Reply To: General Anesthesia vs. Moderate Sedation for Patients Undergoing Lumbar Puncture

  • Barbara Cuccovia

    Member
    February 16, 2022 at 8:42 pm

    Hi Kim,

    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 :-).

    Feel free to reach out if you have further questions.
    Thanks,
    Barb C.
    barbara_cuccovia@dfci.harvard.edu

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    Barbara Cuccovia, BMTCN,CPON,MSN,RN
    Brighton, MA
    United States
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    Original Message:
    Sent: 02-08-2022 06:32 PM
    From: Kimberly Williams
    Subject: General Anesthesia vs. Moderate Sedation for Patients Undergoing Lumbar Puncture

    Good Afternoon,

    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

     

    725 Welch Rd.

    Palo Alto, Ca.  94034

    Cell  (650) 505-4297

    Office (650) 497-6034

    KimWilliams@StanfordChildrens.org

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    Kimberly M. Williams, MSN, RN, NE-BC
    Director Patient Care Services, Hematology,Oncology,
    CAR T, Stem Cell Transplant, Center for Definitive and Curative Medicine

    725 Welch Rd.
    Palo Alto, Ca. 94034
    Cell (650) 505-4297
    Office (650) 497-6034
    KimWilliams@StanfordChildrens.org

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