PL-1: Sedation/Procedures Rotation

Clinical Director: Keisha Bell, MD

Goals of Rotation:

Understand prescreening evaluation for pediatric sedation
Identify stages of sedation
Develop working knowledge of classes of drugs commonly used in sedation practice
Familiarize with appropriate equipment set-up and screening
Learn complications of sedation with appropriate tools for rescue
Gain skills in intravenous catheter (IV) placement
Gain skills in various manual procedures, including, but not limited to lumbar puncture, central line placement, arterial puncture and/or line placement

Structure:

Residents will spend 2 calendar work weeks with the sedation program. In order to accomplish the goals of the rotation, each resident will work as a team with the sedation staff (attending and nurses), spend time the sedation nurses, and be given reading materials (as listed below). They will participate in the direct care of the patients by performing history and physicals, assessing sedation readiness, assisting in the monitoring of the sedated patient, and assessing recovery and discharge eligibility. Provided materials will enhance their learning experience in addition to actually caring for patients undergoing sedation.
In addition, the residents will be taught intravenous catheter placement. They will be summoned, based on availability, to place IVs in pediatric inpatient under the guidance of the nursing staff. The residents will also have available to them procedures which will be supervised by the precepting attending.
The residents, as is routine, will be evaluated by one of the precepting physicians at the end of the rotation.

Supportive Reading Material: