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From the Editor

President's Message

Meeting Reviews

Annual Meeting 2011 Review of Sessions

Pediatric Sedation Consensus Meeting Review

Literature Reviews

Detection of hypoventilation by capnography and its association with hypoxia in children undergoing sedation with ketamine

A randomized clinical trial comparing oral, aerosolized, intranasal, and aerosolized buccal midazolam

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Recent Topics of Interest

Current Topics for the Pediatric Sedation Nurse

Child Life Corner

News Briefs

Current Topics for the Pediatric Sedation Nurse

Section Editor Carrie Makin, RN

Hello! As newly appointed editor for the nursing section of the Society for Pediatric Sedation News I would like to introduce myself. My name is Carrie Makin. I am currently in a master’s degree program at Chamberlain College of nursing with a focus on nursing administration. I received by bachelor’s degree in nursing from Chamberlain College of Nursing and my associate of applied science nursing degree from Lexington Community College at the University of Kentucky.

I have worked at the University of Kentucky Medical Center for 17 years. For 6 years I have worked as a pediatric sedation nurse. I am currently the program coordinator for the Kentucky Children’s Hospital intensivist run sedation service. At present I am a board member of the Society for Pediatric Sedation. I have developed nursing educational materials in the area of pediatric sedation and have been involved in pediatric sedation research. My special interests are  in the areas of quality and safety as well as pain management and vascular access in pediatric sedation patients.

This is an exciting time in the area of pediatric sedation especially for nurses as this field continues to grow and I look forward to serving as editor of the nursing section of the SPS newsletter. Pediatric nurses play an integral role in sedation services by providing the continuity and pediatric expertise that is needed to provide safe and effective care to the specialized population we serve. My hope is to provide timely, cutting edge information in the area of pediatric sedation nursing. I welcome your thoughts, ideas and contributions in moving our specialty forward. 

Are You Up for Some Discussion?

A Call to Establish Certification and Standardization of Practice for Pediatric Sedation Nurses 

The number of children who require sedation for diagnostic and therapeutic procedures continues to grow. Modern medical care necessitates sophisticated imaging in quiet patients for accurate and timely diagnosis. The costs of these procedures require that they are scheduled and are successful the first and only time that they are performed.

Anesthesia providers and critical care physicians cannot meet the demands for this service and are often pressured by institutions to provide the primary services for which they are trained – operating room and ICU care. Alternative care providers with specialized skills and training will need to be integrated into the current system in order to provide sedation services.

Nurses (RN, BSN, and MSN) can develop the skill sets and information base needed to provide safe sedation to many of the patients that require diagnostic procedures. Training could be accomplished with computer based learning and a sedation reference manual followed by a comprehensive knowledge test. Clinicians that demonstrate adequate knowledge development would require further hi fidelity simulator training. Senior clinicians from the department of anesthesiology should audit a predetermined number of sedations to ensure that expertise/proficiency has been attained.

Training of pediatric nurses using computer based learning and hi fidelity simulation can be standardized for providers throughout the United States. Certification with ongoing testing for competency would allow large numbers of expert sedation providers to meet the needs of increasing numbers of patients requiring diagnostic testing. Training nurses to recognize children that are at high risk for airway obstruction during routine sedation, frees anesthesia care providers and others to provide care to a reduced number of patients focusing on those who are more medically complex. 

Nurses are a vital part of an effective and efficient sedation team and provide continuity of care to patients that require chronic care necessitating the use of sedation. Safety and monitoring are essential nursing functions when providing sedation.  Patients and families report that the support and reassurance of the nursing staff during procedural sedation is instrumental in their satisfaction and likelihood to recommend services. Teaching and family centered care by a sedation nurse with specialized skills further enhances the experience of the patient, family and referring providers.      

Let me know what you are thinking....

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