Policy Advocacy
Policy Advocacy
Group 1
Welcome Dr. Cathy and fellow FNP Students. We are group 1. We will be presenting a policy advocacy regarding the safe administration of anesthetic agents. Specifically Propofol by registered nurses in oral surgery. I’m Resel Casimiro and I will be presenting the objectives, the policy challenge. And the introduction to Propofol. Melissa Salazar will then discuss Caleb’s Law, our interview with our selected nurse leader. And the key stakeholders involved in the policy challenge. Iris Molina will conclude the presentation with legislative and non-legislative strategies and the legislative process.
Objectives
Describe the policy challenge and the nursing association identification
Describe the agenda
Key Stakeholders
Legislative Strategies used to inform/lobby legislators
Non-legislative strategies to support the initiative
Legislative Process
The objectives of our presentation are to:
Describe the policy challenge and nursing association identification
Describe the policy challenge agenda
Identify the key stakeholders: The supports and the oppositions and their goals.
Describe the legislative strategies used to lobby with the legislators
Identify the non legislative strategies to support the initiative
Lastly, will describe the legislative process used to attain the passing of the law.
Policy Challenge
Nurse Administered Sedation
Section 2725 (b)(2) of the California Nurse Practice Act places no limits on the type of medication or route of administration (Board of Registered Nursing, 2013).
American Association of Nurse Anesthesiology
Whenever Propofol is used for sedation or anesthesia, it should be performed by professionals trained in the administration of general anesthesia, who are not currently involved in the procedure to minimize the risk for injury or death (American Association of Nurse Anesthesiology, 2013)
Our policy challenge started after the registered nurses were advised that the oral surgeon would be ordering administration of IV push Propofol during wisdom teeth extractions under conscious sedation. However, the facilitie’s current moderate sedation program only allows for administration of IV push Fentanyl, Versed and Ketamine, after completion of moderate conscious sedation online training, hands on training and examination.
California Nurse Practice Act has an unclear statement stating that, there is no limits on the type of medication or route of administration administered by registered nurses, the only requirement is that the the drug must be ordered by a lawfully authorized prescriber.
During research in an attempt to find a clear policy regarding administration of Propofol by registered nurses, AB 2235, aka Caleb’s Law was discovered.
