Using a learning needs assessment to identify knowledge deficits regarding procedural sedation for pediatric patients

Area of Science:

• Pediatric Anesthesiology
• Nursing Education
• Patient Safety

Background:

• Procedural sedation is vital for pediatric diagnostic and therapeutic procedures.
• Sedation carries inherent risks, including airway compromise and respiratory depression.
• Pediatric patients present unique challenges in sedation management.

Purpose of the Study:

• To identify practice concerns in pediatric procedural sedation management by RNs.
• To address knowledge and competency gaps in nurses monitoring pediatric sedation.
• To implement a system for ensuring ongoing staff competence in procedural sedation.

Main Methods:

• A learning needs assessment was conducted.
• Practice concerns were identified by perioperative resource nurses.
• Annual sedation competency skills testing is being implemented in a skills laboratory.

Main Results:

• Practice concerns regarding RNs' management of pediatric procedural sedation were identified.
• The need for enhanced nurse knowledge and competence was highlighted.
• A proactive approach to skills assessment and training is being instituted.

Conclusions:

• Standardized, annual competency testing is crucial for RNs involved in pediatric procedural sedation.
• This initiative aims to improve patient safety and outcomes during sedation.
• Continuous education and skills validation are essential for high-risk procedures.