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  • Canada Rcdso Sample Oral Moderate Sedation Record 2013

Get Canada Rcdso Sample Oral Moderate Sedation Record 2013-2025

2 YES ASA CLASS: I CHART NO WEIGHT HOME PHONE MEDICATIONS NO II DATE NAME/RELATIONSHIP III ORAL SEDATIVE (DRUG + DOSAGE) TIME ADMINISTERED PULSE OXIMETER (ALL ALARMS ON) MONITORS USED: ELAPSED TIME PROCEDURE START TIME: 0 AUTO BP CUFF 15 30 LOCAL ANES. MANUAL BP CUFF 45 1 hr. 0 15 30 45 2 hr. 0 ml of 15 30 45 3 hr. 0 15 30 45 Oxygen l/min Nitrous Oxide l/min PROCEDURE END TIME: Blood Pressure Heart Rate O2 Saturation DISCHARGE CRITERIA Oriented YES NO.

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How to use or fill out the Canada RCDSO Sample Oral Moderate Sedation Record online

The Canada RCDSO Sample Oral Moderate Sedation Record is a critical document for safely managing sedation in dental procedures. This guide provides step-by-step instructions to help users fill out the form accurately online, ensuring a comprehensive record of patient care.

Follow the steps to successfully complete the sedation record form.

  1. Press the ‘Get Form’ button to access the document and open it in the editing interface.
  2. Begin by entering the patient's name in the designated field, followed by their age.
  3. Review the medical history and indicate any relevant medical conditions in the medical history review section.
  4. List any known allergies in the allergies section to ensure patient safety.
  5. Confirm the NPO status by selecting either 'Yes' or 'No' based on pre-operative instructions.
  6. Record the pre-operative blood pressure by filling in the pre-op BP field.
  7. Indicate if the patient is accompanied by a responsible adult by selecting 'Yes' or 'No'.
  8. Document the pre-operative heart rate and oxygen saturation levels in the pre-op HR and pre-op SpO2 fields respectively.
  9. Select the ASA class from the options provided (I, II, III) to classify the patient’s health status.
  10. Enter the patient’s chart number, weight, and home phone number.
  11. List all medications the patient is currently taking in the medications section.
  12. Record the date of the procedure in the specified date field.
  13. Indicate the name and relationship of the responsible adult accompanying the patient.
  14. Document the oral sedative used, including the drug name and dosage in the oral sedative section.
  15. Fill in the time the sedative was administered to the patient.
  16. Ensure the pulse oximeter is in use with all alarms activated and note any other monitoring equipment used.
  17. Track the elapsed time of the procedure by recording start and end times, monitoring vital signs at regular intervals.
  18. At the end of the procedure, complete the discharge criteria by evaluating orientation, vital signs stability, and ambulatory status.
  19. Note any complications or important observations in the notes/complications field.
  20. Confirm that post-sedation instructions were given, both written and verbal, and note these in their respective fields.
  21. Enter the discharge time and who the patient is being discharged with in the appropriate fields.
  22. If a monitor printout is available, attach it on the rear of the document.
  23. Finally, ensure the responsible dentist/anesthetist signs the record before saving.
  24. After filling out all required fields, users can save changes, download, print, or share the completed form.

Complete your documents online for efficient and accurate record-keeping.

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Oral sedation may take some time to take effect in patients, which is why it is usually administered an hour before a procedure. It can induce minimal to moderate sedation in patients, depending on the dosage given.

The following must be documented, including date and time, at a minimum of every five minutes during the moderate sedation: Heart rate. Oxygen saturation. Respiratory rate. Blood pressure.

Capnography is a respiratory monitoring device that has become an accepted standard of care for PSA in many circumstances. For example, the American Society of Anesthesiology standards for Basic Anesthetic Monitoring require the use of capnography for both moderate and deep sedation.

It's a moderate level of sedation, so you're still technically awake but feeling very carefree. It's sometimes called conscious sedation dentistry or “twilight sleep” because it creates a state of short-term amnesia (forgetfulness) where you experience insensitivity to pain without the loss of consciousness.

PARAMETERS: Pulse, • Respiratory rate or ventilation, Capnography • Blood pressure, • Neurological status/consciousness, • Pain distress, • Skin changes.

Basic Requirements for Monitoring Sedated Patients: Blood Pressure, Pulse Oximetry, and EKG.

Criteria for discharge Cardiovascular function is satisfactory and stable. Protective reflexes are intact. Airway patency is satisfactory and stable. Patient can talk (return to presedation level).

Electrocardiographic monitoring should be used in all patients undergoing deep sedation. It should also be used during moderate sedation in patients with significant cardiovascular disease or those who are undergoing procedures where dysrhythmias are anticipated.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232