IV Sedation Preoperative Checklist

• ______ Monitors (EKG, pulse ox, capnography, BP)
• ______ Oxygen on
• ______ NPO status
• ______ Review Medical History
• ______ Escort (name, phone number, need to stay in waiting room)
• ______ Consent
• ______ Drug (sedatives & emergency drugs)
• ______ Ambu bag
• ______ Bite block ready for induction
• ______ Yankhaur Suction
• ______ IV supplies, spike bag and clear line
• ______ Drill set up and ready
• ______ Review instruments
• ______ Assistant in room
• ______ Sign out to faculty

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