Abstract

Propofol is an intravenous sedative hypnotic drug with addictive properties commonly used in anesthesia. Despite official statements from the American Association of Nurse Anesthesiology (AANA) and the American Society of Anesthesiologists (ASA) recommending that the Drug Enforcement Agency (DEA) schedule propofol, only three states categorize propofol as a controlled substance. The purpose of this exploratory study was to examine how Nebraska anesthesia practitioners dispense and waste propofol in the perioperative setting. A total of 89 surveys were mailed to hospitals in Nebraska with an anesthesia department, and 53 completed surveys were returned for a response rate of 59.5%. All Nebraska anesthesia practitioners surveyed reported using some regulatory practices related to the dispension of propofol. Seventy one percent of respondents report that their facility requires that they document the amount of propofol they dispensed for their patients in a minimum of the patient's chart. Fifty three percent of survey respondents indicated that their facility had no policy regulating propofol's waste. Because the use of redundant systems has been shown to decrease the incidence of drug diversion, Nebraska anesthesia practitioners should assess their current practices for propofol dispension, documentation and waste as well as implement multimodal system checks wherever possible.

Author Details

Brittany M. Nelson, DNAP, CRNA

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Descriptive/Correlational

Research Approach

Quantitative Research

Keywords:

Propofol, Drug Enforcement Agency, Controlled Substance, Drug Scheduling, Certified Registered Nurse Anesthetists, Anesthesia

Advisor

Pecka, Shannon

Degree

Doctoral-Other

Degree Grantor

Bryan College of Health Sciences

Degree Year

2022

Rights Holder

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Review Type

Faculty Approved: Degree-based Submission

Acquisition

Proxy-submission

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