Practitioners intending to induce moderate sedation are competent to manage a compromised airway and to provide adequate oxygenation and ventilation. Practitioners intending to induce deep sedation are competent to manage an unstable cardiovascular system as well as a compromised airway and inadequate oxygenation and ventilation. Appropriate equipment for care and resuscitation is available. Heart rate and oxygenation are continuously monitored by pulse oximetry. Respiratory frequency and adequacy of pulmonary ventilation are continually monitored.
Blood pressure is measured at regular intervals.
EKG is monitored in residents with significant cardiovascular disease or when dysrhythmias are anticipated or detected. The resident s response to care provided throughout the sedation-supported procedure is documented in the resident s record. Outcomes of residents undergoing moderate and deep sedation are collected and analyzed in the aggregate in order to identify opportunities to improve care. Each resident's moderate or deep sedation and anesthesia care is planned. Because deep sedation and anesthesia carry a high level of risk, their administration is carefully planned.