In general, I require a patient to have a driver following an injection. I (almost) never use local (saline and steroid), but usually (70-80%) give a little sedation. On rare occasions, I've let a patient drive home if they did not get local or sedation. I've never thought much about it, but one of my partners had a little fit when he heard about one. This is not addressed in ISIS (or other) practice guidelines (as far as I can tell). Input? Slams? Anyone?