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consciousSedation

consciousSedation

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Published by: rajtherisingstar on Feb 25, 2011
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01/31/2013

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81
CLINICAL
 
SUPPORT
 
SERVICES
MGH Policy on Conscious Sedation for Non-Anesthesiologists 83
Levels of Consciousness 84ASA Physical Status Classification of Patients 84
Intravenous Conscious Sedation “At Risk” Patient Classification 85
Referral to the Department of Anesthesia and Critical Care 85
Introduction 83Conscious Sedation (CS) 84Deep Sedation 84General Anesthesia 84Classes I through V 84
Additional Recovery Space 86Escorts 86Clarification of Patient Populations and Monitoring 86
Patient Population Clarifications 86Cardiac Monitoring 86Ventilation Monitoring 86
Conscious Sedation Policy
Contents
 
82
DEPARTMENTAL
 
OPERATIONS
Conscious Sedation Policy
Contents
Personnel and Training 87
Suggested Drugs and Dosages for Conscious Sedation 88
Consent 90Monitoring 90
Number of Personnel 87Training 87Pediatric Sedation 88Credentialing and Privileging 88Operator Privileges for the Administration of IV Conscious Sedation Form 89
Equipment and Maintenance 92
Provisions for Patient Care Following the Procedure and Discharge Plan 91
Documentation 90
Prior to Procedure 90During Procedure 91Following Procedure 91
 
83
CLINICAL
 
SUPPORT
 
SERVICES
Section Departmental Operations
1
Conscious Sedation Policy
MGH POLICY ON CONSCIOUS SEDATIONFORNON-ANESTHESIOLOGISTS
INTRODUCTION
The “1996 Policy on Conscious Sedation forNon-Anesthesiologists” was officially adoptedas Hospital policy at the April 23, 1997 meetingof the General Executive Committee.This CS policy was formulated by a multi-disciplinary committee under the auspices of the Hospital’s Patient Care AssessmentCommittee. The multi-disciplinary committeewas chaired by a member of the Department of Anesthesia and Critical Care.Each department using conscious sedation willbe responsible for the implementation of thepolicy, assuring that participants in the admin-istration and monitoring of CS patients areappropriately credentialed, and the documen-tation of such credentials shall be maintainedby the department.The Department of Anesthesia and Critical Carehas, and will continue to assist in providingexpertise and information to other departmentsor individuals in the following areas:The appropriate drugs, dosages andtechniques for use during CS.The development of guidelines forthe training, supervision andcredentialing of all individualsinvolved in the care of patients under-going CS.Patient selection criteria, including theidentification of “at risk” patientsfor whom the delivery of anesthesiaby non-anesthesia personnel isinappropriate.Patient monitoring requirements.Arrangements to ensure the availabil-ity of resuscitation support services atall times.Assisting departments in developingmechanisms to continually measureand evaluate the quality of anesthesiaservices, including CS,  wherever theseservices are delivered.  The ultimateresponsibility for implementing aprogram to measure and evaluate thequality of CS services, however, restswith the individual department’squality assessment program.

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