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Discussion

Procedural Sedation

Hi all,

We are changing the way we manage procedural sedation at our hospital. As the clinical liaison for the Burn Center I have been involved in the process of revamping the policy as well as deciding how to implement it in the burn center. Just wondering how other folks do it.

For example, if a burn patient is having a dressing change and is given pain and sedation meds does one nurse focus on that while other nurses are doing the actual bath, dressing changes, central line dressings, etc?

Thanks.

Featured Replies

Hello and welcome to the family of allnurses. Enjoy your stay and good luck!

I give sedation in Interventional Radiology, and our protocol specifies that the RN providing sedation moniters the patient and has no other duties. I have seen this wording used in texts and articles, so it is probably a standard of care.

I agree with the previous post.

The nurses administering sedatives only job is to monitor the patient.

This is clearly stated in most accrediting agencies standards and the JCAHO spells it out clearly.

In more and more places the standard is becoming that you have the ability to rescue patients from one level deeper than the intended level of sedation.

Example: your intention for a procedure is moderate sedation, then you should have the training and skill to rescue a patient from deep sedation, and so on.

Alot of good information is available online for nursing, just google "conscious sedation nursing"

Best,

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