St. Vincent Medical Center Medical Staff Administration
PROCEDURAL SEDATION COMPETENCY TEST
Name
Job Title
Floor/Unit
Date
Please Circle the Letter Indicating the Correct Answer
1
Procedural Sedation may be performed:
a
b
c
d
2
Equipment necessary for safe monitoring of patients with Procedural Sedation includes the following:
a
b
c
d
3
false
Registered Nurse
b
Licensed Vocational Nurse
must be trained in Procedural Sedation technique
shall have no other responsibilities that would leave the patient unattended
should ensure emergency equipment is available
all of the above
none of the above
Patients must be monitored during Procedural Sedation because:
a
b
c
d
10
b
The nurse monitoring the patient during the procedure:
a
b
c
d
e
9
true
During the procedure, the patient must be monitored by a:
a
8
baseline pulse oximeter reading and VS
length of time patient has lived in his/her home
drug allergies
level of consciousness
The informed consent should be signed by the patient or parent/guardian prior to receiving Procedural
Sedation
a
7
reduce the patient’s fears and anxiety
assure the patient’s cooperation and tolerance of the procedure
sedate the patient sufficiently so the patient loses protective reflexes
a and b
all of the above
A pre-procedure assessment by the registered nurse will include all of the following except:
a
b
c
d
6
sign informed consent
be NPO for eight (8) hours except in emergency situations
be provided with information regarding the procedure, medications and monitoring
all of the above
A licensed nurse will do age appropriate pre-procedure education to:
a
b
c
d
e
5
pulse oximeter and oxygen
non-invasive blood pressure monitor
age appropriate crash cart and supplies
all of the above
Pre-sedation, the patient or parent/guardian need to :
a
b
c
d
4
in the Emergency and Radiology Departments only
in the Operating Room only
in the Intensive Care Unit only
any approved location in the Hospital in which required equipment and trained
personnel are available
of the possible affect of the medication(s) administered
they may lose protective reflexes
they may lose consciousness during the procedure
all of the above
The following will directly affect the dose calculated for Procedural Sedation medication(s):
a
d
patient’s weight
other sedatives given
b
e
patient’s age
all of the above
c
patient’s physical condition
1
St. Vincent Medical Center Medical Staff Administration
PROCEDURAL SEDATION COMPETENCY TEST PAGE TWO
NAME
Please Circle the Letter Indicating the Correct Answer
11
The nurse present must be familiar with Procedural Sedation medications used and its reversal agents:
a
12
b
false
In general, Romazicon™ reaches full affect within six (6) to ten (10) minutes of administration and has the
potential to induce seizures:
a
13
true
true
b
false
Monitoring parameters for the patient receiving Procedural Sedation include:
1) blood pressure; 2) heart rate; 3) oxygen saturation; 4) level of consciousness; and, 5) respiratory rate
a
d
14
1 only
1 through 5
b
1 and 4
c
1, 3 and 4
Reversal agents should be routinely used after Procedural Sedation procedures:
a
true
b
false
Identify the appropriate reversal agents for each of the following IV Procedural Sedation medications
15
Meperidine
a
16
17
18
19
Narcan
Flumazenil (Romazicon)
b
Narcan
Flumazenil (Romazicon)
b
Narcan
Flumazenil (Romazicon)
b
Narcan
Abrupt reversal of narcotic depression may result in:
a
c
e
nausea and vomiting
increase in blood pressure levels
all of the above
b
d
sweating and/or trachycardia
seizures and/or cardiac arrest
During Procedural Sedation, the documentation of clinical parameters must be done at least every:
a
c
five (5) minutes
fifteen (15) minutes
b
d
ten (10) minutes
thirty (30) minutes
e
sixty (60) minutes
Post Procedural Sedation, the patient must be monitored until discharge criteria is met:
a
b
true
false
When a patient has not met discharge criteria, report and care can be turned over to:
a
b
c
d
24
b
Diazepam
a
23
Flumazenil (Romazicon)
Fentanyl
a
22
Narcan
Midazolam
a
21
b
Morphine
a
20
Flumazenil (Romazicon)
the nurse assigned to monitor that patient on the floor/unit/another facility
the secretary
the nurse assistant on the floor
the transporter
Discharge instructions should be:
a
b
c
d
e
given verbally
given in writing
given only if the patient is going home
a and b
all of the above
□ Pass □ Fail □ Refer to Anesthesiology Department
2