Section Departmental Operations
Conscious Sedation Policy
MGH POLICY ON CONSCIOUS SEDATIONFORNON-ANESTHESIOLOGISTS
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.