MCCCD Program Description

Conscious Sedation

Course: NCE235

First Term: 2004 Summer I

Lecture 0.5 Credit(s) 0.5 Period(s) 0.5 Load
Subject Type: Occupational
Load Formula: S

Description: Conscious sedation criteria and protocols. Nursing responsibilities and interventions pre-, intra- and post- procedure. Medications commonly used for conscious sedation, monitoring equipment, potential complications and required documentation

MCCCD Official Course Competencies
1. Recognize indications, contraindications and appropriate patient assessment associated with conscious sedation. (I) 2. Discuss the various sedation scales associated with conscious sedation. (II) 3. Discuss nursing responsibilities and interventions required pre-procedure, intra-procedure, and post procedure for conscious sedation. (III) 4. State appropriate monitoring techniques and requirements for patients undergoing conscious sedation. (IV) 5. Discuss commonly used medications for conscious sedation and their side effects. (V) 6. Identify potential complications of conscious sedation and corresponding patient management protocols. (VI) 7. Describe required documentation for conscious sedation procedures. (VII) 8. List the AORN (Association of Operating Room Nurses) recommended practice guidelines for nurses administering and managing conscious sedation. (VII,VIII) 9. List the JCAHO (Joint Commission on Accreditation of Healthcare Organizations) requirements for the administration of conscious sedation in the health care setting. (VIII) 10. State the legal requirements in the state of Arizona for the administration of conscious sedation. (VIII)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.

MCCCD Official Course Outline
I. Introduction to Conscious Sedation A. Indications B. Contraindications C. Patient assessment II. Sedation Scales A. Aldrete Scale B. Ramsey Sedation Scale III. Nursing Responsibilities/Interventions A. Pre-procedure B. Intra-procedure C. Post-procedure IV. Monitoring Procedures A. Pulse oximetry B. Cardiac monitoring C. Vital signs D. Suctioning V. Medications A. Neuromuscular blockers B. Benzodiazepines 1. Midazolam (Versed) 2. Diazepam (Valium) 3. Lorazepam (Ativan) 4. Reversing agent (Mazicon) C. Propofol (Diprivan) D. Opiates 1. Fentanyl (Sublimaze) 2. Morphine Sulfate 3. Meperidine (Demerol) 4. Reversing agent (Narcan) E. Oxygen delivery and devices VI. Complications A. Airway management problems B. Medication related 1. Adverse reactions 2. Allergic reactions C. Cardiac arrhythmias D. Age related E. Level of consciousness VII. Documentation A. AORN practice recommendations for documentation B. JCAHO (Joint Commission on Accreditation of Healthcare Organizations)requirements VIII. Legal Requirements in Arizona A. Licensed personnel B. Unlicensed personnel

MCCCD Governing Board Approval Date: 2/24/2004

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.