Inpatient and outpatient procedures requiring sedation and recovery:
Day prior to procedure:
By the end of work hours on the day before the procedure, the staff who will be performing the procedure (or specifically designated surrogate, i.e., midlevel provider, resident, or fellow) will:
- Ensure the workup has been completed and is in eDH, if not, write the pre-procedure note (refer to 'procedure approval guidelines' for instructions)
- Communicate with nursing regarding any special orders or precautions for the procedure
- Place order for IV, and any relevant conscious sedation medications
Day of procedure:
Upon patient arrival, the staff who will be performing the procedure (or specifically designated surrogate, i.e., midlevel provider, resident, or fellow) will:
- Meet the patient and discuss interval medical history
- Review the procedure and obtain written, informed consent
- Perform pertinent physical exam
- Review labs, confirm that medications were discontinued, if applicable
- Mark the site for the procedure (when relevant)
- Complete the 24 hour update to the pre-procedure note in eDH
- Confirm the plan and expectations to both the nurse and technologist performing the procedure
- Complete the pre-procedure checklist in eDH