Procedural Sedation Changes Go live: APRIL 24th. Why These Changes?. Per the Cal Dept of Public Health (ie, the “state”) and CMS (federal) nurses cannot push an anesthetic drug for procedural sedation. This includes propofol, ketamine, barbituates and etomidate.
RN is patient’s advocate.
Exchange of 02 and CO2 dependant on Ventilation
Movement of air in and out of thoracic cavity
Control of ventilation
Diaphragm, intercostals, accessory muscles
Programming a pump for MD administration
Adult medication review
Don’t give to patients who are allergic to eggs or soybeans.
May cause allergic reaction in those with allergy to eggs or soybean
Emergence reactions can occur and are more common in adolescents, with large doses of drug, and following rapid IV administration of drug.
IM: 2 – 4 mg/kg
This can be given IM or IV with IM doses providing sedation for approximately 15 - 45 minutes and IV doses 15-45 minutes
During the weeks of April 9-23, educators and nurses will be rounding with the nurses and doctors to answer questions and provide more information as needed. Please send questions about this process to your unit educator, ANM or director.