Discharge Criteria
Minimum amount of time after sedation medication administration an out-patient can be discharged
What is 30 minutes?
Decreased level of anxiety. No memory loss from medication.
What is minimal or light sedation?
The information you should assess or review prior to assisting with moderate sedation on a 35-year-old female scheduled to have an angiogram
What is last P.O. intake? What is patient's past experience with anesthetic drugs, pmh and any allergies? What is her pregnancy status? etc.
Explains the risks, benefits and alternatives of the procedure
Who is the physician?
Used to reverse morphine, meperidine and fentanyl
What is Narcan?
Minimum amount of time after reversal medication administration an out-patient can be discharged
What is 60 minutes?
Able to respond to directions by verbal stimulus or verbal stimulus plus minimal touch. Protective reflexes remain intact
What is Moderate Sedation?
Minimum interval vital signs are to be performed intra-procedure
What is every 5 min?
Obtains Consent
Who is the physician?
Three pieces of equipment needed during procedural sedation
What is Bag Valve Mask, oxygen source, suction source, crash cart, bp monitor, pulse ox, cardiac monitor, reversal agents? etc
Stable and within 20% of baseline reading for 2 consecutive readings
What are vital signs?
Able to communicate/respond to verbal commands. Unaffected ventilatory and cardiovascular functions
What is Minimal or Light Sedation?
Minimum interval VS are obtained post last dose of medication
What is every 5 min x3 then every 15 min x 2?
Must have current BLS and ACLS
Who are nurses and physicians?
Maximum dose is 1mg
What is Romazicon?
Score of 0 or at pre-procedure baseline
What is RASS?
Only to be used by an anesthesia provider, unless the patient is already intubated and has stable airway protection
What is Deep Sedation?
The initial intervention to be performed on a patient with moderate sedation who becomes unresponsive and whose oxygen saturation begins to drop
What is support the patient's airway?
Consulted for patients who are at risk for losing protective reflexes during procedural sedation
Who is Anesthesia?
Number of staff necessary when sedation administered by non-anesthesia provider
What is 3?
Score of 8 or at pre-procedure baseline
What is Aldrete?
Not easily awakened. Repeated painful stimulation may produce a minimal response
What is Deep Sedation?
Filled out immediately for any unexpected outcome or adverse event?
What is an Event Notification or Midas entry?
Completes a pre-procedure assessment including vital signs, weight in kg, oxygen saturation, EKG and pain level
Who is the nurse?
Performed prior to the start of any medication before a procedure with all staff present
What is a "Time-Out"