Self Study Exam 4.0 C0NTACT HOURS

At the completion of this program, the learners will be able to:

1. 
   Recognize indications and contraindications of Sedation Analgesia
   
2. 
   State appropriate monitoring techniques and requirements for patients experiencing Sedation Analgesia as stated in the hospital's policy on Sedation Analgesia.
   
3. 
   State necessity for baseline and frequent assessments of patients experiencing Sedation Analgesia.
   
4. 
   Identify medications frequently used for Sedation Analgesia, administration guidelines, and potential complications/side-effects.
   
5. 
   Evaluate and manage expected and unexpected outcomes of Sedation Analgesia.
   
6. 
   Completes module questions at 70% competency.
   

Diagnostic and surgical procedures are being performed in a variety of settings throughout the hospital. Procedural Sedation involves all levels of sedation. This self-study program has been developed to increase your awareness and reinforce your understanding of the use of conscious or Sedation Analgesia for both adult and pediatric patients. This guide includes indications/contraindications for Sedation Analgesia, accepted medications, administration guidelines, and the hospital's Sedation Policy. Completion of this self-study packet includes learning the following material, satisfactory completion of the post-test and returning the post-test to the education department mailbox or your manager. Upon satisfactory completion of this self-study material, the participant will receive 4 hours of continuing education credit.

DEFINITION

1. 
   Minimal sedation or anxiolysis – a drug induced state during which patients respond normally to verbal commands. Although cognitive function and coordination may be impaired, ventilation and cardiovascular functions are unaffected.
   

2. 
   Moderate sedation/analgesia – a drug induced depression of consciousness during which patients respond purposefully to verbal commands either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway and spontaneous ventilation is adequate. Cardiovascular function is usually maintained.
   

3. 
   Deep sedation/analgesia – a drug induced depression of consciousness during which patients cannot be easily aroused but respond purposefully following repeated or painful stimulation. The ability to independently maintain respiratory function may be impaired. Patients may require assistance in maintaining a patent airway and spontaneous ventilation may be inadequate. Cardiovascular function is usually maintained.
   

4. 
   Anesthesia – consists of general anesthesia and spinal or major regional anesthesia and does not include local anesthesia. General anesthesia is a drug- induced loss of consciousness during which patients are not arousable even by painful stimuli. The ability to independently maintain respiratory function is often impaired. Patients often require assistance in maintaining a patent airway and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function. Cardiovascular function may be impaired.