Does a discharge assessment by a sedation-credentialed RN meet the requirements for postanesthesia evaluation?
BP: This really stems from the CMS requirements. CMS does not say those requirements are specifically for the postanesthesia evaluation in the Interpretive Guidelines, which do not apply to sedation settings. You can say, “This whole standard does not apply to sedation settings, but even if it did, we are doing a criteria-based evaluation.” The standard is asking you to look for pain, cardiovascular status, medical symptoms, and, in this case, other evidence of complications postsedation, and those are all things in the typical discharge process of the RN. I think that would be fine. LE: I agree. CMS does not really include sedation in their definition of anesthesia. But The Joint Commission uses the words anesthesia and sedation together. On the CMS side, the sedation component is not an issue for the post evaluation. But we are not sure, because of the Joint Commission language, how easily they are going to look at these. So what you are doing right now is truly postsedation assessme
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