Flightmed archive for December-2001
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Flightmed archive for December-2001



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Re: RSI



I would be very interested in the information you collect if you would be willing to share.  We are working with the Alabama Board of Nursing on the issue of RSI.  Currently nurses are not allowed to administer paralytics for the purpose of induction.  On flight services in the state paramedics are administering under the physicians protocols. 
 
Anne R. Armstrong RN, CEN
 
----- Original Message -----
Sent: Wednesday, December 05, 2001 16:59
Subject: RSI

I am a member of the Arizona State Board of Nursing's Scope of Practice Committee and have been assigned (former flight RN) to obtain some answers from around the country and locally in regard to nurses doing RSI procedures.
 
The nurse practice consultants at the state board frequently get questions about what drugs are supposed to be in the RSI protocol, which are inappropriate (ie: anesthetic agents), and which are actually being used in practice. The specific issues are etomidate, ketamine, and propofol. Apparently some nurses are using these drugs, but are unclear about what those drugs really are as far as classification/ramifications. We do have an advisory opinion about nurses using drugs classified as anesthetic agents.
 
What does your program use for your RSI protocol/drugs?
What does your state practice act say about nurses using anesthetic agents regardless of their work environment?
 
I appreciate any response.  When I report back to the board, I just give information, never agency or names of professionals that share this information. It's really irrelevant, and it hinders in finding out what practitioners are truly doing, so anything you share is confidential as far as your name or agency.  Feel  free to email me privately.
 

Natascha T.,  RN, BSN, CFRN, CLNC
Arizona
 
 
 

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