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December 09-10, 2019 | Barcelona, Spain
Nursing Practice 2019 & Neonatology 2019
December 09-10, 2019
Nursing and Nursing Practice Neonatology and Perinatology
7
th
Global Experts Meeting on
4
th
World Congress on
ISSN: 2632-251X | Volume 3
Journal of Nursing Research and Practice
J Nurs Res Pract, Volume 3
Procedural sedation at Sidra Medicine, Greenfield start lead by the emergency
department team
Ibtihal Abdelgadir, Colin Powell, Gokul Erumbala, Lisabeth Goldsworthy, Berenice Traub, Barbra Blackie, Samir
Deiratany
and
Khalid Al-Ansari
Sidra Medicine, Qatar
Introduction:
Procedural sedation is a well-established process that can be safely delivered in the pediatric emergency
departments (PED) for the management of minor injuries and procedures. It involves a drug induced alteration of
consciousness during which minimal interventions are required to maintain a patent airway, spontaneous ventilation and
cardiovascular function. Procedural sedation training and credentialing for all responsible staff started 6 months in advance
of the June 2018 opening of a newly created department.
Method:
Training: Physicians are required to complete the credentialing and privileging process defined by the hospital
procedural sedation committee. This comprises: completion of the hospital procedural sedation course, which includes
formative assessment of candidates managing simulated scenarios, holding and maintaining a current advanced pediatric
life support course certificate and 10 observed sedations conducted with an experienced provider. Credentialing needs to
be repeated every two years. Nursing staff also have to complete a training package.
Experience:
Detailed records of department’s procedural sedation cases between August 2018 and May 2019 have been
reviewed using a standardized proforma. Process, complications and outcomes have been recorded.
Results:
A total of 133 clinicians (41 physicians and 92 nurses) have successfully completed the course. Twenty five
clinicians have fulfilled the privileging process and are now providing procedural sedation independently. A total of 62
nurses have completed their required competency assessment. A total of 815 patients have undergone procedural sedation
over the 10 months. Indications for sedation were mainly for laceration repair, closed fracture reductions and abscess
drainage. Four incidents occurred; an accidental ketamine overdose, laryngeal spasm, hypotension and vomiting. All were
managed appropriately and no harm occurred.
Conclusion:
The PED at Sidra Medicine has successfully launched a sedation training program and competency assessment
process. It has now established a skilled team which provides safe procedural sedation.