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1 earn 25 contact hours! For as little as $ Announcing: Sedation Clinical Competency Program Finally A practical solution to satisfy formal training, credentialing, and competency-based educational requirements associated with the administration of sedation/analgesia. This interactive web-based educational program provides healthcare systems, educators and individual practitioners with an educational/credentialing mechanism (see detailed content outline page 2), a process for evaluating and documenting individual competency, and the opportunity to obtain 25 contact hours. You may also utilize this educational program to assist in meeting JCAHO Standards, ANA position statement and many state BON competency-based education and training requirements in sedation/analgesia. In addition, this educational program is designed to enhance critical thinking skills for all healthcare practitioners providing preprocedural, procedural, or postprocedural sedation/analgesia patient care. Each educational module features learning objectives, a core competency lesson, a question and answer formatted lesson review self assessment, computer graded post-module examination, online module evaluation and the ability to print your CE certificate once you have completed the learning module! (see complete details inside). SPECIALTY EDUCATION, KNOWLEDGE HEALTH INCORPORATED Who Should Participate* Healthcare providers from the following specialty areas will benefit from the educational content of this program. Ambulatory Care Burn Unit Cardiac Cath Lab Critical Care Dermatology Emergency Room Gastroenterology Intermediate Care Med/Surg MRI Oral Surgery Operating Room Internetbased program 2009 Specialty Health Education, Inc. Pediatrics Plastic/Reconstructive Postanesthesia Care Radiology Step-Down Surgery Nurse Educators/Clinical Managers We understand that sedation/analgesia providers come from a wide variety of clinical backgrounds. Take advantage of the flexibility of our web-based sedation curriculum to design your own educational program for use at your facility. Based on your institution s specific educational needs, simply select the appropriate learning modules from our curriculum for your sedation/analgesia providers to complete. *Whether you are a seasoned veteran or new to the field, this interactive webbased program will enhance your critical thinking skills, and decision-making processes. The Sedation Clinical Competency Program will enrich your current knowledge base related to sedation/analgesia. Specialty Health Education, Inc. P.O. Box 992 Blue Bell, Pennsylvania Phone: Fax: Web:

2 Sedation Clinical Competency Program designed by: Michael Kost, DNP, CRNA Educator-Clinician-Author-Consultant Author: Manual of Conscious Sedation, W.B. Saunders; American Journal of Nursing Book of the Year in Critical Care and Emergency Nursing Author: Moderate Sedation/Analgesia: Core Competencies for Practice, 2nd Edition, W.B. Saunders Each Learning Module Features: Lesson overview Learning objectives Core competency lesson Question and answer formatted lesson review Post-module examination Online module evaluation Online ability to print your CE certificate Sedation Clinical Competency Program Content Outline Module 1: Goals, Objectives, Definitions, and Scope of Practice Goals and Objectives Definitions Minimal sedation (anxiolysis) Moderate sedation/analgesia Deep sedation/analgesia General anesthesia Scope of Practice Issues Practice standards Practice guidelines Position statements Competency issues Competency based sedation programs Module 2: Presedation Assessment and Patient Considerations Goals of Presedation Patient Assessment Conditions Requiring Early Presedation Evaluation Components of Presedation Patient Assessment Patient Selection Age Height, Weight, Body Mass Index, Ideal Body Weight, Obesity Patient Considerations Medical History Cardiovascular system Pulmonary system Hepatic system Renal system Neurologic system Endocrine system GI system Anesthesia and Surgical History Medication Evaluation Allergies Laboratory Data Dentition Social History Drug abuse Alcohol intake Stimulant medications Cocaine abuse Opioid abuse Benzodiazepine abuse Marijuana abuse Pregnancy NPO Status NPO guidelines Focused Physical Examination History Airway evaluation ASA Classification Module 3: Sedation Procedural Care Monitoring Modalities ECG Cardiac dysrhythmias Identification, etiology, treatment recommendations Blood pressure monitoring Hypotension Hypertension Pulse oximetry Oxyhemoglobin dissociation curve Interference Sedation considerations Level of consciousness monitoring (LOC) Sedation scales Module 4: Pharmacologic Concepts

