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.

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