This month's cover story attempts to explain why nurses and gastroenterologists are scratching and clawing to wrap their hands around the propofol syringe in the endoscopy suite. It's more a turf battle for them and anesthetists than a patient safety debate, even though RNs who've passed their nurse-administered propofol sedation training course and GI docs who've completed a weekend seminar are eager to put their sedation and airway management skills and training up against an anesthesia provider's.