The Science Journal of the American Association for Respiratory Care

2000 OPEN FORUM Abstracts

Conscious Sedation: Are We Asleep At the Wheel?

Gary J. Hospodar, MAOM RRT Kaiser-Permanente Foundation Hospital, San Francisco, California

Over the last fifteen years, there has been an explosion in providing invasive procedural performance outside of the operating room setting. This has occurred for a variety of reasons. One being the introduction of shorter-acting sedatives, opioids, and associated reversal medications that make the high-priced technology and expense of the operating suite almost obsolete. Two, are the technological improvements made in noninvasive patient monitoring systems, and three, the use of the respiratory care practitioner in an expanded role of assistant, assessor, and discharge planner. In this presentation, discussed will be JCAHO-approved conscious sedation practices for respiratory care departments and personnel.
This presentation will discuss the current practice of conscious sedation relating to the guidelines provided by the American Society of Anesthesiologists, American Academy of Pediatrics, and the application to regulatory requirements of the Joint Commission for Hospital Accreditation, State Department's of Health, and internal quality review processes. Also discussed will be current conscious sedation medications, competency requirements, equipment recommendations, patient monitoring, pre- and post-procedure assessment, and facilitation of the discharge process.

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