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Dental conscious sedation record form

Sedation record form 2025

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The document is a comprehensive Sedation Record used for assessing and documenting the sedation process for patients, particularly in dental settings. It includes sections for patient selection criteria, medical history, airway assessment, drug dosage calculations, intraoperative management, post-operative monitoring, and discharge instructions. The record aims to ensure patient safety and effective sedation management by capturing essential information before, during, and after sedation.

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Versions	Form popularity	Fillable & printable
2019	4.1 Satisfied (43 Votes)
2015	4 Satisfied (57 Votes)

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How long to monitor after conscious sedation?

Blood pressure, heart rate, respiratory rate, oxygen saturation and level of consciousness are monitored and documented at least every 15 min or less, for a minimum of thirty minutes after the last dose of sedation medication. A written record of these parameters should be maintained in the recovery phase.

What are the nurses responsibilities during sedation of a patient?

As the monitor during procedural sedation, the nurse is in constant communication with the patient. Nurses are the ones who keep patients safe by continous monitoring, while the proceduralist is performing the procedure. The procedure should be thoroughly explained before any drugs are given to the patient.

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.

What is the difference between D9222 and D9239?

D9222 -- Deep sedation/general anesthesia - first 15 minutes. D9223 -- Deep sedation/general anesthesia - each subsequent 15-minute increment. D9239 -- Intravenous moderate (conscious) sedation/analgesia - first 15 minutes. D9243 -- Intravenous moderate (conscious) sedation/analgesia - each subsequent 15-minute

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.

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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?

PATIENT SUPPORT AND MONITORING There must be continuous monitoring of pulse rate and oxygen saturation and regular monitoring of depth of sedation and blood pressure throughout the procedure. Depending on the clinical condition of the patient, monitoring of other parameters such as ECG may also be required.

Why do you have to be monitored after sedation?

The sedation medicine or anaesthetic can make some patients slightly confused and unsteady after their treatment. Importantly, it can affect their judgement so they may not be able to think clearly. This may last for up to 24 hours, so until the next day. You should keep a careful eye on them during this time.