Fencl Jennifer L
AORN J. 2016 May;103(5):500-11. doi: 10.1016/j.aorn.2016.03.001.
Moderate sedation/analgesia is practiced in a variety of settings and delivered by a variety of health care providers, with a goal of reducing the patient's anxiety and discomfort during diagnostic and therapeutic procedures. The updated AORN "Guideline for care of the patient receiving moderate sedation/analgesia" provides guidance on RN administration of moderate sedation/analgesia within the scope of nursing practice as defined by the state boards of nursing. The guideline addresses patient selection and assessment, staffing for the procedure, patient monitoring, medication administration, and criteria for postoperative discharge. This article focuses on key points of the guideline to promote safe care throughout the perioperative continuum for a patient receiving moderate sedation/analgesia. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.
中度镇静/镇痛在多种环境中实施，并由多种医疗保健提供者提供，目的是在诊断和治疗过程中减轻患者的焦虑和不适。更新后的AORN《接受中度镇静/镇痛患者的护理指南》为注册护士在州护士委员会界定的护理实践范围内实施中度镇静/镇痛提供了指导。该指南涉及患者选择与评估、操作人员配备、患者监测、药物管理以及术后出院标准。本文重点关注该指南的要点，以促进接受中度镇静/镇痛患者在围手术期全过程的安全护理。围手术期注册护士在撰写和更新政策与程序时，应查阅完整指南以获取更多信息和指导。
