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One of our Urology practices is interested in implementing patient initiated nitrous for clinic procedures.  Its a service we currently don't provide in any of our Surgical Services clinics. Interested in others' experience, clinical competencies, staff education, etc.

Thanks!

Hi Deb,

One of our urology clinics just started patient administered nitrous. I believe the vendor is Nitronox. We are still working out the processes. We are currently working with risk management to develop a guideline, IT to create an order for nitrous and also working with the anesthesia department to make sure that we are following all of the rules and regulations. It's been challenging because although it is patient administered, the nursing staff still needs to setup the equipment as well as titrate with directions from the provider. Currently, only our RN's and LPN's are allowed to titrate. As far as education, we had the vendor come to train the staff and utilized their checklist. Another thing to consider is BLS vs ACLS. We are still determining which is needed. Also nursing documentation. We are currently using a dot phrase to capture the documentation for the nursing staff. 

One of our Urology practices is interested in implementing patient initiated nitrous for clinic procedures.  Its a service we currently don't provide in any of our Surgical Services clinics. Interested in others' experience, clinical competencies, staff education, etc.

Thanks!

Nitrous oxide is not anesthesia and should not require ACLS. When you stop nitrous oxide it is out of the patient's system in about a minute, it can be quicker if you place the patient on 100% oxygen. The most common side effect is nausea. I hope that is helpful

Hi Deb,

One of our urology clinics just started patient administered nitrous. I believe the vendor is Nitronox. We are still working out the processes. We are currently working with risk management to develop a guideline, IT to create an order for nitrous and also working with the anesthesia department to make sure that we are following all of the rules and regulations. It's been challenging because although it is patient administered, the nursing staff still needs to setup the equipment as well as titrate with directions from the provider. Currently, only our RN's and LPN's are allowed to titrate. As far as education, we had the vendor come to train the staff and utilized their checklist. Another thing to consider is BLS vs ACLS. We are still determining which is needed. Also nursing documentation. We are currently using a dot phrase to capture the documentation for the nursing staff. 

One of our Urology practices is interested in implementing patient initiated nitrous for clinic procedures.  Its a service we currently don't provide in any of our Surgical Services clinics. Interested in others' experience, clinical competencies, staff education, etc.

Thanks!

Nitrous oxide is not anesthesia and should not require ACLS. When you stop nitrous oxide it is out of the patient's system in about a minute, it can be quicker if you place the patient on 100% oxygen. The most common side effect is nausea. I hope that is helpful

Hi Deb,

One of our urology clinics just started patient administered nitrous. I believe the vendor is Nitronox. We are still working out the processes. We are currently working with risk management to develop a guideline, IT to create an order for nitrous and also working with the anesthesia department to make sure that we are following all of the rules and regulations. It's been challenging because although it is patient administered, the nursing staff still needs to setup the equipment as well as titrate with directions from the provider. Currently, only our RN's and LPN's are allowed to titrate. As far as education, we had the vendor come to train the staff and utilized their checklist. Another thing to consider is BLS vs ACLS. We are still determining which is needed. Also nursing documentation. We are currently using a dot phrase to capture the documentation for the nursing staff. 

One of our Urology practices is interested in implementing patient initiated nitrous for clinic procedures.  Its a service we currently don't provide in any of our Surgical Services clinics. Interested in others' experience, clinical competencies, staff education, etc.

Thanks!

One of our Urology practices is interested in implementing patient initiated nitrous for clinic procedures.  Its a service we currently don't provide in any of our Surgical Services clinics. Interested in others' experience, clinical competencies, staff education, etc.

Thanks!