3 Pharmacologic Definitions Pharmacokinetics Absorption Modes of administration Drug distribution Metabolism Hepatic microsomal enzyme system Excretion Pharmacodynamics Receptor activity Module 5: Sedation/Analgesia Classification and Modes of Administration Characteristics of Pharmacologic Agents Pharmacokinetics, Pharmacodynamics, End Organ Effects Benzodiazepines Opioids Dissociative anesthetics Butyrophenones Sedative hypnotics Techniques of Administration Bolus technique Intermittent injection technique Continuous infusion technique Module 6: Sedation/Analgesia Pharmacologic Profiles Clinical Pharmacology Onset Peak Duration Indications Contraindications Protein binding Half-life Drug interactions Respiratory effects Cardiovascular effects Metabolism Elimination Overdose Dosage Opioids Alfenta: Alfentanil Hydrochloride Demerol: Meperidine Hydrochloride Dilaudid: Hydromorphone Hydrochloride Morphine: Morphine Sulfate Sublimaze: Fentanyl Citrate Benzodiazepines Valium: Diazepam Versed: Midazolam Butyrophenones Inapsine: Droperidol Hypnotics Diprivan: Propofol Dissociative Anesthetics Ketamine Opioid Receptor Antagonist Narcan: Naloxone Hydrochloride Benzodiazepine Receptor Antagonist Romazicon: Flumazenil Module 7: Airway Assessment and Management Respiratory Insufficiency Airway Anatomy Evaluation of the Airway Oral cavity inspection Tempromandibular joint exam Thyromental distance evaluation Altanto-occipital movement evaluation Mallampati airway classification Airway Obstruction Airway Management Lateral head tilt Chin lift Jaw thrust Mechanical airway devices Mask management Supplemental oxygenation Oxygen delivery devices Module 8: Postsedation Patient Care, Monitoring, and Discharge Criteria Postprocedure Complications Pain Nausea/vomiting Airway obstruction Hypoventilation Hypotension Hypertension Postprocedure Monitoring Specifics Postprocedure Equipment and Supplies Postprocedure Documentation Postprocedure Scoring Mechanisms Postprocedure Teaching Postprocedure Discharge Instructions

4 Sedation Clinical Competency Program Features It s as easy as 1, 2, 3 1 User Friendly Design Simply click on How to Use This Program and follow the program instructions. 2 3 Open the Selected Module Title Select any one of the eight learning modules entitled: Goals, Objectives, Definitions and Scope of Practice Presedation Assessment and Patient Considerations Sedation Procedural Care Pharmacologic Concepts Sedation/Analgesia Classifications and Modes of Administration Sedation/Analgesia Pharmacologic Profiles Airway Assessment and Management Postsedation Patient Care, Monitoring and Discharge Criteria Review Module Learning Objectives Comprehensive Learning Objectives for each module provide the learner with defined goals for each module. 4 Complete the Competency Lesson Each learning module is composed of a Core Competency Lesson, which provides the learner with pertinent clinical and didactic information related to preprocedural, procedural, or postsedation patient care issues.

5 5 Review the Module Question and Answer format Lesson Review prior to taking the Post-Module Exam. A complete question and answer Self Assessment Lesson Review reinforces key information related to each module title. 6 Complete the Post-Module Examination Module Examinations are provided as a valuable assessment and learning comprehension evaluation tool. Additionally, they provide nurse educators, clinical managers and healthcare administrators with the ability to document JCAHO Standards, many state BON and ANA position statement sedation/analgesia competency-based educational and training requirements. 7 Allow the Program to Score your examination for immediate feedback. The program automatically scores all post-module examinations. Utilization of the score my test option provides the learner with immediate feedback and module comprehension assessment. 8 Print your CE Certificate Once the learner achieves an 80% or greater in a post-module examination and completes the Online Module Evaluation, a CE Certificate may be printed directly from your computer.

6 SPECIALTY Sedation Clinical Competency Program PRICING Individual Users $49.95 Please visit to register as an individual user and earn 25 contact hours in sedation/analgesia continuing education. Nurse Educators/Clinical Managers Please call (610) to obtain information on bulk sales discounts for your entire staff. View a Sample Module To view a Sedation Clinical Competency Program SAMPLE MODULE, please visit Specialty Health Education, Inc. P.O. Box 992 Blue Bell, PA Sedation Clinical Competency Internet-Based Educational Program! Announcing! Clinicians/ Educators Specialty Health Education, Inc. P.O. Box 992 Blue Bell, PA Presorted Standard U.S. Postage PAID Permit No. 81 Langhorne, PA INCORPORATED HEALTH KNOWLEDGE EDUCATION,

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