Murphy E K
AORN J. 1993 Feb;57(2):512-4. doi: 10.1016/s0001-2092(07)64110-6.
Registered nurses who are not CRNAs and are undertaking the administration and/or monitoring of patients receiving IV conscious sedation should consult their state board of nursing, undertake and document the additional education or training to monitor IV conscious sedation patients safety and document the successful achievement of competency in these services, and work with nursing, surgery, and anesthesia staff members to develop written protocols and policies. Written policies must include the provisions, if any, as prescribed by the state's board of nursing. The provisions of other state boards of nursing could be considered for possible inclusion. Policies should reflect nursing practice as described in the professional literature. Professional association position statements, such as those issued by the ANA and endorsed by AORN and other specialty associations and those issued by AANA, should be consulted. AORN's "Recommended practices for monitoring patients receiving intravenous conscious sedation" in the 1993 edition of AORN Standards and Recommended Practices for Perioperative Nursing should be incorporated into the institution policy as appropriate.
非认证注册护士麻醉师且正在对接受静脉清醒镇静的患者进行管理和/或监测的注册护士，应咨询其所在州的护士委员会，参加并记录监测静脉清醒镇静患者安全性的额外教育或培训，记录在这些服务方面能力的成功达标情况，并与护理、外科和麻醉工作人员合作制定书面规程和政策。书面政策必须包括所在州护士委员会规定的条款（如有）。其他州护士委员会的条款也可考虑纳入。政策应反映专业文献中描述的护理实践。应参考专业协会的立场声明，如美国护士协会发布并得到围手术期注册护士协会和其他专业协会认可的声明，以及美国麻醉护士协会发布的声明。《围手术期护理的AORN标准和推荐实践》1993年版中AORN的“监测接受静脉清醒镇静患者的推荐实践”应酌情纳入机构政策。
