Would you be able to tell me what best practice currently is around conscious sedation in Ambulatory care clinics or Emergency departments? Who must be present for the procedures? I am loooking at updating a policy andprocedure. Thanks so much.
There are 3 main parts to ensuring safe administration of conscious sedation.
*The right equiment (quick access to resuscitation supplies, meds, suction, airway supplies, etc). *The right staff (i.e. staff are trained and certified to administer meds, assess pts,ACLS certified. It is up to the institution if this includes RNs and MDs). A physician is also present or immediately available in the event of adverse pt outcomes. *Ongoing education & certification is ensured (i.e. ACLS is recertified q2 years, other re-certification as appropriate for institution). Overall, it is up to the institution to develop and approve protocols that address the above points, as well as ensure appropriate nurse:patient ratios (1:1 ratio for unstable patients) *Remember that conscious sedation is one end of the anesthesia continuum; one pt can respond to a plan for moderate sedation as having received a higher level of anesthesia
Other resources to check out: www.sgna.org APAN standards Book: "Moderate Sedation/Analgesia", by Odom-Forren and Watson, (2005) (Our next edition OPANA standards will have a guideline)
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There are 3 main parts to ensuring safe administration of conscious sedation.
*The right equiment (quick access to resuscitation supplies, meds, suction, airway supplies, etc).
*The right staff (i.e. staff are trained and certified to administer meds, assess pts,ACLS certified. It is up to the institution if this includes RNs and MDs). A physician is also present or immediately available in the event of adverse pt outcomes.
*Ongoing education & certification is ensured (i.e. ACLS is recertified q2 years, other re-certification as appropriate for
institution).
Overall, it is up to the institution to develop and approve protocols that address the above points, as well as ensure appropriate nurse:patient ratios
(1:1 ratio for unstable patients)
*Remember that conscious sedation is one end of the anesthesia continuum; one pt can respond to a plan for moderate sedation as having received a higher level of anesthesia
Other resources to check out:
www.sgna.org
APAN standards
Book: "Moderate Sedation/Analgesia", by Odom-Forren and Watson, (2005)
(Our next edition OPANA standards will have a guideline)
Heather Ead
OPANA
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