Reply To: Moderate Sedation for Procedures

  • Carie Murphy

    March 29, 2022 at 12:12 pm

    For our LPs they are all done in our Day Stay – Outpatient infusion area.  Even if the patient is inpatient, we take them down to that area for LPs and anesthesia provides sedation during the procedure.  For Bone Marrow procedures, our kiddos go to either IR or OR depending on what all needs to be completed.  All done with anesthesia, of course.  If you need further explanation or have questions, you can email me.  Have a good day!


    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: 3/29/2022 11:36:00 AM
    From: Jennifer Kellner
    Subject: RE: Moderate Sedation for Procedures

    For our LPs we use a Pediatric inpatient bed, but schedule the patient as an outpatient.  Our infusion RNs staff our LPs.  We do everything in the pediatric room.   We have an Anesthesiologist who will meet us in the room for sedation and uses Propofol.  Anesthesia monitors during the procedure and the RN assists with positioning.  The infusion RN takes over monitoring/recovering once the procedure is done.   Before COVID our patients use to go to the OR for LP and would be in clinic/infusion for IV chemo.  We switched to our current process due to COVID with hopes to decrease the amount of exposure our patients had to others.  We realized this was a much better process and more of patient satisfier to do everything in one place.  Bone Marrows generally go to the OR and is staffed/monitored by the OR team and anesthesia. Happy to answer any other questions if you have any!

    Jennifer Kellner, BSN, RN, CPN
    Montana Children’s
    Kalispell MT
    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