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  • Sedation Check List-1

    Diunggah oleh

    kazbird79
    38 tayangan2 halaman
    The document is a checklist for intravenous sedation at the Circus Dental Practice. It includes sections to check equipment, the patient, obtain vitals, record drugs administered and monitoring, and ensure proper recovery and discharge of the patient.

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    Sedation check list-1

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    The document is a checklist for intravenous sedation at the Circus Dental Practice. It includes sections to check equipment, the patient, obtain vitals, record drugs administered and monitoring, and ensure proper recovery and discharge of the patient.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    38 tayangan2 halaman

    Sedation Check List-1

    Diunggah oleh

    kazbird79
    The document is a checklist for intravenous sedation at the Circus Dental Practice. It includes sections to check equipment, the patient, obtain vitals, record drugs administered and monitoring, and ensure proper recovery and discharge of the patient.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 2

    The Circus Dental Practice: IV Sedation Check List

    Patient Name: Date:


    Staff Names:

    Equipment Check Yes No


    Midazolam (Hypnovel)?
    Flumazenil (Annexate)?
    Oxygen?
    Emergency drugs?
    Automatic BP machine?
    Pulse oximeter?
    Other (please specify)?

    Patient Check Yes No


    Procedure explained to patient and escort?
    Consent completed?
    Medical history checked?
    Routine medication checked?
    Has patient eaten breakfast/lunch?
    Glucose drink given?
    Has patient consumed alcohol?
    Escort name and contact telephone number?
    Type of transport home?

    Blood Pressure Pulse O2 Saturation

    Venous Access Site


    Cannula
    Any failed sites?

    Drugs Used Exp Date Batch No Total Dose Given


    Monitoring record
    Time Amount O2 Sats Pulse Comments
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    : mg %
    Total mg

    Yes No
    Recovery with escort and sedationist?
    Verbal and written post-op sedation instructions given?
    Cannula removed?
    Clinician approval to discharge patient?
    Time of discharge:
    Signature of clinician:

    Comments:

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