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Designing a conscious sedation program. A collaborative approach

L S Perrin1, B A Penta, S B Patton

  • 1Tufts University School of Medicine, Department of Anesthesiology, St. Elizabeth's Medical Center of Boston, Massachusetts, USA.

Critical Care Nursing Clinics of North America
|November 14, 1997
PubMed
Summary
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St. Elizabeth's Medical Center revised intravenous conscious sedation (IVCS) guidelines. This collaborative effort ensured smooth implementation and ongoing practice changes through quality improvement initiatives.

Area of Science:

  • Healthcare Administration
  • Nursing Practice
  • Medical Policy

Background:

  • St. Elizabeth's Medical Center recognized the need for updated guidelines regarding the administration of intravenous conscious sedation (IVCS).
  • Existing protocols required revision to align with current best practices and regulatory standards.
  • A multidisciplinary approach was deemed necessary for comprehensive guideline development.

Purpose of the Study:

  • To revise and implement updated guidelines for the administration of IVCS at St. Elizabeth's Medical Center.
  • To establish clear, consensus-based protocols supported by key stakeholders.
  • To facilitate a smooth transition and ensure adherence to the new policy.

Main Methods:

  • Formation of a dedicated task force comprising physicians, nurses, pharmacists, and administrators.

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  • Identification of guideline objectives using resources from the Board of Registration in Nursing, Board of Registration in Medicine, professional organizations, and local hospitals.
  • Development of a consensus-driven document for Medical Center approval.

    • Main Results:

    • A comprehensive IVCS administration guideline document was successfully generated and approved.
    • Smooth implementation was achieved due to broad support for the policy's objectives.
    • Quality improvement studies were conducted to monitor and refine practice based on the new guidelines.

    Conclusions:

    • The collaborative development and implementation of revised IVCS guidelines were successful.
    • Ongoing quality improvement processes are integral to sustaining and enhancing patient care standards.
    • The updated policy demonstrates a commitment to evidence-based practice and patient safety.