '06Joined: Apr '02; Posts: 32,001; Likes: 21,179The "contrast" the nuc. med. techs administer is not iodinated contrast, but a radioactive isotope, which they are trained and licensed to administer.
Agree with above poster, speaking to risk management is a GREAT idea! Keep us posted.
Mar 3, '06Occupation: Utilization Review, prior Intake Mgr Home Care Specialty: 40 year(s) of experience in Home Care, Vents, Telemetry, Home infusion ; From: PA, US ; Joined: Oct '00; Posts: 27,591; Likes: 13,830practice standards for medical imaging and radiation therapy
[color=#336699]2006 american society of radiologic technologists
cardiovascular- interventional technology
clinical performance standards
standard four – implementation
the practitioner implements the action plan.
1. implements the action plan in conjunction with the cardiovascular team.
2. explains each step of the action plan to the patient as it occurs.
3. positions the patient properly for the procedure to include appropriate immobilization.
4. monitors ecg, bp, respiration, oxygen saturation and level of consciousness pre-, peri- and post procedure.
5. starts and maintains iv access per orders when applicable.
6. starts and maintains oxygen administration per orders when applicable.
7. uses principles of sterile technique according to the protocol for the exam requested.
8. prepares, sets and implements appropriate technical parameters such as generators, power
9. obtains and documents appropriate data in the record pre-, peri- and postprocedure.
10. administers medications at the physician’s request according to policy.
dig out your facilities policy and procedure book---should be a policy on this issue to cover both techs and nurses. no policy, discuss with manager and bring to attention of risk management.Last edit by NRSKarenRN on Mar 3, '06
Mar 3, '06Occupation: 20+ yr RN Specialty: 15 year(s) of experience in Critical Care ; From: US ; Joined: May '05; Posts: 7,520; Likes: 4,030Quote from NRSKarenRNYeah, but, do they have the training and legal authority to give and then, evaluate the EFFECTS of a narcotic, once given?10. Administers medications at the physician’s request according to policy.
Narcotics are different than other meds, obviously.
It doesn't matter what their rules say if DEA doesn't give them authority to handle narcotics. And If an RN hands them that narc to give, that's a violation of FEDERAL law. Not to mention possibly an illegal delegation of authority.
And it doesn't matter what their rules say if they don't know how to evaluate and document the effects of a narcotic on an 'IV Conscious Sedation' flowsheet.
I don't see how this is legal. Not beating up on the guys. But it's simply a scope of practice issue. It's not enough that their scope of practice states they can give drugs under a physician.
NARCOTICS ARE DIFFERENT.
Mar 3, '06Joined: Apr '02; Posts: 32,001; Likes: 21,179Big three words: "according to policy." Policy dictated by JCAHO and risk management.
May 30, '06Joined: May '06; Posts: 2I am a nursing supervisor and a rad tech. In the state of Kentucky, RT's can give sedation and monitor patients in the IR suites. There is a sedation class that they must attend first and an annual competency test. Although it is not required I am getting my techs ACLS certified.Last edit by Joe V on Jan 5, '08