Current through Register Vol. 40, No. 6, March 31, 2022
(1) After a patient assessment and
verification of the physical presence of a physician, dentist, or certified
registered nurse anesthetist and licensed or unlicensed assistive personnel in
the procedural area, the registered nurse may administer ordered medications
for the purpose of inducing moderate sedation that allows the patient to be
aroused and to retain reflexes for short-term therapeutic or diagnostic
procedures, pursuant to facility policies and procedures.
(2) The minimum requirements for a registered
nurse to perform moderate sedation and associated monitoring includes;
successful completion of an organized program of study, supervised clinical
practice, and demonstrated clinical competence.
The minimum training for the registered
nurse managing the care of patients receiving moderate sedation shall include:
(a) Anatomy, physiology, pharmacology,
cardiac arrhythmia recognition, and complications related to sedation and
Total patient care
requirements to be assessed during moderate sedation and recovery, including
but not limited to the following physiologic measurements:
(i) Respiratory rate.
(ii) Oxygen saturation.
(iii) Blood pressure.
(iv) Cardiac rate and rhythm.
(v) Level of consciousness.
(c) Principles of oxygen delivery,
respiratory physiology, transport, uptake and demonstration of the ability to
use oxygen delivery devices.
Anticipation and recognition of potential complications of sedation in relation
to the type of medication being administered.
(e) Requisite knowledge and skills to assess
and intervene in the event of complications or undesired outcomes and to
institute nursing interventions, in compliance with orders or institutional
protocols or guidelines.
Demonstration of skill in airway management resuscitation.
(4) The registered nurse managing and
monitoring the patient receiving moderate sedation shall have no other
responsibilities during the procedure that would leave the patient unattended
or compromise continuous monitoring.
The registered nurse shall ensure safety
considerations, including but not limited to continuous monitoring of:
(a) Blood pressure
(b) Cardiac rate and rhythm
(c) Continuous intravenous access
(d) Level of consciousness
(e) Oxygen saturation
(f) Respiratory rate
(6) The registered nurse shall have advanced
cardiac life support (ACLS) or comparable certification.
The registered nurse may not administer
medications for moderate sedation if the following are not available:
(a) Physical presence of a physician,
dentist, or certified registered nurse anesthetist and licensed or unlicensed
availability of monitors, defibrillator, airway devices including suction, and
Ala. Admin. Code r.
New Rule: Filed March 20,
2003; effective April 24, 2003.
Administrative Monthly Volume XXXIV, Issue No. 10, July 29, 2016,
Author: Alabama Board of Nursing
Code of Ala.
1975, §§ 34-21 -1(3)(b),