As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Imaging Services Policy and Procedure Manual includes this customizable template, Sedation Monitoring Form. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from Sedation Monitoring Form:

	SEDATION MONITORING Patient Name: PREPROCEDURE ASSESSMENTArrival Date: Time: Time MD Notified: ? Patient ID Explanation of procedure/sedation given: ? Yes Patient accepts plan for sedation: ? Yes Patient to be discharged to care of: Possibility of pregnancy? Preg. test results: Diagnosis: Chief Complaint: Continuous IV inf. Solution Rate Cath Site Time: Signature: T P R B/P O2 Sat LOC Height Weight Allergies: Current Meds/Supplements: Type sedation planned: ASA Class by MD: RespiratoryCardiovascularNeurologicalPsychological? Regular? ...
Second excerpt:
	... Infusion: Procedure Performed: Procedure Started: Procedure Ended: Monitored By: Assisted By: MD: Sent to Lab - Pathology: PAIN MANAGEMENT:Epidural Test Dose at TimeTrigger Points:FACET BLOCK: Cervical Thoracic LumbarXylocaine 1.5% MPF Epinephrine 1:200,000 1.5 mL ? Negative ? Positive Left POST PROCEDURE MONITORINGTo PACU at timeTimeBPPRO2 SatPatient Response/LOCInterventionPatient Transferred to: Discharge Criteria Met: O2 @ ...