conscious sedation

  1. what kind of policies do you have for conscious sedation? how long do you monitor the child? when do you consider the child in the recovery stage? guess i'm loking for guidelines from other institutions to compare to ours! thanks
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  2. 5 Comments

  3. by   nicudaynurse
    The hospital I just left from monitors the kids a minimum of two hours after giving the medication.

    Vital signs are every ten minutes including LOC and cap. refill. They are monitored via pulse ox.

    Almost all the kids are ready to go within two hours. They usually have a popsicle before they go and we call them the next day to make sure there weren't any problems after coming home.
  4. by   vaughanmk
    We used conscious sedation in the burn unit. We checked vitals every 5 min while in treatment. This included HR, RR, and pulse ox. After debriedement we still had to put new dressings on. That would take a good 30 minutes with 2 nurses. They are still on pulse ox the entire time. Before taking them back to their room a full set of vitals were taken and again in 15 and 30 minutes.

    I hope this helps. I don't know what kind of setting you are in.
  5. by   nurs4kids
    agree with the above..
    close monitoring for about 2hrs post sedation.
  6. by   Gardengal
    I don't deal with peds, but in adult concious sedation we are all ACLS certified, follow q 5 minutes during procedure and every 5-10 after until within 10-20% of baseline. Monitored parameters are hr, bp resps, LOC, pain and pule ox. Emergency cart-airways, etc are available.
    Consent must be signed for concious sedation in addition to the procedure, NPO status verified.
    All persons giving concious sedation must do annual competency.
    The person giving or monitoring the concious sedation is not involved in the procedure itself. Their responsibility is concious sedation only.
  7. by   eph432girl
    this is good - i have to reply later when I have more time

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