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EMERGENCY DEPARTMENT PROCEDURAL SEDATION AND ANALGESIA: USE OF A STANDARDIZED NURSING DOCUMENTATION TEMPLATE TO IMPROVE DOCUMENTATION OF CARE A. Hogan, S. Benjamin for the NB Trauma Program Research
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How to fill out emergency department procedural sedation

How to fill out emergency department procedural sedation:
01
Begin by assessing the patient's condition and determining if they require procedural sedation. This may include evaluating their level of anxiety, pain, or the complexity of the procedure.
02
Obtain consent from the patient or their legal guardian for the sedation procedure. Explain the risks, benefits, and alternatives to the sedation to ensure they understand and can make an informed decision.
03
Prepare the required medications and equipment for the sedation procedure. This may include monitoring devices, oxygen, suction, and emergency drugs.
04
Ensure that the patient's vital signs are stable before administering sedation. This may involve checking their blood pressure, heart rate, oxygen saturation levels, and respiratory rate.
05
Administer the selected sedation medication as per the prescribed dosage and route. Monitor the patient continuously during the procedure to assess their response to the sedation and adjust the dosage if necessary.
06
Maintain airway patency throughout the procedure by providing supplemental oxygen and having airway equipment readily available.
07
Continuously monitor the patient's vital signs, including their level of consciousness, blood pressure, heart rate, and oxygen saturation levels. Respond promptly to any signs of distress or complications.
08
After the procedure, allow sufficient recovery time for the effects of sedation to wear off. Observe the patient closely during this time and ensure they are stable before discharge.
09
Document the sedation procedure, including the medications used, vital signs, pre- and post-sedation assessment findings, any complications or adverse events, and patient's response to the sedation.
10
Communicate with the patient, their family, and other healthcare providers involved in their care, ensuring clear instructions for post-procedure care, any potential side effects to watch for, and any necessary follow-up appointments.
Who needs emergency department procedural sedation?
01
Patients undergoing painful procedures, such as fracture reduction or joint dislocation.
02
Individuals experiencing extreme anxiety or fear that may hinder the successful completion of a procedure.
03
Patients requiring endoscopy or other invasive procedures that necessitate relaxation or unresponsiveness.
04
Pediatric patients who may not be able to cooperate or tolerate a procedure that is required for their assessment or treatment.
05
Individuals with certain medical conditions, such as claustrophobia, developmental delays, or intellectual disabilities, that might impact their ability to tolerate a procedure.
06
Individuals requiring rapid sequence intubation or other emergency interventions that require sedation to facilitate the procedure.
In summary, emergency department procedural sedation should be carefully conducted by assessing and preparing the patient, administering the appropriate medications, monitoring vital signs, and ensuring a safe recovery. This sedation technique can benefit patients who undergo painful, anxiety-inducing, or invasive procedures, or those with specific medical conditions.
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What is emergency department procedural sedation?
Emergency department procedural sedation is the administration of sedative or dissociative agents for the purpose of performing a procedure in the emergency department.
Who is required to file emergency department procedural sedation?
Emergency department healthcare providers who perform procedural sedation are required to file the documentation.
How to fill out emergency department procedural sedation?
Emergency department procedural sedation documentation can be filled out by providing details about the patient, procedure, medications used, monitoring equipment, and outcomes.
What is the purpose of emergency department procedural sedation?
The purpose of emergency department procedural sedation is to ensure patient comfort and safety during procedures that require sedation.
What information must be reported on emergency department procedural sedation?
Information such as patient demographics, procedure details, medications administered, vital signs, monitoring devices used, and any complications must be reported on emergency department procedural sedation documentation.
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