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Alaska   Hawaii




Source: Alaska Board of Nursing
Type of Guidance: Board of Nursing Advisory Opinion (10/13)
Impact: RNs
Guidance: Nursing Advisory Opinion: Registered Nurse Administration of Sedating and Anesthetic Agents (9/2007; Revised and readopted 10/2013)- Page 2

It is within the role and scope of practice for a Registered Nurse (RN) under the direction of a LIP (Licensed Independent Practitioner), in the acute care setting in accordance with specified guidelines to:

  • Administer sedating agents in the acute care setting for minimal sedation (anxiolysis) moderate (procedural) sedation.
  • Administer sedation, including the administration of anesthetic agents for moderate procedural sedation in the acute care setting given that the following requisite requirements are met.

It is not within the role and scope of practice for a Registered Nurse (RN) to: 

  • Administer anesthetic agents [such as propofol, etomidate, etc.] for the purpose of anxiolysis; benzodiazepines and opioids are approved for anxiolysis.
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Source: Hawaii State Board of Nursing
Guidance*: No direct guidance is offered by the State Board of Nursing regarding the administration of moderate or deep sedation by Registered Nurses within the state of Hawaii.

Source: Hawaii Department of Health- Office of Health Care Assurance
Type of Guidance: Hawaii Administrative Rules- Title 11 (03-86)
Impact: MDs, DOs, RNs, CRNAs
Guidance: Chapter 95: Freestanding Surgical Outpatient Facilities Anesthesia- Page 7 (3/3/86)

General, local, or regional anesthesia shall be administered to patients only by a certified registered nurse anesthetist or by a qualified physician. The anesthesia shall be administered only under the supervision of a licensed physician.

Read HAR 11-95-6 (Page 7)

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