Agreed! We have argued this many ways in our organization and we keep going back to intent. The intention is to prevent CMAs from administering anesthesia gasses or anesthesia through IVs that could result in death or grave harm. The intent with lidocaine, administered intradermally, is use as a local numbing agent. Our legal department was involved in this decision.
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Christy Illar
Clinical Nurse Manager Ambulatory Care
Memorial Health System
Marietta OH
(740)568-5615
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Original Message:
Sent: 10-05-2023 20:03
From: Aleesa Mobley
Subject: LVN scope: Local anesthetic injection in Ambulatory Dermatology
Keep in mind the administration of any anesthetic by the cma is restricted by the Borad of Medicine in many states.
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Aleesa M Mobley PhD APN (she/her/hers) Why Pronouns Matter Assistant Professor - Clerkship Director [Pain Management/Substance Use Disorder]
Physical Medicine & Rehabilitation - Neuro Musculoskeletal Institute
Lippincott Procedures: Subject Matter Expert - Wolters Kluwer Publishing
Rowan Medicine Bldg., 42 E. Laurel Rd, Ste 1700, Stratford New Jersey 08084
T: 856-566-7010 | F: 856-566-6956| C: 856-230-1229
mobley@rowan.edu | som.rowan.edu
Learning is not attained by chance, it must be sought for with ardor and attended to with diligence [Abigail Adams (1744 - 1818), 1780].
Original Message:
Sent: 10/4/2023 11:25:00 AM
From: Christy Illar
Subject: RE: LVN scope: Local anesthetic injection in Ambulatory Dermatology
We allow our LPNs and CMAs to perform intradermal injections using lidocaine with a provider order and after validation and confirmed competency. We also validate our Dermatology clinical staff on an annual basis for intradermal injections specifically.
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Christy Illar
Clinical Nurse Manager Ambulatory Care
Memorial Health System
Marietta OH
(740)568-5615
Original Message:
Sent: 10-02-2023 13:27
From: Albin Abraham
Subject: LVN scope: Local anesthetic injection in Ambulatory Dermatology
In your ambulatory care setting does LVNs perform local anesthetic injections prior to a procedure? We're looking to make improve workflow efficiency and wanted to see if the clinic LVN can inject anesthetic in a Dermatology clinic (Texas) after the Provider has marked the site?
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Albin Abraham RN
RN Clinical Manager
JPS Health Network
Fort Worth TX
(817)702-1734 (1734)
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