This specialty practice discussion group is intended for nurse manager members of APHON. Remember that... View more
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Reply To: General Anesthesia vs. Moderate Sedation for Patients Undergoing Lumbar Puncture
We have a one room procedure suite in our outpatient clinic with a recovery area for 2 patients where we perform all of our LP/BM/BMA under anesthesia using propofol. It is supported by an anesthesiologist, 3 nurses, 1 clinical assistant, and a MD or NP who performs the procedure. This change was made over 10 years ago and it was an adjustment for nursing staff in the clinic. I was not involved in the change but did work in the clinic shortly after the change as a staff nurse and there were only a few of us who could work in the procedural area and that was mostly because many nurses didn’t want to do it. I am now back in the clinic as the nursing director and there is often a waiting list of staff who want to be oriented to the procedure area so staff have adjusted to the change :-).
—————————— Barbara Cuccovia, BMTCN,CPON,MSN,RN Brighton, MA United States —————————— ——————————————- Original Message: Sent: 02-08-2022 06:32 PM From: Kimberly Williams Subject: General Anesthesia vs. Moderate Sedation for Patients Undergoing Lumbar Puncture
We are currently doing a project to decrease the number of pediatric cancer patients that go under general anesthesia in the operating room for lumbar punctures. Developing a plan to perform lumbar punctures in the infusion center procedure room. What does this look like in your institution? What is the impact on nursing when making a practice change of this magnitude?
Thanks in advance for joining the conversation!
Kimberly M. Williams, MSN, RN, NE-BC
Director Patient Care Services, Hematology,Oncology,
CAR T, Stem Cell Transplant, Center for Definitive and Curative Medicine