Post-procedure monitoring continues until the patient returns to his/her baseline status. This is the period when the patient is more likely to experience the late effects of sedation when the noxious stimulation of the procedure has ended.
The responsible physician needs to be on site and able to respond to changing patient status and treat complications of sedation that may occur.
Procedure or patient specific instruction should be incorporated into the patient’s post-procedure care. Collaborate with the nursing staff regarding established criteria to assess readiness for discharge or transfer based on the procedure performed, sedation administered, and patient response.
Verbal orders for medications ordered before a procedure, or administered during the procedure, must be co-signed by the physician as evidenced by his/her signature on physician attestation statement on the monitoring form.