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Procedural Sedation — Sedation Procedure — Clinical Pathway: Emergency Department

Procedural Sedation Clinical Pathway — Emergency Department

Sedation Procedure

Patients should be assessed and monitored during sedation procedure as recommended in the table below. One PALS certified clinician must remain with the patient from induction to recovery and a clinician with advanced airway skills must be immediately available.

Sedation Assessment and Documentation

  Vital Signs Recovery Score Assessments
Baseline
  • Full set of vital signs documented pre-procedure:
    • Temperature
    • Heart rate
    • Respiratory rate
    • Blood pressure
    • SpO2
  • Baseline score documented pre-procedure
  • Pain assessment
  • IV site assessment
  • Procedure site assessment, if applicable
Intra-Procedure
  • Vital signs documented every 5 minutes:
    • Heart rate
    • Respiratory rate
    • Blood pressure
    • SpO2
    • ETCO2
  • Assess with vital signs
  • Head position to ensure airway patency
  • IV site assessment when accessed or hourly if infusing

 

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