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The document is a comprehensive record for sedation, anesthesia, and post-anesthesia care, detailing patient information, preoperative procedures, drug administration, monitoring protocols, and discharge criteria. It includes sections for emergency records and vital signs tracking, ensuring thorough documentation of anesthesia management during surgical procedures.

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How do you fill out anesthesia records?

Patient assessment data: Patient and procedure identification; Anticipated disposition; Medical history includes patients ability to give informed consent; Surgical and Anesthetic history; Current Medication List (pre- and post-admission); Allergies/Adverse Drug Reaction (including reaction type); NPO status;

What are the 4 levels of sedation?

Sedation works by depressing your Central Nervous System to reduce the awareness of your surroundings. There are four levels of sedation. These are minimal sedation, moderate sedation, deep sedation, and general anesthesia.

How do you document sedation?

The following must be documented, including date and time, at a minimum of every five minutes during the moderate sedation: Heart rate. Oxygen saturation. Respiratory rate. Blood pressure.

How do you monitor a sedated patient?

Monitoring should include oxygenation, ventilation, circulation, and temperature. Patient consciousness, however, must always be prioritized, as its the foundation of their well-being and safety throughout the procedure.

How do you assess sedation?

Procedure Observe patient. If patient is not alert, in a loud speaking voice state patients name and direct patient to open eyes and look at speaker. If patient does not respond to voice, physically stimulate patient by shaking shoulder and then rubbing sternum if there is no response to shaking shoulder.

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What is the minimum monitoring for sedation?

Minimum monitoring data (heart rate, blood pressure, peripheral oxygen saturation, end‐tidal carbon dioxide and anaesthetic vapour concentration, if volatile anaesthetic agents or nitrous oxide are used) must be recorded at least every five minutes, and more frequently if the patient is clinically unstable.

How do you monitor sedation?

The guidelines universally require assessment of the depth of sedation and the use of pulse oximetry and non-invasive arterial pressure monitoring. Recommendations concerning the monitoring of ventilation are evolving.

What must sedated patients always be monitored with?

Current recommendations for monitoring include patient responsiveness, blood pressure, respiratory rate, heart rate, and oxygen saturation. Oxygen saturation is a critical vital sign, but there can be a significant delay between inadequate ventilation and desaturation.

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How do you fill out anesthesia records?

What are the 4 levels of sedation?

How do you document sedation?

How do you monitor a sedated patient?

How do you assess sedation?

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What is the minimum monitoring for sedation?

How do you monitor sedation?

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