Reply To: Moderate Sedation for Procedures

  • Carie Murphy

    March 28, 2022 at 7:54 am

    We handle these in the same way that Julie discussed, as well.  Endo follows and dedicated diabetes nurse educator does initial teaching.  Our nurses on the unit care for these patients, as well, no specialized nursing utilized.


    Carie Murphy, MSN, RN, CPON

    Assitant Nurse Manager, Weaver 4

    Peds Hem/Onc/BMT Educator

    Wolfson Children’s Hospital

    800 Prudential Drive, Weaver Tower 4

    Jacksonville, FL  32207

    ( (904)202-0520



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    Original Message:
    Sent: 3/27/2022 2:11:00 PM
    From: Julie Casey
    Subject: RE: Moderate Sedation for Procedures

    Hi, we use the sedation team and propofol during the week. We have to schedule these appointments in advance. If we have an emergent need, or it is the weekend, the anesthesiologist does it in the OR induction room. Sometimes if it is a LP only, and there is no sedation team available, the nurse does moderate sedation with versed and fentanyl. We have been trained on how to do this. The sedation team consists of a sedation RN and an anesthesiologist. The staff nurse is not involved in these sedations. I hope that helps!

    Julie Casey, RN,CPHON
    [Doernbecher Children’s Hospital at Oregon Health and Science University]
    [Portland], [OR]
    United States
    Original Message:
    Sent: 03-25-2022 01:17 PM
    From: Jennifer Penn
    Subject: Moderate Sedation for Procedures

    Curious what your institution’s process is for Moderate Sedation for LP and Bone Marrow procedures.
    Do your Hem/Onc nurses assist with sedation and monitoring on the unit?
    If sedation is done on the unit are you using Propofol?
    Does Anesthesia or PICU intensivists provide sedation in a procedural area?

    Looking at best practice and standardization.

    Thank you in advance!

    Jennifer Penn BSN, RN, NPD-BC, CPON
    Learning Specialist
    Pediatric Hematology/Oncology
    Arnold Palmer Hospital for Children
    Orlando, FL