Trends in nurse-administered procedural sedation and analgesia across cardiac catheterisation laboratories in Australia and New Zealand: Results of an electronic survey
Journal article
Conway, Aaron, Rolley, John, Page, Karen and Fulbrook, Paul. (2014). Trends in nurse-administered procedural sedation and analgesia across cardiac catheterisation laboratories in Australia and New Zealand: Results of an electronic survey. Australian Critical Care. 27(1), pp. 4 - 10. https://doi.org/10.1016/j.aucc.2013.05.003
Authors | Conway, Aaron, Rolley, John, Page, Karen and Fulbrook, Paul |
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Abstract | Background: Knowledge of current trends in nurse-administered procedural sedation and analgesia (PSA) in the cardiac catheterisation laboratory (CCL) may provide important insights into how to improve safety and effectiveness of this practice. Objective: To characterise current practice as well as education and competency standards regarding nurse-administered PSA in Australian and New Zealand CCLs. Design: A quantitative, cross-sectional, descriptive survey design was used. Methods: Data were collected using a web-based questionnaire on practice, educational standards and protocols related to nurse-administered PSA. Descriptive statistics were used to analyse data. Results: A sample of 62 nurses, each from a different CCL, completed a questionnaire that focused on PSA practice. Over half of the estimated total number of CCLs in Australia and New Zealand was represented. Nurse-administered PSA was used in 94% (n = 58) of respondents CCLs. All respondents indicated that benzodiazepines, opioids or a combination of both is used for PSA (n = 58). One respondent indicated that propofol was also used. 20% (n = 12) indicated that deep sedation is purposefully induced for defibrillation threshold testing and cardioversion without a second medical practitioner present. Sedation monitoring practices vary considerably between institutions. 31% (n = 18) indicated that comprehensive education about PSA is provided. 45% (n = 26) indicated that nurses who administer PSA should undergo competency assessment. Conclusion: By characterising nurse-administered PSA in Australian and New Zealand CCLs, a baseline for future studies has been established. Areas of particular importance to improve include protocols for patient monitoring and comprehensive PSA education for CCL nurses in Australia and New Zealand. |
Keywords | conscious sedation; deep sedation; heart catheterisation; artificial cardiac pacing; cardiac electrophysiology |
Year | 2014 |
Journal | Australian Critical Care |
Journal citation | 27 (1), pp. 4 - 10 |
Publisher | Elsevier Inc. |
ISSN | 1036-7314 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.aucc.2013.05.003 |
https://doi.org/10.1016/j.knee.2014.06.001 | |
Scopus EID | 2-s2.0-84893848505 |
Page range | 4 - 10 |
Research Group | School of Nursing, Midwifery and Paramedicine |
Place of publication | United States of America |
https://acuresearchbank.acu.edu.au/item/89z08/trends-in-nurse-administered-procedural-sedation-and-analgesia-across-cardiac-catheterisation-laboratories-in-australia-and-new-zealand-results-of-an-electronic-survey
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