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This text provides key information for developing an understanding of the concepts of intravenous conscious sedation. Detailed sections include: basic concepts of medications; administration techniques; potential complications and emergencies; monitoring parameters; developing a credential programm; legal implications; and patient discharge. The book is designed with practical implementations to the clinical setting, including useful information such as sample documentation forms, learner feedback and question and answer sections.

New to This Edition

    • The latest JCAHO Standards for Sedation and Analgesia are included to assist nurses and institutions with meeting these standards.
    • A new chapter on geriatric sedation focuses on specific considerations for older adults receiving moderate sedation.
    • A new chapter on risk management and legal issues provides important guidelines for understanding the scope of practice as it pertains to administering and monitoring patients receiving moderate sedation/analgesia.
    • More in-depth discussion on aspects of care examines topics such as the role of the RN in monitoring the patient, the standards of care as applied to all types of facilities, and the discharge criteria within the PACU.

    Practical Guide to Moderate Sedation/Analgesia

    2 th Edition

    By Jan Odom-Forren, RN, BSN, MS, CPAN, FAAN, Perianesthesia / Perioperative Consultant, Co-Editor, Journal of PeriAnesthesia Nursing, Louisville, KY; and Donna S. Watson, RN, MSN, CNOR, ARNP, FNP-C, Perioperative Nursing Consultant, Family Nurse Practitioner; President Elect-AORN; Nursing Link, West Linn, OR

    1. History of Moderate Sedation

    2. Presedation Assessment, Monitoring Parameters and Equipment

    3. Pharmacology

    4. Management of Complications

    5. Patient Discharge

    6. Institution Policy and Guideline Development: Standard of Care

    7. Competence in Patient Management

    8. Pediatric Sedation

    9. Geriatric Sedation

    10. Sedation in the Mechanically Ventilated Patient

    11. Risk Management/Legal Issues

    • A. ASA Standards for Basic Anesthetic Monitoring

    • B. State Boards of Nursing positions on Moderate Sedation and Administration of Anesthetic Agents

    • C. Position Statement on the Role of the RN in the Management of Patients Receiving IV Moderate Sedation for Short-Term Therapeutic, Diagnostic, or Surgical Procedures

    • D. ASA Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists

    • E. American Association of Nurse Anesthetist?s Position Statement: Qualified Providers of Sedation and Analgesia; Considerations for Policy Guidelines for Registered Nurses Engaged in the Administration of Sedation and Analgesia

    • F. AORN Recommended Practices for Managing the Patient Receiving Moderate Sedation/Analgesia

    • G. Pediatric Sedation Standards 2002-2004