how are you guys using concious sedation for procedures? my residency is severely underusing them, especially in our peds ED. We papoosed most of the pts. Lack of nurses, our Peds ED only get 2 nurses (meaning only 1, one is always on break for some reason). one councious sedation or medical not or trauma, make the residents become honorary nurses (we push IV meds, put IV, draw blood, PLACE FOLEYS, sometimes transport our own pts to get radiology stuff, and at all time we have to change the damn bed sheet ourself)........ but yeah i love my urban ER =). But honestly i wish we reduce the amout of papoose use and stop asking the dads to hold their 3 yr old head whose wrapped up in papoose so i could suture his chin lac.