Conscious Sedation Monitoring Checklist
Comprehensive moderate sedation/analgesia monitoring including pre-procedure assessment, continuous monitoring during procedure, and recovery discharge criteria.
- Industry: Healthcare
- Frequency: Every sedation procedure
- Estimated Time: Throughout procedure
- Role: Sedation RN/Physician
- Total Items: 29
- Compliance: Joint Commission PC.03.01.01-07, ASA Practice Guidelines, State Board of Nursing
Pre-Procedure Assessment
Before sedation
- Consent for sedation signed?
- ASA classification documented?
- NPO status verified?
- Airway assessment completed (Mallampati)?
- Baseline vital signs documented?
Equipment Readiness
Emergency equipment
- Oxygen and delivery devices available?
- Suction available and working?
- Reversal agents immediately available?
- Crash cart accessible?
- All monitoring equipment functional?
Intra-Procedure Monitoring
During sedation
- Vital signs monitored every 5 minutes?
- Continuous pulse oximetry?
- ETCO2 monitoring (if applicable)?
- Level of sedation assessed continuously?
- All medications documented with time?
Recovery/Discharge
Post-procedure recovery
- Aldrete score documented?
- Discharge criteria met?
- Vital signs stable?
- Responsible adult present for discharge?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
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Why Use This Conscious Sedation Monitoring Checklist?
This conscious sedation monitoring checklist helps healthcare teams maintain compliance and operational excellence. Designed for sedation rn/physician professionals, this checklist covers 29 critical inspection points across 6 sections. Recommended frequency: every sedation procedure.
Ensures compliance with Joint Commission PC.03.01.01-07, ASA Practice Guidelines, State Board of Nursing. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Conscious Sedation Monitoring Checklist cover?
This checklist covers 29 inspection items across 6 sections: Pre-Procedure Assessment, Equipment Readiness, Intra-Procedure Monitoring, Recovery/Discharge, Pre-Assessment Information, Infection Prevention & Control. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed every sedation procedure. Each completion takes approximately Throughout procedure.
Who should use this Conscious Sedation Monitoring Checklist?
This checklist is designed for Sedation RN/Physician professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.