CAGT- CLINIC PROCEDURE W CONSCIOUS SEDATION		version 1/23/2025		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	Once	S	1 treatment	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		

Provider Communication 	

	
	Interval	Defer Until	Duration	
	☐	Please place procedure, imaging, and referral orders using your preference list. These orders must be placed outside of the therapy plan to be scheduled.	Every 1 day	S	Until discont'd	
		No details available for preview		

Nursing Pre-Procedure 	

	
	Interval	Defer Until	Duration	
	☐	Nursing communication	Once	S	1 treatment	
		Notify *** that the patient has arrived for procedure		
	☐	Nursing communication	Once	S	1 treatment	
		Notify the Marrow Technician that the patient has arrived		
	☐	Nursing communication	Once	S	1 treatment	
		Ascertain that informed consent has been obtained. If not, provider patient with preprinted consent form for marrow biopsy and aspiration for review. Do not begin procedure until consent has been obtained.		
	☐	Nursing communication	Once	S	1 treatment	
		Indication: ***.  Risks: bleeding, infection, discomfort, damage to hip area.		
	☐	Nursing communication	Once	S	1 treatment	
		Identify adult who will accompany patient home after the procedure		
	☐	Nursing communication	Once	S	1 treatment	
		Have patient change into hospital gown		

Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	Insert Peripheral IV or Access Portacath	Once	S	1 treatment	
		No details available for preview		
	☐	sodium chloride 0.9% flush 10 mL	Once	S	1 treatment	
		10 mL, intravenous, PRN, line care, Starting when released, for 10 doses		

Pre-Medications 	

	
	Interval	Defer Until	Duration	
	☐	sodium chloride 0.9% infusion 250 mL	Once	S	1 treatment	
		250 mL, intravenous, at 25 mL/hr, continuous, Starting when released, Until Discontinued
	Keep vein open		
	☐	sodium chloride 0.9 % bolus 1,000 mL	Once	S	1 treatment	
		1,000 mL, intravenous, Administer over: 120 Minutes, once, Starting when released		
	☐	morPHINE injection	Once	S	1 treatment	
		intravenous, once, Starting when released
	If both oral and IV options are ordered for same pain level, administer IV if patient not able to take oral medications.		
	☐	LORAZepam (ATIVAN) injection	Once	S	1 treatment	
		intravenous, Starting when released		
	☐	diphenhydrAMINE (BENADRYL) injection 50 mg	Once	S	1 treatment	
		50 mg, intravenous, Starting when released		

Intra-Procedure 	

	
	Interval	Defer Until	Duration	
	☐	MIDAZolam (PF) (VERSED) injection 1-10 mg	Once	S	1 treatment	
		1-10 mg, intravenous, PRN, sedation, Starting when released, Until Discontinued		
	☐	flumazeniL (ROMAZICON) injection 0.3 mg	Once	S	1 treatment	
		0.3 mg, intravenous, PRN, Sedation, Starting when released, Until Discontinued		

Nursing Intra-Procedure 	

	
	Interval	Defer Until	Duration	
	☐	Nursing communication	Once	S	1 treatment	
		During procedure: Monitor pulse and oxygen saturation continuously		
	☐	Nursing communication	Once	S	1 treatment	
		During procedure: Record BP, pulse, oxygen saturation and respiratory rate every 5 minutes		
	☐	Nursing communication	Once	S	1 treatment	
		During procedure: Monitor EKG continuously		

Nursing Post-Procedure 	

	
	Interval	Defer Until	Duration	
	☐	Nursing communication	Once	S	1 treatment	
		After procedure: Record BP, pulse, oxygen saturation and respiratory rate every 15 minutes until discharge		
	☐	Nursing communication	Once	S	1 treatment	
		After procedure: Perform and document Aldrete score every 30 minutes until discharge		
	☐	Nursing communication	Once	S	1 treatment	
		After procedure: Patient to remain on unit for monitoring for at least 1 hour after procedure		
	☐	Nursing communication	Once	S	1 treatment	
		Provide post-procedure education when Aldrete score is 10		
	☐	Nursing communication	Once	S	1 treatment	
		Discharge patient per guidelines and must be accompanied by an adult upon discharge		

Discharge Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	Discontinue IV	Once	S	1 treatment	
		No details available for preview