RN Class level?

[wlb06]

Im a new ED RN....I am not allowed to do conscious sedation because I am not of that RN class yet (according to a very knowledgeable staff member)...I am not questioning that staff member, rather simply looking for more information about this issue...thanks

[Spacklehead, MSN, NP]

It all depends on your facility's policy on conscious sedation. Where I used to work, you had to take the hospital's conscious sedation course and take a written test, have ACLS and PALS also in order to be allowed to administer it. I would look up your policy and see what is required.

[brownbook]

It all depends on your hospital. (We have been told to call it moderate sedation, not conscious sedation.) In your spare time, you might have to do it after work, find your policy and procedure manuals. Make copies of relevant policies to read at home at your leisure. No matter how long a co-worker has worked there or how experienced they are, get your hospitals policy. Policies change, co-workers may have not kept up with the changes.

At our hospital nurses have to take a moderate sedation class, get signed off doing 6 cases, and re-take the written test every year. Nothing to do with class level, an RN is an RN.

[Esme12, ASN, BSN, RN]

Im a new ED RN....I am not allowed to do conscious sedation because I am not of that RN class yet (according to a very knowledgeable staff member)...I am not questioning that staff member, rather simply looking for more information about this issue...thanks

As a new ED RN you already have alot on your plate. The use of meds to sedate a patient especially a pediactric one requires a high level of knowledge and skill. It depends on your facility but you need to have a level of expertise and pass a competency exam. They usually require ACLS,PALS,ENPC,and sometimes PEARS. Some require obtaining your BCEN within one year as well as TNCC Or ATLS. It is standard of practice that a nurse should have at least 1 year of ED experience before they staff the triage area.......which is a very important partof the Ed process. Triage as a gall bladder and they drop from an MI doesn't look good and one of the greatest feats of valor is to convince a panicked parent that their child will survive the chin lack reguardless on how much blood there appears to be!!!!! I knew of a friend that triaged a stick in this guys nose to the Trauma ED. He tripped and fell while hiking. We noticed this thin clear trickle of fluid from his nares............guess where the stick was? Yup......his brain!

Be grateful that you are in a nuturing ED that is going to let you learn and grow without being thrown to the wolves. Just curious.......is this a collective bargining hospital? BE PATIENT and good luck!

[Mulan]

I'm glad to see that other places are more prudent than where I used to work.

A self learning packet and self test once a year was required (mandatory), and then one was expected to do it on the medsurg floors with a 7 patient assignment, since certain docs wanted to do it on the floors.

Just because one is an RN does not make something safe.

[ImThatGuy, BSN, RN]

As a new ED RN you already have alot on your plate. The use of meds to sedate a patient especially a pediactric one requires a high level of knowledge and skill. It depends on your facility but you need to have a level of expertise and pass a competency exam. They usually require ACLS,PALS,ENPC,and sometimes PEARS. Some require obtaining your BCEN within one year as well as TNCC Or ATLS. It is standard of practice that a nurse should have at least 1 year of ED experience before they staff the triage area.......which is a very important partof the Ed process. Triage as a gall bladder and they drop from an MI doesn't look good and one of the greatest feats of valor is to convince a panicked parent that their child will survive the chin lack reguardless on how much blood there appears to be!!!!! I knew of a friend that triaged a stick in this guys nose to the Trauma ED. He tripped and fell while hiking. We noticed this thin clear trickle of fluid from his nares............guess where the stick was? Yup......his brain!

Be grateful that you are in a nuturing ED that is going to let you learn and grow without being thrown to the wolves. Just curious.......is this a collective bargining hospital? BE PATIENT and good luck!

RNs are taking the full scope ATLS class?

[Esme12, ASN, BSN, RN]

RNs are taking the full scope ATLS class?

No,but I have personally involed with a facility that strongly suggested monitoring the class

[MassED, BSN, RN]

Im a new ED RN....I am not allowed to do conscious sedation because I am not of that RN class yet (according to a very knowledgeable staff member)...I am not questioning that staff member, rather simply looking for more information about this issue...thanks

are you ACLS certified? If so, and can identify reversal agents, gather a code cart, set up wall suction, have an Ambu present, then why aren't you in the right "class?" That comment would anger me. If you're qualified, you are qualified.

[MassED, BSN, RN]

RNs are taking the full scope ATLS class?

not where I have ever worked.