Wyoming Board of Nursing Review – March 10, 2016
Reviewed by Sedation Certification – Jan. 10, 2019
State Sedation Policy – Yes
Can RN’s give sedation? – Yes
Can RN’s give Propofol? – No
Can RN’s give Ketamine? – Yes

 

https://nursing-online.state.wy.us/Resources/AO%20moderate%20sedation%203.11.16.pdf

 

Wyoming State Board of Nursing
130 Hobbs Avenue, Suite B
Cheyenne, WY 82002
Phone (307) 777-7601 Fax (307) 777-3519
E-Mail: wsbn-info-licensing@wyo.gov
Home Page: https://nursing-online.state.wy.us/


An advisory opinion adopted by WSBN is an interpretation of what the law requires. While an advisory opinion is not law, it is more than a recommendation. In other words, an advisory opinion is an official opinion of WSBN regarding the practice of nursing as it relates to the functions of nursing. Facility policies may restrict practice further in their setting and/or require additional expectations related to competency, validation, training and supervision to assure the safety of their patient population and/or decrease risk.


OPINION: MODERATE SEDATION
APPROVED DATE: October 8, 2014
REVIEWED DATE: September 2014
REVISED DATE: March 10, 2016
ORIGINATING COMMITTEE:

Practice & Education Committee

Within the Scope of Practice/Role of __X__APRN __X__RN ___LPN ___CNA

ADVISORY OPINION

MODERATE SEDATION

In accordance with Wyo. Stat. Ann. § 33-21-122(c)(iii) of the Wyoming Nursing Practice Act (NPA), the Wyoming State Board of Nursing (WSBN) has approved the following Advisory Opinion on Moderate Sedation.

The intent of this advisory opinion is to provide clarifications for RNs who may be asked to administer sedating agents in order to provide comfort and pain control for patients undergoing potentially painful or uncomfortable diagnostic and therapeutic procedures.

For the purposes of this advisory opinion, conscious sedation is defined as follows:

Moderate Sedation/Analgesia (aka “conscious sedation”) means: a medically controlled state of depressed consciousness, induced to allow the patient to tolerate procedures, that:

(1) allows protective reflexes and cardiovascular function to be maintained;

(2) retains the patient’s ability to maintain a patent airway independently and continuously; and

(3) permits appropriate response by the patient to tactile stimulation or verbal command, e.g., “open your eyes”.

It is within the scope of practice of an appropriately trained and competent RN to administer moderate sedation for the purpose of diagnostic or therapeutic procedures as ordered by the physician, APRN or PA if the following criteria are met:

  1. There are institutional policies and procedures to guide this practice;
  2. The nurse has completed training and demonstrated continuing competency as well as current certification appropriate to patient population (i.e. ACLS, PALS);
  3. The agency/facility maintains documentation on training and competency for each nurse;
  4. The care is provided under the direction of a physician, APRN or PA who is on-site; and
  5. The patient’s condition is assessed prior to, during, and after the procedure to current standard of practice.

It is not considered appropriate for an RN to administer drugs labeled by the Food and Drug Administration as Anesthetic Agents for the purpose of moderate sedation with the exception of Ketamine, which may be administered for moderate sedation as outlined in this Advisory Opinion. Excluded agents include, but are not limited to: Propofol, Etomidate, Pentothal, or Brevital by any route. The other exceptions are addressed in the Advisory Opinions: Deep Sedation for Mechanically Ventilated Patient and Anesthetic Agents Administered by RNs for Limited Purposes: Airway Management or Peripheral Nerve Block

REFERENCES

American Association of Critical-Care Nurses (1996). Role of the Registered Nurse (RN) in the
Management of Patients Receiving Conscious Sedation for Short-Term Therapeutic, Diagnostic or
Surgical Procedures.
American Association of Nurse Anesthetists (2003). Considerations for Policy Guidelines for Registered
Nurses Engaged in the Administration of Conscious Sedation.
American Association of Operating Room Nurses (2000). Recommended Practices for Managing the
Patient Receiving Conscious Sedation/Analgesia.
American Nurses Association (1997). Position Statement on the Role of the Registered Nurse (RN) in the
Management of Patients Receiving IV Conscious Sedation for Short-Term Therapeutic, Diagnostic, or Surgical Procedures.
American Society of Anesthesiologists (2001). Practice Guidelines for Sedation and analgesia by NonAnesthesiologists.
Arizona Board of Nursing. (2012). Advisory Opinion: Moderate Sedation/Analgesia for Diagnostic and
Therapeutic Procedures. Retrieved from:
https://www.azbn.gov/Documents/advisory_opinion/AO%20Moderate%20Sedation_Analgesia%20for%20Diagnostic%20%26%20Therapeutic%20Procedures.pdf
Society of Gastroenterology Nurses and Associates, Inc. (1998). Position Statement: Sedation and
Analgesia. Revised.