communities for more than 30 years. With three locations and six dentists, we are able to provide comprehensive, high-quality care to our patients. We offer the best in dental services, including everything from preventive and cosmetic treatments to sedation dentistry and sleep apnea solutions. We also offer same-day CEREC crowns, dental implant services, full-mouth reconstruction options, Fastbraces, and other orthodontic procedures. To take advantage of our premium dental and orthodontic…
Prior to conducting the actual hazard analysis, there are steps to be taken in preparing for the FMEA. First, you must select the process to be examined. In this scenario, it will be the administration of conscious sedation. Secondly, you want to assemble your team of interdisciplinary professionals. As mentioned above, in this scenario, I would assemble a team inclusive of RN’s who are trained in the current process, a physician, a pharmacy representative, a member of risk management and a unit…
the patient it taking the medication properly before instituting a change, I would make sure he is taking the recommended dose of 50mg of diphenhydramine thirty minutes before bedtime, avoiding alcohol consumption because it can cause further CNS sedation, and also avoiding other drug products that contain diphenhydramine in them that can cause increased sedative effects. Since the patient is 61 years old and would most likely continue diphenhydramine treatment into his geriatric age, I would…
my mother will never be the same. Terrible things happen and sometimes one just moves on, however, this case will not rest until patient care and treatment improves, the involved health professionals are properly trained on how administer general sedation, improved surgery/procedure protocols are better implemented. In addition, my mother needs notification about what types of improvement training will be implemented through research-based practices at Central Florida Regional Hospitals. The…
department with this to support presenting the outcome to other physicians. I also think it would be prudent to have an administrator selected along with at least one nurse from the operating room or a surgery center who is familiar with conscious sedation. Also, a respiratory therapist perspective could be beneficial in this setting. Administrative staff are a must as their skills for organization and formatting documentation are an…
was a patient who came for an elective surgery of angiogram and angioplasty over the right femoral region under moderate sedation. Patients who come for surgery under moderate sedation are usually given sedative drugs such as intravenous(IV) Midazolam and Fentanyl. Patients will be monitored by the anaesthesia nurse and be awake for the entire operation with slight sedation that would keep them calm throughout the…
After taking the pills in their prescribed dose I didnt feel very different but more relaxed. In the dental chair i took another pill to further the sedation. I was completely conscious but relaxed and completely comfortable. Put on my headphones and closes my eyes. The rest is really a blur, i dodnt recall much of anything. Which included the removal of the collapsed front tooth, a bone graft, implant…
Lewin’s theory includes three major concepts: equilibrium, driving forces, and restraining forces. Equilibrium is a state of being where driving forces equal restraining forces, and no change occurs. It can be raised or lowered by changes that occur between the driving and restraining forces. At the beginning the system is at “equilibrium”, everyone involved believes that they are doing all that they can do and that the system is the greatest it can be. In order for change to occur there…
directives make some issues simple. Advance directives are legal documentation on how one wish to die and can be made ahead of time. The number one issue in legal/ethical aspect of end of life care is terminal sedation. Terminal sedation or palliative sedation is deep, continuous sedation for the relief of pain and suffering during end of life care. Other issues were resuscitation, mechanical ventilation, nutrition/hydration, antibiotics, and dialysis. Nurses have an ethical obligation to…
Euthanasia or mercy killing as some may call it, has always been a controversial topic. The word euthanasia is derived from the Greek word eu meaning ‘good’ and thana meaning ‘death’ and the most commonly used definition is a ‘gentle and easy death’ (Draper & Slowther, 2008, p.113).The right to die from a painful incurable disease and the right to kill to alleviate that person’s suffering have always caused a major ethical dilemma throughout our society. Despite the considerable advancement in…