When it comes to managing the care of a patient receiving conscious sedation/analgesia during a short-term therapeutic, diagnostic, or surgical procedure, this easy-to-follow book is an ideal clinical reference. It covers everything you need to know - from practice guidelines for administering sedation, to pre-sedation requirements, intra-procedure monitoring and documentation, and discharge criteria. Detailed sections discuss the basic concepts of medications, administration techniques, potential complications and emergencies, monitoring parameters, developing a credentialing program, legal implications, and patient discharge, as well as separate chapters on pediatric and geriatric sedation. The book also provides practical learning tools such as sample documentation forms, learner feedback, and questions and answer sections.
Thorough content provides all the key, essential information needed for a complete understanding of moderate sedation/analgesia in practice.
Detailed sections address the basic concepts of medications, administration techniques, potential complications and emergencies, monitoring parameters, developing a credentialing program, legal implications, and patient discharge.
Learning tools focus on practical implementations, such as sample documentation forms, learner feedback, and questions and answer sections.
A chapter on Pediatric Sedation presents the latest techniques and recommended guidelines for the proper management of this special population.
New to this Edition
The latest JCAHO Standards for Sedation and Analgesia are included to assist nurses and institutions with meeting these standards.
A new chapter on geriatric sedation focuses on specific considerations for older adults receiving moderate sedation.
A new chapter on risk management and legal issues provides important guidelines for understanding the scope of practice as it pertains to administering and monitoring patients receiving moderate sedation/analgesia.
More in-depth discussion on aspects of care examines topics such as the role of the RN in monitoring the patient, the standards of care as applied to all types of facilities, and the discharge criteria within the PACU.
Presedation Assessment, Monitoring Parameters and Equipment
Management of Complications
Institution Policy and Guideline Development: Standard of Care
Competence in Patient Management
Sedation in the Mechanically Ventilated Patient
Risk Management/Legal Issues
A. ASA Standards for Basic Anesthetic Monitoring
B. State Boards of Nursing positions on Moderate Sedation and Administration of Anesthetic Agents
C. Position Statement on the Role of the RN in the Management of Patients Receiving IV Moderate Sedation for Short-Term Therapeutic, Diagnostic, or Surgical Procedures
D. ASA Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists
E. American Association of Nurse Anesthetist's Position Statement: Qualified Providers of Sedation and Analgesia; Considerations for Policy Guidelines for Registered Nurses Engaged in the Administration of Sedation and Analgesia
F. AORN Recommended Practices for Managing the Patient Receiving Moderate Sedation/Analgesia
G. Pediatric Sedation Standards 2002-2004
By Jan Odom-Forren, RN, BSN, MS, CPAN, FAAN, Perianesthesia / Perioperative Consultant, Co-Editor, Journal of PeriAnesthesia Nursing, Louisville, KY; and Donna S. Watson, RN, MSN, CNOR, ARNP, FNP-C, Perioperative Nursing Consultant, Family Nurse Practitioner; President Elect-AORN; Nursing Link, West Linn, OR