136 - Procedural Sedation Woes? We Have a Curriculum for You!
Description: The Cleveland Clinic performed nearly 117,000 procedural sedation cases in 2017. Due to the high volume of moderate sedation cases across the enterprise and various sites, nurse managers identified the need for additional education to enhance safe, quality nursing practice. Traditionally, nurses hired into the procedural sedation areas have minimal or no experience. Prior to this initiative, education was delivered via an online module and/or individual unit based education that was not standardized or provided by nursing education. A two day interactive course was developed utilizing an interprofessional team approach. The procedural sedation multi-disciplinary team had representation from: Nursing education, anesthesiology, pharmacy, office of protective services and American Heart Association instructors. Multiple topics pertinent to procedural sedation were included within the 16 hour course such as: airway management, capnography, care of the patient across the perioperative continuum critical thinking, diversion, emergency management, empowerment/communication techniques, preparation and administration of medications, resources, and vascular access devices. Various teaching methods were utilized to capture all learners’ needs such as: didactic, high/low fidelity, hands on demonstration, and group discussion. From January 2018-May 2019, nearly 90 nurses were educated using this new format. Evaluations from attendees indicate satisfaction with the format and increased applicability in practice. Feedback from participants is ongoing and drives changes in the course content. Both experienced and novice nurses verbalized an increase in knowledge after course completion.