pediatric conscious sedation

[b eyes]

Hi pedi nurses..

Need some help..

I started a new postition and one of the areas I was put in charge of is pediatric conscious sedation. I am in charge of setting up the room with all the equiptment, getting it ordered, etc..

My questions are..

1. Besides the crash cart, monitor, bp, co2 monitor, o2, suction, thermometer, ambu bag, airway, What else would you anticipate needing in teh room?

2. Do you do the ASA classification or does the MD/Anesthesiologist?

3. Which peds do you leave for anesthesia to do?

4. If you do moderate sedation, do you have anesthesia in house to rescue you in case it turns into deep sedation? I was told today that anesthesia will not rescue us if they are not initially involved in the sedation, however will respond to a code.

5..How long do you monitor children after moderate sedation, providing everything goes according to plan, or does it depend on the child and how they wake up and respond to anesthesia?

6. Do you have a physician in the room during sedation of children? At all times? or an anesthiologist?

7. meds talking about being used are versed and fentanyl, nothing else?

I can't think of anthing else right now but I am sure there will be more. they want to have this up and running by mid december

thank you in advance...appreciate all of you more than you know:p

b eyes

[natalita]

What is most important is to read your hospital policy on sedations. They should give you all that you need hopefully:mad:

[RN2Consultant]

I agee, check out the hospitals policy and procedure manual.

Most sedation related p&p for hospitals are written by anesthesia personell.

You might check out your states "scope of practice" or nurse practice act, to see where any delineation of resposibilty lies.

At least you have anesthesia on site, many nurses are asked to administer procedural sedation with out an anehtesia dept. down the hall.

There are places to get continuing education on conscious sedation for nurses and certifications, I have seen many adds for these at the top of the pages on this website.

Always be learning!

Thanks,