Registered Nurses assisting with conscious sedation within a dental clinic are responsible for the provision of nursing services associated with anaesthesia and post-operation recovery includes providing pre-operation nursing care and patient teaching, initiating and maintaining parenteral conscious sedation, providing continuous cardiac and respiratory assessment during a dental procedure, identifying post-operative complications and patient needs after the procedure, and discharging patients home. Registered Nurses function as part of the dental team.
The tasks required for this occupational group include the following:
A. Perform sedation procedures in accordance with applicable department policies and associated annexes, to be provided during in-clearance;
B. Conduct pre-operative assessment and patient teaching by completing preoperative medical questionnaire and pre-iv sedation patient instructions;
C. Set up all medical equipment including all the emergency supplies and medications;
D. Prepare and administer sedation as prescribed by a dental officer qualified in the level of sedation to be administered such as oral & maxillofacial surgeon;
E. Provide continuous patient assessment and nursing interventions during parenteral and inhalation conscious or deep sedation, including:
(1) record & monitor vital signs continuously;
(2) assess & maintain a patent airway;
(3) apply support measure to maintain respirations when required;
(4) provide continuous electrocardiogram (ecg) monitoring, identify life threatening cardiac arrhythmias or any medical emergencies, and notify the responsible dental officer immediately; and
(5) familiarize and assist in emergency procedures in accordance with acls protocols and the local dental policies.
F. Provide continuous post-operative patient assessment and care, including:
(1) ongoing patient assessments to include:
(i) vital signs (blood pressure, heart rate, respiration rate, and temperature);
(ii) level of consciousness or sedation; and
(iii) neurological status including pain assessment.
(2) post-operative symptoms management.
G. Identify post-operative complications, provide necessary interventions within the scope of practice, and immediately refer to the responsible clinician;
H. Perform various nursing clinical procedures such as:
(1) oral pharyngeal and nasopharyngeal airway insertion;
(2) airway suction;
(4) oxygen administration;
(5) oral or nasal extubation;
(6) intravenous (iv) initiation and discontinuation; and
(7) oral, iv, im, inhalation, and iv direct medication administration.
I. Complete all necessary patient records and documentation including sedation record and narcotic count in accordance with the local dental clinic policies;
J. Assess and determine if patients meet the discharge criteria;
K. Provide post-operative patient education;
L. Maintain and order equipment, supplies, medications, and the environment in accordance with local dental policies;
M. Assist with other dental administrative tasks such as patient scheduling or booking;
N. Set-up and clean-up of the surgical suite including disposal of biologically contaminated materials and sterilizing/disinfecting instrument, equipment, supplies, and contaminated areas; and
O. Perform daily, weekly and monthly equipment or supply checks as indicated on the duty nurse checklist in accordance with the local dental policies, including:
(1) zoll or equivalent defibrillator;
(2) cardiac monitor;
(3) wall-mounted and portable suction;
(4) wall-mounted o2 and o2 tank level;
(5) epistaxis kit;
(6) vital signs equipment;
(7) iv pump; and
(8) resuscitation cart.
P. Other associated tasks relevant to this occupational group.
Bayshore is honoured to provide Medical Professional Staffing to support those who have served, and those who continue to serve, our country.
All Registered Nurses working in a dental clinic providing conscious sedation must, as a minimum, possess:
- A Registered Nurse Diploma or Baccalaureate Degree in Nursing from a recognized university;
- A Registered Nurse licence from the provincial or territorial professional college or association in the province of practice;
- A current Certificate of Basic Life Support (BLS) for Healthcare Provider or equivalent such as Cardio-pulmonary Resuscitation/Automated External Defibrillator (CPR/AED) Level C; and
- A current Certificate of Advanced Cardiac Life Support (ACLS) in accordance with the Heart and Stroke Foundation ACLS Provider program.
The Dental Sedation Nurse must, as a minimum, have 1 year full time equivalent experience in the following:
Parenteral conscious sedation protocols and procedures in an emergency room, intensive care unit, or perioperative setting; and
Assisting anaesthetists during the induction and emergence phases of anaesthesia.
Other Skills and Abilities:
- Current N95 mask fit certificate CSA Standards Z94.4 (within the last two (2) years)
- Workplace Hazardous Material Information System (WHMIS) Certification (within the last two (2) years)