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Safe Sedation Resources

Minimum Standards - Safe Procedural Sedation

Minimum Standards - Safe Procedural Sedation Cover Image

Welcome to the Safe Procedural Sedation Project Resources page. The ACI Safe Sedation Working Group has developed the Minimum Standards for Safe Procedural Sedation. These Standards are intended to support the safe provision of non-anaesthetist administered sedation.

Minimum Standards (PDF file - 1.4 MB)

Self Assessment Tool

To improve the quality of sedation service in procedural unit/departments in each Local Health District, a self-assessment tool was developed to assess current practice against the Minimum Standards.

Implementation Toolkit

Self Assessment Tool

(XLSX file - 72.8 KB)

How to use the Self Assessment Tool

The excel spreadsheet has four tabs:

How to use this tab

How to use this tab provides instructions

Questions tab

Questions tab details questions for procedural units/departments

Summay report tab

Summary report tab includes a summary of the answers in the second tab and generates a list of corresponding actions

List tab

List tab provides some suggested actions which will assit the procural unit/department to meet the minimum standards

Observational Audit Tool

Procedural units/departments can also use the Observational Audit Tool to assess their practice. While the self assessment tool is used to summarise overall practice in the unit, the observational audit tool is used to assess practice during individual episodes of sedation care.

Observational Audit Tool

Observational Audit Tool

(XLSX file - 20.1 KB)

How to use the Observational Audit Tool

How to use this tab

How to use this Tool tab provides instructions

Questions tab

Observational Audit Tool tab details questions for completion when observing an episode of procedural sedation

Summay report tab

OAT guidance tab provides information to assist the person observing and completing the audit tool

Implementation Toolkit

The Minimum Standards will be implemented statewide in a coordinated approach to ensure that procedural departments in each Local Health District have the necessary tools and resources to provide safe provision of procedural sedation.

An implementation toolkit along with some draft tools has been developed to provide guidance with and assist standard implementation. The tools include pre procedure assessment form, and an intra/post procedure document.

Implementing the Minimum Standards will also support hospitals/LHDs to meet the requirements for level 3 procedures (with procedural sedation) outlined in the NSW Health Clinical Procedure Safety Policy. More information on the policy directive can be found on the CEC website.

Implementation Toolkit

Implementation Toolkit

(PDF file - 672.5 KB)

Pre Procedure Tool

Pre Procedure Tool

(PDF file - 246.6 KB)

Intra and Post Procedure Tool

Intra and Post Procedure Tool

(PDF file - 215.0 KB)

Procedural Sedation Infographic

Procedural Sedation Infographic

(PDF file - 1.6 MB)

ACI Project Documents

Documentation and Forms Shared by Other Sites Across NSW

Nepean Blue Mountains Local Health District

Northern Sydney Local Health District

South Eastern Sydney Local Health District

Other Resources

Pharmacology Information

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