Source: Colorado State Board of Nursing
Guidance*: No direct guidance is offered regarding the administration of moderate or deep sedation by Registered Nurses within the state of Colorado
Other State Resources:
Back to Top
Source:Idaho State Board of Nursing
Guidance*:No direct guidance is offered regarding the administration of moderate or deep sedation by Registered Nurses within the state of Idaho.
Source:Idaho State Board of Nursing
Type of Guidance: Frequently Asked Questions 2011-2013
Impact:;RNs
Guidance*: “Is the administration of procedural sedation within my scope of practice?”
To determine your scope of practice,apply the process defined in “the Decision‐Making Model”in Administrative Rules of the Board,IDAPA 23.01.01.400.
The Decision–Making Model will present questions to be considered in determining scope of practice:
- Is the task expressly prohibited by the Nursing Practice Act or limited to the scope of practice of advanced practice professional nurses or prohibited by law?
- Was the act taught as part of your basic nursing education? Do you possess current knowledge and competency to do this?
- Is the act consistent with standards of practice published by a national specialty nursing organization or supported by recognized nursing literature or reputable published research?
- Does your employment setting have established policies and procedures authorizing you to perform the function?
- In a similar situation, would this same standard of care be provided by a reasonable and prudent nurse with similar education and experience and are you prepared to accept the consequences of the act?
- The Decision‐Making Model provides the format for determining scope of practice. The answer will not be the same for each professional nurse or in every situation.
Read Idaho State Board of Nursing FAQ 2011-2013
Other State Resources:
Back to Top
Source:Montana Board of Nursing
Type of Guidance:Board of Nursing Declaratory Ruling (01/95)
Impact:RNs
Guidance*:Declaratory Ruling:RN - Conscious Sedation;(1-11-1995)
It is within the scope of practice of a non-anesthetist registered nurse (RN) to administer IV conscious sedation medication provided that the RN meets the requirements specified by the Joint Commission on Hospital Accreditation.
Read the Board of Nursing Declaratory Ruling
Other State Resources
Back to Top
Source:Nevada State Board of Nursing
Type of Guidance:Nursing Practice Decisions (09/2011)
Impact:RNs
Guidance*:The Role of the RN in Conscious Sedation
It is within the scope of practice of the RN to manage the care of patients receiving IV conscious sedation during therapeutic, diagnostic, or surgical procedures provided certain criteria are met including:
- A qualified anesthesia provider or practitioner selects and orders the medications to achieve minimal or moderate sedation.
- Guidelines for patient monitoring, drug administration and protocols for emergency situations are in place
- The RN managing the care of the patient shall have no other responsibilities
- RN has demonstrated current competencies regarding the administration of minimal to moderate sedation and completed appropriate training in ACLS and/or PALS
Read the Nevada State Board of Nursing Practice Decision
Other State Resources
Back to Top
Source:Utah Administrative Code
Type of Guidance:Rule R432-100. General Hospital Standards (06/2014)
Impact:MDs, DOs, CRNAs, RNs
Guidance*:R432-100-15: Anesthesia Services (6-1-2014)
In a hospital setting, anesthesia care shall be provided by anesthesiologists, other qualified physicians, dentists, oral surgeons, or Certified Registered Nurse Anesthetists (CRNAs) who are members of the medical staff within the scope of their practice and license.Anesthesia care includes IV sedation.
Read R432-100
Source:Utah Board of Nursing
Type of Guidance:Board of Nursing Meeting, February 11, 2010
Impact:RNs
Guidance*:Utah Board of Nursing Meeting (2-11-2010)
The Utah Board of Nursing passed a motion recognizing the use of endoscopist-directed nurse administered propofol sedation with training in accordance with national guidelines, and appropriate documentation, to be within the acceptable community standards.
Other State Resources
Back to Top
Source:Wyoming Board of Nursing
Type of Guidance:Advisory Opinion: Moderate Sedation (10/2014)
Impact:RNs
Guidance*: Advisory Opinion: Moderate Sedation (10/8/2014)
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:
- There are institutional policies and procedures to guide this practice;
- The nurse has completed training and demonstrated continuing competency as well as current certification appropriate to patient population (i.e. ACLS, PALS);
- The agency/facility maintains documentation on training and competency for each nurse;
- The care is provided under the direction of a physician, APRN or PA who is on-site; and E. 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. This includes, but is not limited to:
- Propofol, Etomidate, Pentothal, or Brevital by any route.
- Ketamine is included in this list with the exception of its use as outlined in the WSBN Advisory Opinion: Ketamine, IV Administration for Intractable Pain in Adults.
- The other exceptions are addressed in the Advisory Opinions: Deep Sedation for Mechanically Ventilated Patient, and Anesthetic & Neuromuscular Agents Administered by RNs for Specific Purposes.
Advisory Opinion: Moderate Sedation
Source: State of Wyoming Department of Health
Type of Guidance: Rules and Regulations
Impact: MDs, DOs, RNs, CRNAs
Guidance*: Chapter 12 Licensure of Hospitals; Section 10(b): Anesthesia Services (Page 9)
When anesthetics are not administered by an anesthesiologist, they shall be administered by a physician anesthetist or a registered nurse anesthetist under the supervision of the operating physician. The hospital medical staff shall designate those persons qualified to administer anesthetics and shall delineate what a person is qualified to do.
Read State of Wyoming Rules and Regulations for the Licensure of Hospitals - Chapter 12
Other State Resources
Back to Top
*This page was last updated 5/5/2015. This page is for informational purposes only and nothing on this website constitutes legal advice. Please consult the Colorado State Board of Nursing or a legal professional before administering anesthetic or sedative products to determine proper conduct in your particular situation and to assess currentness of regulations.