Moderate Sedation/Analgesia: Core Competencies for Practice / Edition 2

by Michael Kost DNP, CRNA, CHSE

Overview

This 2nd edition focuses on the preprocedural, procedural, and postprocedural care of the moderately sedated patient. It is designed for any clinician involved in the administration of moderate sedation and written by a clinician involved in the practice on a daily basis. The primary focus of this new edition is to provide all the content and tools necessary to demonstrate competency in moderate sedation/analgesia.

• Includes a greater focus on the core competencies necessary for clinical practice.
• Concept Checks are integrated throughout to help the learner assess the mastering of the content presented.
• Includes the recommended standards of practice from the ANA, AORN, American Academy of Pediatrics, and JCAHO's Sample Policies & Procedures.
• Contains sample clinical competencies for moderate sedation so the book can be used as a study guide and measurement tool.
• Incorporates throughout important information on the specific moderate sedation parameters of the pediatric and geriatric patients addressing preprocedural assessment, physiologic variations, pharmacologic considerations and sedative techniques.
• Includes a comprehensive pharmacologic profile of each medication used in the moderate sedation practice setting.

• Follows a recommended ‘core curriculum’ format, but each idea and concept are discussed in detail.
• Increased integration of actual Clinical Scenarios facilitates the application of content knowledge and utilization of critical thinking skills.
• Integration of herbal preparations and their impact on pre-sedation care.
• Latest JCAHO Sedation/Anesthesia Guidelines (2004) incorporated throughout.
• A larger trim size (8.5 x 11) provides more of a ‘manual’ feel and allows the reader to make notes and work through various tools throughout the book.

Product Details

ISBN-13:	9780721603247
Publisher:	Elsevier Health Sciences
Publication date:	02/27/2004
Edition description:	REV
Pages:	352
Product dimensions:	8.50(w) x 10.88(h) x (d)

About the Author

Program Director, Frank J. Tornetta School of Anesthesia at Montgomery Hospital, Norristown, PA; Assistant Professor, La Salle University School of Nursing, Philadelphia, PA; President, Specialty Health Education, Inc., Blue Bell, PA

Table of Contents

UNIT ONE: Preprocedural Patient Care
1. Goals, Definitions, Practice Standards and Guidelines
2. Presedation Assessment and Patient Selection

UNIT TWO: Procedural Patient Care
3. Pharmacologic Concepts
4. Sedation/Analgesia Medication and Techniques of Administration
5. Sedation/Analgesia Pharmacologic Profile
6. Procedural Patient Monitoring
7. Airway Management and Management of Respiratory Complications
8. Intravenous Insertion Techniques/Intravenous Solutions
9. Geriatric Patient Care
10. Pediatric Patient Care

UNIT THREE: Postsedation Patient Care
11. Postsedation Patient Care, Monitoring, and Discharge Criteria
12. Risk Management Strategies

APPENDICES
A. Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists
B. Joint Commissions: Standards for Sedation and Anesthesia Care
C. Endorsement of Position Statement on the Role of the Regional Nurse (RN) in the Management of Patients Receiving IV Conscious Sedation for Short-Term Therapeutic, Diagnostic, or Surgical Procedures
D. American Academy of Pediatrics Committee on Drugs
E. Clinical Competencies for Sedation-Analgesia
F. American Association of Nurse Anesthetists
G. Learner Self-Assessment References

What People are Saying About This

From the Publisher

The nurses’ comprehensive guide to moderate sedation competencies

Editorial Reviews

Reviewer: Thomas W. Cutter, MD, MAEd (University of Chicago Pritzker School of Medicine)
Description: This is an attempt at a how-to manual for a topic that is not easy to learn except at the bedside. As such, it should be considered as a supplement to hands-on experience. The book is divided into three parts: presedation patient care issues, sedation patient care issues, and postsedation patient care and monitoring issues. Taken together, these three areas have obviously filled many prior books and this version should be taken as an overview rather than a definitive treatise. It can serve to provide continuing education credit. The first edition was published in 1998.
Purpose: The author hopes to enrich the learner's fundamental knowledge of sedation patient care. The book can be regarded as an additional resource for those not formally trained in anesthesia.
Audience: It is appropriately aimed at the nonanesthesia healthcare provider, which includes physicians, students, and nurses. Although the author includes administrators as an audience, their lack of medical or nursing knowledge makes this book less useful to them. The author's credentials lend credibility to his authority, although his placing benzodiazepines outside the category of sedative-hypnotics gives me pause.
Features: The book provides a comprehensive overview of the issues surrounding the safe provision of patient sedation by nonanesthesia healthcare providers, including patient and procedure selection, patient preparation, monitoring, and recovery, medication administration, and the management of untoward events. It provides many useful tables and lists that can act as unified references. The self assessments at chapter's end aid in reassuring the learner that the important material has been absorbed. The post-tests also provide for this and can be used for continuing education credits granted by the author's company, Specialty Health Education, Inc.
Assessment: This book can serve as a reference for a course in sedation and analgesia for the nonanesthesia healthcare provider. It should not be considered as a standalone resource and should be supplemented by instruction and supervision by those with expertise in the field. The new edition is valuable because it provides updates on medications and also on revised standards imposed by various sanctioning organizations (e.g., Joint Commission on Accreditation of Healthcare Organizations).

Doody's Review Service

3 Stars from Doody