Pre Assessment Flashcards
What does Asa stand for?
American society anaesthesiologist
When was the asa classification created?
1941
What is the ASA classification?
Physical status classification system
What is ASA 1?
Fit and healthy - no systemic disease
What is ASA 2?
Mild systemic disease - does not affect patient’s lifestyle
What is ASA 3?
Moderate / systemic disease - limits activity but is not incapacitating
What is ASA 4?
Incapacitating systemic disease which is a constant threat to life
What is ASA 5?
Moribund - not expected to survive 24 hours or without medical intervention
What is ASA 6?
Declared brain dead whose organs are being removed for donor purposes
What must be taken into consideration when assessing a patient for sedation?
Medical history
Social history
Dental history
What is the CORAH Scale used to assess?
Anxiety
Why may they need sedation?
Anxiety
Difficult tx
Fear of dentists
Fear of needles
What do we check in the pre assessment?
-MH
-ASA
- Past dental history
-Assess suitability
- Sedation/ GA history
- given other options
- risks / benefits
- Basline readings
Why are pre assessments carried out through separate appointments?
So they have time to consider options
So they can be given pre instructions
Time to organise escort
No nails
Fasting
Why do we take observations during pre assessment?
To get a baseline of readings so we have something to compare
What are the requirements for CPD for a sedation nurse?
Log sedation cases
Complete 12 hours ever 5 years that are relevant to sedation
How long do dental records need to be stored for?
11 years
Under what circumstances would dental records need to be kept for longer than usually expected?
Complex tx / difficult pts. Keep for 30 years
What year was the data protection act introduced?
1998
What is the MDA scale for?
Anxiety
How long shouldn’t a patient eat before IV sedation?
4 hours
How long shouldn’t a patient smoke before IV sedation?
24 hours
What must an escort be to be eligible?
Responsible 18 year old, physically fit.
Be able to care for patient for 24 hours, without any other responsibility such as children or work
How long shouldn’t a patient consume alcohol before IV sedation?
24 hours
What are the pre op instructions for iv sedation sedation?
Don’t eat for 4 hours before the appointment
Don’t drink alcohol or smoke for 24 hours
Bring an adult who will remain in the building during tx an be responsible for caring for the rest of the day
Ideally the escort should take you home by car of taxi
Do not wear jewellery
Remove make up and nail varnish
IHS contraindications
Uncooperative patient
Deaf and blind
Blocked nose
Obstructive airway disease
Claustrophobia - may not tolerate nasal hood
IVS contraindications
Needle phobic
Poor veins
No escort
Alcohol abuse - risk of kidney / liver damage
Deaf/ blind - communication problems
Obese pts - airwway
Obstructive airway disease - bronchitis
Allergy to sedative
Liver n kidney disorders
Medications which may cause drug interactions
Untreated undiagnosed high blood pressure - risk of myocardial infraction
The ASA guidelines relate to the patients medical fitness. A patient with severe systemic disease which is a constant threat to life would fall into which category?
A. 3
B. 4
C. 5
D. 6
B
The latest guidelines regarding the number of hours to be undertaken every 5 year CPD cycle for dental sedation nurses is?
12 hours
What is GDC principle 1?
Patients interest first
What is GDC principle 2?
Communication
What is GDC principle 3?
Consent
What is GDC principle 4?
Confidentiality
What is GDC principle 5?
Complaints
What is GDC principle 6?
Collaborate patient care
What is GDC principle 7?
CPD
What is GDC principle 8?
Whistle blow
What is GDC principle 9?
Professionalism
What is principle 1 of The Data Protection Act 1998?
Fair and Lawful
What is principle 2 of The Data Protection Act 1998?
Purposes
What is principle 3 of The Data Protection Act 1998?
Adequacy
What is principle 4 of The Data Protection Act 1998?
Accuracy
What is principle 5 of The Data Protection Act 1998?
Retention
What is principle 6 of The Data Protection Act 1998?
Rights
What is principle 7 of The Data Protection Act 1998?
Security
What is principle 8 of The Data Protection Act 1998?
Disclosure
What is the ‘The Freedom of Information Act 2005’?
States that the public have a right to access all recorded information held by all UK authorities
