Please familiarize yourself with the DRH Health Moderate Sedation policy and procedure found here
A pre-sedation assessment by the physician is required to be documented prior to sedation. This includes:
- H&P/ED Record, including ROS, VS, airway assessment (Mallampati), cardiopulmonary status;
- Plan for sedation;
- ASA risk classification (ASA risk scored III or IV – consider sedation by CRNA).
Documentation of informed consent for sedation is required.
Moderate sedation should be performed only by providers with approved moderate sedation privileges.
In the Emergency Department Ketamine, Propofol, and Etomidate may be administered by physicians with moderate sedation privileges who are trained and available to manage complications should they arise
Patients are monitored for a minimum of 30 minutes following the last dose of medication when no reversal agent is used. Patients are monitored for a minimum of 60 minutes when a reversal agent is used.
When discharge occurs following moderate sedation, discharge instructions specific to the use of moderate sedation are provided to the patient in addition to any other instructions specific to the patient’s condition(s).
Moderate Sedation Test and Attestation