Recommendations for Emergency Support (Details)
• Assure that pharmacologic antagonists for benzodiazepines and opioids are immediately available in the procedure suite or procedure room
• Assure that an individual is present in the room who understands the pharmacology of the sedative/analgesics administered (e.g., opioids and benzodiazepines) and potential interactions with other medications and nutraceuticals the patient may be taking
• Assure that appropriately sized equipment for establishing a patent airway is available
• Assure that at least one individual capable of establishing a patent airway and providing positive pressure ventilation is present in the procedure room
• Assure that suction, advanced airway equipment, a positive pressure ventilation device, and supplemental oxygen are immediately available in the procedure room and in good working order
• Assure that a member of the procedural team is trained in the recognition and treatment of airway complications (e.g., apnea, laryngospasm, airway obstruction), opening the airway, suctioning secretions, and performing bag-valve-mask ventilation
• Assure that a member of the procedural team has the skills to establish intravascular access
• Assure that a member of the procedural team has the skills to provide chest compressions
• Assure that a functional defibrillator or automatic external defibrillator is immediately available in the procedure area
• Assure that an individual or service (e.g., code blue team, paramedic-staffed ambulance service) with advanced life support skills (e.g., tracheal intubation, defibrillation, resuscitation medications) is immediately available
• Assure that members of the procedural team are able to recognize the need for additional support and know how to access emergency services from the procedure room (e.g., telephone, call button)