Current Topics for the Pediatric Sedation Nurse

Let’s Work Together!

Lorie ReillyBy Lorie Reilly, MSN, CRNP, CPNP-AC
Section Editor

It was great to meet so many of you in St. Louis this past May!

Thanks to all who responded to the nursing survey.  We had 50 responses and gained some valuable insight as to the needs of the SPS nursing members:

  • There is an ongoing request for national certification. This has been explored in depth through various certifying bodies but it is cost prohibitive and unfortunately not an option at this time. 

  • Request for a nursing only listserv to potentially increase nursing participation in online discussions. However, being a multidisciplinary organization is one of the unique and valued characteristics of the SPS, and we would like to analyze our options to ensure that we do not jeopardize this facet of SPS.

  • Request for more nursing-focused topics at the annual conference.  We are already looking into an airway management session for nurses, a session on prescreening, as well as plenary sessions related to staffing matrices, benchmarking, billing and pharmacology credit for educational sessions.

  • Online education for nurses:  We are in the process of exploring contact hours for nurses, starting with the online CME programs that already exist on the website, then developing other nursing education programs.  Stay tuned!

We are looking to re-energize the Nursing Committee.  The process began in St. Louis with a great showing of interested nurses.  The SPS Board of Directors is working on increasing our institutional membership which in turn should bring with it an influx of nurses.  Indeed, this would offer us more opportunities for involvement in the Nursing Committee.

There are several nursing organizations that can collaborate with us.  We will be reaching out at other conferences with podium and/or poster presentations to display the great work of  Pediatric  Sedation Nurses and Advanced Practice Nurses.  In addition, CRNAs have expressed a desire to become involved.

The Journal of Radiology Nursing will be having a special issue in 2017 devoted entirely to Pediatrics. This is just one other way for us to be heard and to increase nursing awareness of what sedation nurses do every day to advance pediatric sedation.  Contact Lorie Reilly (reillyl@email.chop.edu) for more information.

Please email Lorie Reilly reilly@email.chop.edu or Debbie LaViolette debbilarn@verizon.net if you are interested in joining the nursing committee.  It can help with your professional goals, especially at Magnet institutions.  There is power in numbers and there are many great ideas to share.  We will be scheduling teleconferences several times throughout the year so that we can connect and review our progress.

Thanks in advance for all of your great ideas and input.  Let’s work together to accomplish even more that we can showcase at the 2016 SPS Annual Conference in Hartford, Connecticut.


The Evolution of the Nurse Practitioner Role

By Lorie Reilly, MSN, CRNP, CPNP-AC

Did you know that the first Nurse Practitioner (NP) program was started in 1965?

There are approximately 160,000 NPs in the United States, and NPs can practice independently in 34 states.  They are required to have a Master’s Degree in Nursing, are nationally certified and are credentialed by their respective institutions.  NPs may have hospital privileges, and have been granted prescriptive privileges in all 50 states. You may hear NPs referred to as midlevel providers, physician extenders or front line ordering clinicians. The NP may be involved in acute and chronic care management of patients and may diagnose, plan, manage and evaluate care. 

Nurse Practitioners who practice in the area of sedation may directly supervise patient monitoring and the administration of sedation medications but are restricted from having privileges for deep sedation based on the Center for Medicare and Medicaid Services (CMS) guidelines.  This often presents challenges to the practitioner because as we know, the intent of sedation of the pediatric patient may be minimal or moderate (which is within the scope of the NP role), yet deep sedation may actually be what is achieved. Also, the NP scope of  practice varies across the country, and is regulated and even restricted further by State Boards of Nursing. Clearly, this is an area that warrants further study and data collection. The Pediatric Sedation Research Consortium (PSRC) database would be one place to start looking at outcomes and practices based on sedation provider level.  I welcome input from other NPs regarding this issue.

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