(1) Respiratory care practitioners shall meet the adopted specific guidelines regarding education and training of those institutions that use or employ respiratory care practitioners who administer intravenous (IV) conscious sedation.
(2) The board recommends the following be incorporated as minimum standards into an institution's guidelines regarding conscious sedation:
(a) at least one qualified individual trained in basic life support skills, such as CPR and bag-valve-mask ventilation, should be present in the procedure room; and
(b) there must be immediate availability (not more than five minutes away) of an individual with advanced life support skills training and equipment, such as tracheal intubation, defibrillation, and resuscitation medications.
(3) The board recommends regarding conscious sedation that an individual with advanced life support skills training and equipment, such as tracheal intubation, defibrillation, and resuscitation medications, be present in the procedure room.
(4) The board requires that all respiratory care practitioners performing IV conscious sedation have advanced cardiac life support (ACLS) certification.
(5) The board recommends that individuals responsible for patients receiving sedation or analgesia should understand the pharmacology of the agents that are administered, as well as the role of pharmacologic antagonists for opioids and benzo-diazepines. Individuals monitoring patients receiving sedation or analgesia should be able to recognize the associated complications.