Because deep sedation and anesthesia carry a high level of risk, their administration is carefully planned. A sedation or anesthesia plan is developed to meet resident needs identified through pre-sedation or preanesthesia assessment. Patients' sedation or anesthesia care needs are communicated among care providers. Examples of Evidence of Performance for TX.12.1.1 Interviews with clinical staff Policies and procedures describing preanesthesia assessment and planning requirements for all settings in which anesthesia is administered Medical records Standard TX.12.2 Sedation and anesthesia options and risks are discussed with the resident and family prior to administration. Intent of TX.12.2 Patients' comfort with the sedation or anesthesia process depends on their understanding of their options and risks.
Education is part of the full explanation of sedation or anesthesia options and risks.
Only when residents have a complete understanding of sedation or anesthesia options and risks can they reach a level of comfort that enables them to provide informed consent. Standard TX.12.3 Each resident's physiological status is monitored during sedation or anesthesia administration. Intent of TX.12.3 Physiological monitoring is often the only reliable source of assessment information for residents who have lost consciousness or undergo sedation or anesthesia . The resident's physiological status is measured and assessed throughout sedation or anesthesia to ensure appropriate physiological support. Monitoring methods depend on the resident's preprocedure status, sedation or anesthesia choice, and the complexity of the procedure.