State Regulation Resources for California
SourceType of GuidanceImpact Guidance*
California
Board of Registered
Nursing

Registered Nurse Practice Information
(07/97)

RNsConscious Sedation (7-1997) – Page 1
  • It is within the scope of practice for the Registered Nurse (RN) to administer medications for the purpose of induction of conscious sedation for short-term therapeutic, diagnostic or surgical procedures.
  • No limits are placed on the type of medication or route of administration.
  • The knowledge and skills required for the administration of conscious sedation are the same as would be necessary for any other medication the nurse administers. 
  • The RN does not have the authority to administer medications which would result in deep sedation and/or loss of consciousness.
Read Registered Nurse Practice Information: Conscious Sedation
California
Society of Anesthesiologists
Guideline
(05/08)
MDs,
DOs,
RNs,
PAs

CSA Guidelines for Deep Sedation by Non-Anesthesiologists (5-2008)

  • Only physicians or dentists who are qualified by education, training and licensure to administer deep sedation should supervise the administration of deep sedation. Non-anesthesiologist sedation practitioners may directly supervise patient monitoring and the administration of sedative, analgesic or anesthetic medications by a supervised sedation professional. Alternatively, they may personally perform these functions, with the proviso that the individual monitoring the patient should be distinct from the individual performing the diagnostic or therapeutic procedure.
  • The supervised sedation professional who is granted privileges to administer sedative, analgesic or anesthetic drugs under supervision of an anesthesiologist or a non-anesthesiologist sedation practitioner and to monitor patients during deep sedation can be a registered nurse who has graduated from a qualified school of nursing or a physician assistant who has graduated from an accredited physician assistant program. They may only administer sedative, analgesic or anesthetic medications on the order of an anesthesiologist or non-anesthesiologist sedation practitioner.

Read CSA Guidelines for Deep Sedation By Non-Anesthesiologists

Other State Resources
California Board of Registered Nursing
California Nursing Practice Act
California Registered Nurse Practice Information
California Nurses Association
Medical Board of California
Osteopathic Medical Board of California
California Association of Nurse Anesthetists
 

*This page last updated March 15, 2010.  The summaries, links and other materials provided on this page are for informational purposes only, may not be comprehensive or applicable to your situation, and nothing on this website constitutes medical, nursing or legal advice.  Other rules or regulations may apply.  Please consult a lawyer to determine compliance with all applicable laws, rules and regulations.  Please consult the California State Board of Nursing or other appropriate medical professionals or administrators before administering anesthetic or sedative products, to determine proper conduct in your particular situation, to assess currentness of regulations, and to comply with individual facility guidelines and policies.