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CLINICAL AUDIT 2017/2018 Procedural Sedation in Adults Clinical Audit Information INTRODUCTION AND BACKGROUND .................................................................................... 2 Aims
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01
Assess the patient's medical history and current condition to determine if procedural sedation is appropriate.
02
Obtain informed consent from the patient or their legal representative.
03
Ensure the availability of necessary equipment, such as oxygen, suction devices, and monitoring devices.
04
Administer pre-sedation medications as ordered, taking into account the patient's age, weight, and medical history.
05
Monitor the patient's vital signs throughout the procedure, including blood pressure, heart rate, and oxygen saturation.
06
Administer sedative medications slowly and titrate to achieve the desired level of sedation.
07
Continuously monitor the patient's level of sedation and adjust medication dosage as needed.
08
Be prepared to manage any complications or adverse reactions that may occur during or after the procedure.
09
After the procedure, monitor the patient until they have fully recovered from the sedation and are stable for discharge.
10
Document all aspects of the procedural sedation, including medications used, patient response, and any complications.
11
Provide appropriate post-procedure instructions and follow-up care to the patient.
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Seek consultation or involve an anesthesiologist if necessary.

Who needs procedural sedation in adults?

01
Procedural sedation in adults may be needed for various medical procedures or interventions, including:
02
- Endoscopy procedures, such as colonoscopy or upper gastrointestinal endoscopy
03
- Radiological procedures, like MRI scans or interventional radiology
04
- Reduction of dislocations or fractures
05
- Dental procedures, particularly those requiring prolonged or complex treatment
06
- Elective or therapeutic bronchoscopy
07
- Minor surgical procedures outside the operating room
08
- Any procedure that may cause significant discomfort, anxiety, or pain to the patient
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Procedural sedation in adults involves administering medications to achieve a state of decreased consciousness in order to perform a medical procedure.
Healthcare providers who perform procedural sedation in adults are required to file the necessary documentation.
Procedural sedation documentation should be filled out with details of the medications used, patient's vital signs, procedure performed, and any complications.
The purpose of procedural sedation in adults is to ensure patient comfort and safety during medical procedures.
Information such as medications used, patient's vital signs, procedure details, and any adverse events must be reported on procedural sedation in adults.
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