Nursing propofol policy and procedure
[PDF File] GUIDE TO EXTRAVASATION MANAGEMENT IN ADULT
http://5y1.org/file/20487/guide-to-extravasation-management-in-adult.pdf
Sodium Thiosulfate5. Mix 4 mL of sodium thiosulfate 10% with 6 mL sterile water for injection to prepare a 0.17 mol/L (4%) solution. Inject 3-10 mL subcutaneously into extravasation site; use clinical judgment and size of extravasation site to determine volume. This dosing is based on limited and varied information.
[PDF File] Clinical Practice Advisory for Propofol
http://5y1.org/file/20487/clinical-practice-advisory-for-propofol.pdf
propofol) in which a single physician simultaneously supervised sedation and performed the procedure.45 Adverse event rates were similar to those reported for 2-physician sedation. In non-ED settings, propofol is widely and safely administered by a single physician 46-48and nurse. Although it is difficult to
[PDF File] Doug Ducey Joey Ridenour Arizona State Board of Nursing
http://5y1.org/file/20487/doug-ducey-joey-ridenour-arizona-state-board-of-nursing.pdf
policy constraints by a credentialed and privileged licensed independent practitioner (LIP). 2. Levels of sedation RNs may assist with at their facility. 3. An interdisciplinary team, that includes RN participation, identifies approved medications, including age-appropriate dosages, to be utilized for each level of sedation. 4.
[PDF File] 28 Pa. Code § 555.31(a) Principle (Anesthesia Services
http://5y1.org/file/20487/28-pa-code-555-31-a-principle-anesthesia-services.pdf
28 Pa. Code § 555.31(a) Principle (Anesthesia Services - Propofol) Structured Exception The Department permits, through exception approval, the use of Propofol for sedation of ... based on the procedure, patient status, and anesthesia used. 28 Pa Code § 551.3 Definitions establish that Class B facilities offer surgical treatments involving ...
[PDF File] ADVISORY OPINION # 25 Formulated: May 18, 1989 - SCLLR
http://5y1.org/file/20487/advisory-opinion-25-formulated-may-18-1989-scllr.pdf
ons of drugs and emergency drugs administered. This evaluation and. documentation shall occur on a periodic basis. Appropriate written policies, procedures, and standing orders should be developed that en. ure the safety of patients receiving sedation.This statement is an advisory opinion of the Board of Nursing as to what c.
[PDF File] Sedation and Analgesia - SGNA
http://5y1.org/file/20487/sedation-and-analgesia-sgna.pdf
Those who use propofol must be skilled in the recognition of delayed adverse events, which may include symptoms of fever, chills, and myalgias 48 hours after administration (Vargo et al., 2012). Patients receiving propofol, even if moderate sedation is intended, should receive care consistent with that required for deep sedation.
[PDF File] SARASOTA MEMORIAL HOSPITAL NURSING …
http://5y1.org/file/20487/sarasota-memorial-hospital-nursing.pdf
PURPOSE: To establish criteria for the management and nursing care of a patient undergoing continuous Propofol infusion in the hospital setting. POLICY STATEMENT: Intensive Care (CVICU). It may also be administered in the. lecithin, or glycerol. b. Are 12 years of age or less. POLICY. 1.
[PDF File] Georgia Board of Nursing Policy Manual - Georgia Secretary …
http://5y1.org/file/20487/georgia-board-of-nursing-policy-manual-georgia-secretary.pdf
Georgia Board of Nursing Policy and Procedure Policy Number 1.13 Policy Name Evaluation of Education for Applicants for Licensure By Examination and Endorsement Date of Origin June 2014 O.C.G.A. § 43-26-3(1.2) and 43-26-32(1.1) provide that an "approved nursing education program" located outside this state means a nursing education …
[PDF File] Dexmedetomidine Criteria for Use Dexmedetomidine …
http://5y1.org/file/20487/dexmedetomidine-criteria-for-use-dexmedetomidine.pdf
adjudicated at the local facility according to the policy and procedures of its P&T Committee and Pharmacy Services. EXCLUSION CRITERIA (If one is selected, patient is NOT eligible) ... as an alternative to propofol For intermediate-term sedation (e.g., 24-72 hours) as an alternative to propofol or benzodiazepines (e.g., intermittent bolus ...
