Qualified Providers of Sedation and Analgesia

Formerly Position Statement Number 2.2

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The AANA believes the safest administration of sedation and analgesia is by professionals educated in the specialty of anesthesia and skilled in the administration of sedation, monitored anesthesia care, and regional and general anesthesia, and who give their undivided attention to the patient.

Sedation combined with analgesia may easily become deep sedation or loss of consciousness because of the agents used as well as the physical status and drug sensitivities of the patient. The administration of sedation requires continuous monitoring of the patient and the ability to respond immediately to any adverse reaction or complication.  Sedation should only be provided by an individual who is qualified to select and administer the appropriate agents and who is capable of managing all anesthetic levels and potential complications, including airway management, intubation, and resuscitation.

Registered nurses have become increasingly involved in assisting physicians in providing sedation. The American Association of Nurse Anesthetists has developed AANA Considerations for Policy Guidelines for the Registered Nurse Engaged in the Administration of Sedation and Analgesia to provide guidance for policy development and to promote the quality and safety of patient care when sedation is administered by persons who are not qualified anesthesia providers.


Adopted by AANA Board of Directors May 1988.
Revised by AANA Board of Directors April 1991, June 1996, and June 2003.