Q I’ve read that certain state boards of nursing permit nurses to administer propofol, etomidate, and paralytic agents during intubation or procedures at the bedside in the presence of an anesthesia provider. What is the best practice? How is it determined whether a nurse can give these medications?

A Catherine Ewing, rn, bsn, replies:

The scope of this nursing practice varies by state. Within the Nurse Practice Act, each state board of nursing determines whether it is acceptable for registered nurses to administer such medications while determining a framework of application, within its jurisdiction, to ensure patient safety. As of 2015, more than a dozen states do not allow nurses to administer propofol. It is important to be aware of how your state board of nursing defines the scope of practice of registered nurses and to recognize timelines for review and updates.

Certain requirements must be met before...

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