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This policy outlines the requirements and procedures for resident physicians at the UT College of Medicine to obtain credentialing for administering moderate sedation to patients under supervision.
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How to fill out resident moderate conscious sedation

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How to fill out Resident Moderate (Conscious) Sedation

01
Gather all necessary equipment and medications for sedation.
02
Ensure the patient's medical history is reviewed and that there are no contraindications.
03
Obtain informed consent from the patient after explaining the procedure and its risks.
04
Monitor the patient's vital signs, including heart rate, blood pressure, and oxygen saturation.
05
Administer the sedative medication as per the established protocol, ensuring the dosage is appropriate for the patient's weight and health status.
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Continuously assess the patient's level of consciousness and responsiveness throughout the procedure.
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Be prepared to manage any adverse reactions or complications that may arise during sedation.
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Ensure recovery protocols are followed, including monitoring until the patient is stable and a safe discharge plan is in place.

Who needs Resident Moderate (Conscious) Sedation?

01
Patients undergoing minor surgical procedures or diagnostic tests that cause anxiety or discomfort.
02
Individuals with a low pain tolerance or a high level of fear related to medical procedures.
03
Patients who may experience difficulty maintaining stillness during a procedure due to anxiety or discomfort.
04
Individuals who require sedation for dental procedures, endoscopies, or other minimally invasive interventions.
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To ensure patient safety, continuous monitoring of vital signs is essential in assessing their response to sedation and preventing potential emergencies. Monitoring should include oxygenation, ventilation, circulation, and temperature.
Moderate sedation - A drug-induced depression of consciousness during which patients respond to purposefully to verbal commands, either alone or accompanied by light tactile stimulation. Reflex withdrawal from a painful stimulus is not considered a purposeful response.
When compared with local anesthesia alone, the two most significant negative variables introduced by moderate sedation, as well as deep sedation and general anesthesia, are the added risks for either respiratory depression, ie, hypoventilation, or airway obstruction in the deeply sedated or unconscious patient.
There are four levels of sedation. These are minimal sedation, moderate sedation, deep sedation, and general anesthesia.
Moderate (conscious) sedation was administered by the endoscopy nurse and supervised by the endoscopist. The following parameters were monitored: oxygen saturation, heart rate, blood pressure, respiratory rate, EKG, adequacy of pulmonary ventilation, and response to care.
There are also three different stages of conscious sedation: Minimal (anxiolysis). You're relaxed but fully conscious and responsive. Moderate. You're sleepy and may lose consciousness, but you're still somewhat responsive. Deep. You'll fall asleep and be mostly unresponsive.
The following must be documented, including date and time, at a minimum of every five minutes during the moderate sedation: Heart rate. Oxygen saturation. Respiratory rate. Blood pressure.

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Resident Moderate (Conscious) Sedation refers to a medical procedure where sedative medications are used to help a patient relax while still being able to respond to verbal commands and physical stimulation. It is typically administered in a controlled environment for various medical or dental procedures.
Health care providers and facilities that administer Moderate (Conscious) Sedation to residents during medical or dental procedures are required to file for it. This typically includes physicians, dentists, and licensed medical facilities.
To fill out the Resident Moderate (Conscious) Sedation documentation, providers must complete a specific form detailing the patient's information, the sedative used, dosage, monitoring information, and outcomes. It’s important to follow the guidelines set by the supervising medical board or institution.
The purpose of Resident Moderate (Conscious) Sedation is to alleviate anxiety and discomfort for patients undergoing medical or dental procedures while maintaining their ability to communicate and respond, thus improving their overall experience and cooperation during the treatment.
Information that must be reported includes patient demographics, details of the procedure, type and dosage of sedation administered, vital signs monitoring, any complications or adverse reactions, and post-procedure recovery observations.
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