[PDF File] KEY WORDS PURPOSE: DEFINITIONS - University of Maryland …
http://5y1.org/file/20487/key-words-purpose-definitions-university-of-maryland.pdf
POLICY: Moderate/procedural sedation can be utilized for patients undergoing therapeutic, diagnostic and/or surgical procedures. The physician will use moderate/procedural sedation to produce sedation only to the degree defined. Deep sedation is restricted to use by anesthesiologists and anesthetists, pediatric emergency physicians and ...
[PDF File] PRACTICE MATTERS Medication titration - American Nurse …
http://5y1.org/file/20487/practice-matters-medication-titration-american-nurse.pdf
Propofol for sedation order: Goal RASS score 0 to –1. Start infusion at 5 mcg/kg/minute. Adjust dose by 5 mcg/kg/minute every 15 minutes until RASS 0 to –2. Maximum dose 50 mcg/kg/minute. The RASS scores aren’t the same, leaving the nurse uncertain about which score to use. Norepinephrine for vasopressor order: Goal mean arterial pressure ...
[PDF File] Should RNs administer propofol? Providers stand on both …
http://5y1.org/file/20487/should-rns-administer-propofol-providers-stand-on-both.pdf
For more information on the results of the Knee Arthroscopy with Meniscectomy best practices study, contact: Pat Armstrong, RN, Director of Surgical Services, Connecticut Orthopedic Specialists Surgery Center, 2200 Whitney Ave., Suite 310, Hamden, CT 06518. Telephone: (203) 407-1500. E-mail: parmstrong@ct-ortho.com.
[PDF File] CLINICAL PROCEDURE Medications: High Alert: Double Check …
http://5y1.org/file/20487/clinical-procedure-medications-high-alert-double-check.pdf
se infusions require that 2 RNs double check the rate of delivery.For all high alert medication delivered by continuous infusion, the medica. on double check must be performed in the presence of the patient.When Pharmacy dispenses insulin in syringes, pharmacy com. Independent double checks by nursing of prefilled insulin syringes …
[PDF File] EMS POLICY & PROCEDURE MANUAL - Yale New Haven …
http://5y1.org/file/20487/ems-policy-procedure-manual-yale-new-haven.pdf
Policy & Procedure Manual 1.1 – Medical Control Overview Effective Date: 6-2-2023 Revised Date: The following are protocols to be used by all EMS personnel holding medical authorization from Yale New Haven Hospital Center for EMS, to ensure quality and standardized medical care, and to establish standards by which prehospital care may be …
[PDF File] Nevada State Board of Nursing
http://5y1.org/file/20487/nevada-state-board-of-nursing.pdf
NEVADA STATE BOARD OF NURSING . Practice Decision . The Role of the RN in Moderate/Procedural Sedation . ... Developing a moderate sedation policy. Essential elements and evidence-based considerations. AORN Journal. 99(3) 416-430. Approved by the Nevada State Board of Nursing (NSBN): 3/16/05 (Replaced Anesthetic Agents …
[PDF File] Guidelines for sedation and anesthesia in GI endoscopy - ASGE
http://5y1.org/file/20487/guidelines-for-sedation-and-anesthesia-in-gi-endoscopy-asge.pdf
nation at the time of the procedure are necessary. Elements of the history that may impact sedation include (1) a history of snoring, stridor, or sleep apnea; (2) a history of drug allergies, use of current medications, and potential for drug interactions; (3) a history of an adverse reaction to sedation or anesthesia; (4) time and contents
[PDF File] GUIDELINES FOR NURSE PROTOCOLS - Georgia Department …
http://5y1.org/file/20487/guidelines-for-nurse-protocols-georgia-department.pdf
D. Drugs to be Covered by either Nurse Protocol or Policy/Procedure 3.3 E. Requirements for a PHN Who Uses a Nurse Protocol 3.4 F. Licensed Practical Nurses 3.5 G. Requirements for Nurse Protocols 3.5 ... Specify that record reviews of nursing practice under nurse protocol (of RNs and APRNs) by the delegating physician will be completed …
[PDF File] Clinical Practice Conscious Sedation 03
http://5y1.org/file/20487/clinical-practice-conscious-sedation-03.pdf
The American Association of Nurse Anesthetists has issued the following statement on Conscious Sedation, “Conscious Sedation is extremely safe when administered by qualified providers. Certified Registered Nurse Anesthetists (CRNA's), anesthesiologists, other physicians, dentists, and oral surgeons are qualified providers of conscious sedation.
