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Chapter 6 - Credentialing, Competency, and Education

Published online by Cambridge University Press:  12 December 2024

By
Laurie Demeule  and
Lisa Govoni
Edited by
Richard D. Urman  and
Alan David Kaye
Richard D. Urman
Affiliation:
Ohio State University
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
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Summary

The safe transition of patients through procedures performed under moderate or deep sedation is a complex and challenging clinical situation. In recognition of the safety risks involved in caring for patients requiring any level of sedation, in the USA the Joint Commission has set specific standards around credentialing, competency assessment, and education [1].

Type
Chapter
Information
Moderate and Deep Sedation in Clinical Practice , pp. 83 - 91
Publisher: Cambridge University Press
Print publication year: 2024

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References

References

Joint Commission. Joint Commission standards: HR 01.06.01, PC 03.01.01–07 and MS 06.01.01. www.jointcommission.org/standardsGoogle Scholar
Epstein, RM, Hundert, EM. Defining and assessing professional competence. JAMA 2002;287:226–35.CrossRefGoogle ScholarPubMed
Accreditation Council for Graduate Medical Education. Outcome Project.Google Scholar
Clark, R, Collins-Yoder, A. Simulating rescue strategies from procedural sedation: one aspect of competency validation. J Radiol Nurs. 2020;39(2): 82–5.CrossRefGoogle Scholar
American College of Emergency Physicians. Procedural sedation. https://emedicine.medscape.com/article/109695-overview?form=fpf.Google Scholar
American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96:1004–17.CrossRefGoogle Scholar
Rassin, M, Sruyah, R, Kahakon, A, et al. “Between the fixed and the changing”: examining and comparing reliability and validity of 3 sedation–agitation measuring scales. Dimens Crit Care Nurs. 2007;26(2):76–82.CrossRefGoogle ScholarPubMed
American Society of Anesthesiologists. Standards for basic anesthetic monitoring (reaffirmed December 13, 2020). www.asahq.org/standards-and-practice-parameters/standards-for-basic-anesthetic-monitoringGoogle Scholar
Deitch, K, Miner, J, Chudnosfsky, C, Dominici, P, Latta, D. Does end tidal CO2 monitoring during emergency department procedural sedation and analgesia with propofol decrease the incidence of hypoxic events? A randomized controlled trial. Ann Emerg Med. 2010;55:258–64.CrossRefGoogle ScholarPubMed
Knowles, M, Holton, E, Swanson, R. The Adult Learner, 5th ed. Woburn: Butterworth- Heinemann, 1998.Google Scholar
Michelson, J, Manning, L. Competency assessment in simulation-based procedural education. Am J Surg. 2008;196:609–15.CrossRefGoogle ScholarPubMed
Association of Perioperative Registered Nurses (AORN). Recommended practices for managing the patient receiving moderate sedation/analgesia. AORN J. 2002;75:642–6, 649–52.Google Scholar
American Society of Anesthesiologists (ASA). Statement on safe use of propofol (amended October 23, 2019). www.asahq.org/standards-and-practice-parameters/statement-on-safe-use-of-propofolGoogle Scholar
American Association of Nurse Anesthetists (AANA). Considerations for Policy Development Number 4.2: Registered Nurses Engaged in the Administration of Sedation and Analgesia. Park Ridge, IL: AANA, 2010.Google Scholar
American Society of Anesthesiologists (ASA) Statement on granting privileges for administration of moderate sedation to practitioners who are not anesthesia professionals. www.asahq.org/standards-and-practice-parameters/statement-on-granting-privileges-for-administration-of-moderate-sedation-to-practitioners-who-are-not-anesthesia-professionalsGoogle Scholar
American Society of Anesthesiologists (ASA). Statement on granting privileges for deep sedation to non-anesthesiologist sedation practitioners. www.asahq.org/standards-and-practice-parameters/statement-on-granting-privileges-for-deep-sedation-to-non-anesthesiologist-physiciansGoogle Scholar

Additional Reading

American Association of Critical-Care Nurses. Considerations for policy guidelines for registered nurses engaged in the administration of sedation and analgesia https://sedationcertification.com/resources/position-statements/aanaGoogle Scholar
American Society of Anesthesiologists (ASA). Statement on Granting Privileges to Non-anesthesiologist Practitioners for Personally Administering Deep Sedation or Supervising Deep Sedation by Individuals Who Are Not Anesthesia Professionals. Park Ridge, IL: ASA, 2011.Google Scholar
Eichorn, V, Henzler, D, Murphy, M. Standardizing care and monitoring for anesthesia or procedural sedation delivered outside the operating room. Curr Opin Anaesthesiol 2010;23:494–9.CrossRefGoogle Scholar
Godwin, SA, Caro, DA, Wolf, SJ, et al. American College of Emergency Physicians. Clinical policy: procedural sedation and analgesia in the emergency department. Ann Emerg Med 2005;45:177–96.CrossRefGoogle ScholarPubMed
Levine, A, Swartz, M. Standardized patients: the “other” simulation. J Crit Care. 2008;23:179–84.CrossRefGoogle Scholar
Pisansky, AJ, Beutler, SS, Urman, RD. Education and training for nonanesthesia providers performing deep sedation. Curr Opin Anaesthesiol. 2016;29(4):499–505.CrossRefGoogle ScholarPubMed
Practice guidelines for moderate procedural sedation and analgesia 2018: a report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology. Anesthesiology. 2018;128:437–79. https://doi.org/10.1097/ALN.0000000000002043CrossRefGoogle Scholar
Tetzlaff, J. Assessment of competence in anesthesiology. Curr Opin Anaesthesiol 2009;22:809–13.CrossRefGoogle ScholarPubMed

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