Reply To: Palliative Care Sedation

  • Sarah Walding

    Member
    December 13, 2019 at 10:38 am

    Good Morning–

    1. Do you have specific medications drips that can used versus some that may not be allowed (e.g. ketamine, versed, precedex, etc.) We typically utilize propofol for our sedations.  Our sedation doctor will sedate the patient (via IV push syringe) and we also have a sedation RN to monitor patient/vitals.  The staff RN is responsible for holding the patient in proper position.  We also have a child life specialist in the room for comfort measures.  The parents are not in the room during the procedure.  If a patient is not a candidate for propofol, ketamine is administered (still via syringe).  If a patient is older and/or stays very still during the procedure (lumbar punctures only), morphine and versad are given via IV push, still by the sedation MD.
    2. What staff training do you require?  Are they required to have specific sedation education, palliative care education, and/or required to have PALS? We have dedicated sedation RNs who were hired into the position.  They attend the sedations in clinic as well as on the floor. They require PICU experience and are required to have PALS.
    3. Would you be willing to share resources?​ Please let me know what resources you are looking for.

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    Sarah Walding, BSN, RN, CPN
    Clinical Practice Specialist
    Pediatric Hematology/Oncology
    Advocate Children’s Hospital Park Ridge
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    Original Message:
    Sent: 12-03-2019 02:17 PM
    From: Carly Byrne
    Subject: Palliative Care Sedation

    ​Hello!

    I wanted to do some benchmarking to determine how many oncology and/or acute care units allow for palliative care sedation to occur on their units.  If your hospital/unit does allow for this:

    1. Do you have specific medications drips that can used versus some that may not be allowed (e.g. ketamine, versed, precedex, etc.)
    2. What staff training do you require?  Are they required to have specific sedation education, palliative care education, and/or required to have PALS?
    3. Would you be willing to share resources?

    Thank you!
    Carly Byrne

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    Carly Byrne, MSN, APRN, PCNS-BC, CCCNS
    Clinical Nurse Specialist, Acute Care Pediatrics
    Randall Children’s Hospital
    Portland, OR
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