An Improved Approach Of Conscious Sedation

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An Improved Approach to Conscious Sedation Amy Shapen Western Governors University An Improved Approach to Conscious Sedation This task will analyze a given patient scenario with a poor outcome and a root cause analysis will determine the causative factors that led to the event, a plan for improvement will de proposed, and analysis of the likelihood the improvements will be successful will be recommended. Patient Summary One afternoon a 67 year-old man presented to the emergency department of a small, rural hospital complaining of severe left leg and hip pain following a fall at home. The patient had no past history of falls. He had a history of impaired glucose intolerance, prostate cancer, hypercholesterolemia and hyperlipidemia. The patient’s current medications were atorvastatin and oxycodone for chronic back pain. The patient stated his pain was ten out of ten on a scale of one to ten with ten being the worst. The left leg appeared shorter than the right, edema was present in the calf, as was ecchymosis and he had limited range of motion. After an evaluation in triage by a registered nurse and a subsequent examination by the emergency department physician, a plan was established to sedate the patient using moderation sedation protocol and perform a manual reduction of the hip. Root Cause Analysis The patient was sedated with diazepam and hydromorphone, appeared to be sedated, and a successful reduction took place. After the procedure, the
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