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 individuals served with significant cardiovascular disease or when dysrhythmias are anticipated or detected. The individual s response to care provided throughout the sedation-supported procedure is documented in the individual s record. Outcomes of individuals served undergoing moderate and deep sedation are collected and analyzed in the aggregate in order to identify opportunities to improve care. A pre-sedation or preanesthesia assessment is performed for each individual before beginning moderate or deep sedation and before anesthesia induction. Because deep sedation and anesthesia carry a high level of risk, their administration is carefully planned.