Moderate Sedation for Non-Anesthesia Nurses: A Guide to Safe and Effective Sedation - 526

Moderate Sedation for Non-Anesthesia Nurse’s guide is designed for nurses involved with managing the care of patients receiving sensitive or analgesic medications while undergoing invasive diagnostic or therapeutic procedures. Medication administration, patient monitoring, discharge instructions, family teaching, and patient safety concerns are critical care elements of patients undergoing sedation. The sedation guide is designed for non-anesthesia registered nurses working in any surgical or procedural location where sedation is given.Nursing personnel are consistently involved with the ongoing management of patients receiving sedative or analgesic medications during invasive diagnostic or therapeutic procedures. Medication administration, patient monitoring, discharge instructions, and family teaching are among the primary patient safety concerns. All patient care elements are performed directly by the nurse. State boards of nursing defined the scope of practice with varying degrees of specificity. Nonetheless, the sole legal responsibility of each nurse is to be fully familiar with the policies and guidelines of the state’s board of nursing, independent of the wide variation of clinical settings where sedation is administered. Such settings include diagnostic/interventional radiology/cardiology settings, dental and oral surgery centers, freestanding endoscopy centers, emergency room settings, plastic surgery centers, and other outpatient settings that may or may not be associated with or located within an acute care facility.Sedation, moderate sedation, I.V. sedation, conscious sedation, and sedation/analgesia are interchangeable. Benzodiazepines and narcotics are the most frequently used drugs for sedation. Procedural sedation is most often associated with deep sedation using anesthesia class medications such as propofol or ketamine and involving pediatrics. However, state boards of nursing, health care institutions, medical and nursing organizations have developed their own position statements concerning the administration of anesthesia class medications. Their intent is the use of anesthesia medications such as propofol for moderate sedation. The FDA packaging directions for anesthesia class drugs and the training required to administer them is very specific but ignored by some states and some medical associations.1 Nurses are asked to give these drugs against the package insert. This guide will provide the necessary information to administer approved drugs for sedation. This guide includes proposed policies for your facility, standards of care, pharmacology, and complications related to the administration of medications, airway management, and age-specific patient assessment considerations.This guide takes the position that registered nurses, trained and experienced in critical care and working in emergency and/or peri-anesthesia specialty areas, may be given the responsibility of administration and maintenance of moderate or conscious sedation in the presence, and by the order, of a physician. The registered nurse has the knowledge and experience to assess, interpret and intervene in the event of complications.Regarding the Role of the RN involved in the Management of Patients Receiving Sedation for Short-Term Therapeutic, Diagnostic or Surgical Procedures.Even though this guide was written for RNs the same responsibilities hold true for all licensed healthcare professionals involved in the management of sedation.
ASIN: B094QKXL9X
VSKU: BVV.B094QKXL9X.VG
Condition: Very Good
Author/Artist:Eslinger, M. Ron
Binding: Hardcover