[PDF File] Nursing Care Quality Assurance Commission Advisory …
http://5y1.org/file/20487/nursing-care-quality-assurance-commission-advisory.pdf
The Nursing Care Quality Assurance Commission (NCQAC) issues this advisory opinion in accordance with WAC 246-840-800. ... nitrous oxide, etomidate, propofol, ketamine, fentanyl, methohexital, bupivacaine, ropivacaine, succinylcholine, and midazolam. The NCQAC advises nurses to use the ... Nurses should refer to best practice standards …
[PDF File] Nursing considerations for procedural sedation and analgesia
http://5y1.org/file/20487/nursing-considerations-for-procedural-sedation-and-analgesia.pdf
the surgical/diagnostic procedure.” Here’s some background on the status of propofol administration by nonanesthesia providers: † Reports of adverse patient events have been connected to non anes - the sia provider propofol adminis-tration. Over a decade ago, the Pennsylvania Patient Safety Report-ing System received more than 100
[PDF File] OSBN Policy--Use of Sedating & Anesthetic Agents
http://5y1.org/file/20487/osbn-policy-use-of-sedating-anesthetic-agents.pdf
In 1997, the Oregon State Board of Nursing (OSBN) developed a policy to address the administration and management of pharmacologic agents for the purpose of “conscious sedation.”. The policy was reaffirmed in 1999. At that time, the concept of administration of pharmacologic agents for the purpose of deep sedation was not …
[PDF File] Preventing Diversion of Controlled Substances - ASHP
http://5y1.org/file/20487/preventing-diversion-of-controlled-substances-ashp.pdf
ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health-Syst Pharm. 2022;79:2279-2306. John Clark, PharmD, MS, BCPS, FASHP, University of Michigan Health, Ann Arbor, MI, and University of Michigan College of Pharmacy, Ann Arbor, MI, USA.
[PDF File] Policy/Procedure Sedation (Minimal, Moderate, and Deep)
http://5y1.org/file/20487/policy-procedure-sedation-minimal-moderate-and-deep.pdf
Preoperative medications given prior to transport to the operating room. Patients who are not undergoing a diagnostic or therapeutic procedure (i.e., post-operative analgesia, sedation for treatment of delirium, ongoing ventilation therapy, pain control therapy, or treatment for mild anxiety).
[PDF File] NH Board of Nursing
http://5y1.org/file/20487/nh-board-of-nursing.pdf
1. A written policy and procedure maintained by the employer. The policy and procedure shall specify the required emergency equipment and medications that must be immediately available to the patient receiving any medication classified as an anesthetic agent. 2. The RN is required to have the same knowledge base for the
[PDF File] Nursing Policies and Protocols - LWW
http://5y1.org/file/20487/nursing-policies-and-protocols-lww.pdf
Purpose: The purposes were to explore the extent to which nurses use nursing policies and protocols to guide their routine practice, and identify barriers and facilitators affecting the frequency with which nurses use nursing policies and protocols. Methods: Licensed nurses (N 235) providing direct care to inpatients and outpatients in a large ...
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