Basic guide to dental sedation nursing

192 Pages·2011·3.183 MB·English

by  Nicola Rogers

BLBK373-FM April19,2011 11:34 Trim: 234mm×153mm CharCount=
Basic Guide to
Dental Sedation Nursing
i

BLBK373-FM April19,2011 11:34 Trim: 234mm×153mm CharCount=
BASIC GUIDE TO
DENTAL SEDATION
NURSING
Nicola Rogers
RDN,NEBDNNationalCertificateinDentalNursing,NEBDNCertificate
inDentalSedationNursing,NEBDNCertificateinDentalRadiography,
TutoroftheYear2010(DDUEducationalAwards)
DentalNurseTutor
PreandPostRegistrationQualifications
BristolDentalHospital
Bristol
UK
A John Wiley & Sons, Ltd., Publication
iii
BLBK373-FM April19,2011 11:34 Trim: 234mm×153mm CharCount=
Thiseditionfirstpublished2011
(cid:2)C 2011byNicolaRogers
Wiley-BlackwellisanimprintofJohnWiley&Sons,formedbythemergerofWiley’sglobal
Scientific,TechnicalandMedicalbusinesswithBlackwellPublishing.
Registeredoffice: JohnWiley&Sons,Ltd,TheAtrium,SouthernGate,Chichester,
WestSussex,PO198SQ,UK
Editorialoffices: 9600GarsingtonRoad,Oxford,OX42DQ,UK
TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK
2121StateAvenue,Ames,Iowa50014-8300,USA
Fordetailsofourglobaleditorialoffices,forcustomerservicesandforinformationabouthowto
applyforpermissiontoreusethecopyrightmaterialinthisbookpleaseseeourwebsiteat
www.wiley.com/wiley-blackwell.
Therightoftheauthortobeidentifiedastheauthorofthisworkhasbeenassertedinaccordance
withtheUKCopyright,DesignsandPatentsAct1988.
Allrightsreserved.Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,or
transmitted,inanyformorbyanymeans,electronic,mechanical,photocopying,recordingor
otherwise,exceptaspermittedbytheUKCopyright,DesignsandPatentsAct1988,withoutthe
priorpermissionofthepublisher.
Designationsusedbycompaniestodistinguishtheirproductsareoftenclaimedastrademarks.All
brandnamesandproductnamesusedinthisbookaretradenames,servicemarks,trademarksor
registeredtrademarksoftheirrespectiveowners.Thepublisherisnotassociatedwithany
productorvendormentionedinthisbook.Thispublicationisdesignedtoprovideaccurateand
authoritativeinformationinregardtothesubjectmattercovered.Itissoldontheunderstanding
thatthepublisherisnotengagedinrenderingprofessionalservices.Ifprofessionaladviceorother
expertassistanceisrequired,theservicesofacompetentprofessionalshouldbesought.
LibraryofCongressCataloging-in-PublicationData
Rogers,Nicola,1962–
Basicguidetodentalsedationnursing/NicolaRogers.
p.;cm.
Includesbibliographicalreferencesandindex.
ISBN978-1-4443-3470-8(pbk.:alk.paper) 1.Anesthesiaindentistry. I.Title.
[DNLM:1.Anesthesia,Dental–nursing. 2.ConsciousSedation–nursing. 3.Anesthesia,
Dental–contraindications. 4.ConsciousSedation–contraindications. 5.DentalAssistants.
6.EmergencyTreatment–nursing. WO460]
RK510.R676 2011
617.9(cid:3)676–dc22
2011008574
AcataloguerecordforthisbookisavailablefromtheBritishLibrary.
Thisbookispublishedinthefollowingelectronicformats:ePDF9781444342420;WileyOnline
Library9781444342451;ePub9781444342437;Mobi9781444342444
Setin10/12.5ptSabonbyAptara(cid:2)R Inc.,NewDelhi,India
1 2011
iv
BLBK373-FM April19,2011 11:34 Trim: 234mm×153mm CharCount=
Contents
Howtousethisbook vii
Acknowledgements ix
1 Introduction 1
Definitionofconscioussedation 1
Whydentalsedationisused 2
Bibliography 4
2 Medico-legalaspectsofdentalsedation 5
Introduction 5
Recommendationscurrentlyinplacewhenprovidingdentalsedation 7
Medico-legalconsiderationswhenprovidingdentalsedation 11
Bibliography 18
3 Roleofthedentalnurseandequipment 19
Introduction 19
Roleofthedentalnurse 19
Intravenoussedation 21
Inhalationsedation 39
Oralsedation 42
Transmucosal(off-licence)sedation 45
Note 45
Clinicalmonitoringandequipmentused 45
Conclusion 51
Bibliography 62
4 Patientselection 63
Introduction 63
Theassessmentappointment 63
Medicalhistory 64
Physicalexamination 64
Dentalhistory 65
Socialhistory 67
Conclusion 67
Bibliography 67
v
BLBK373-FM April19,2011 11:34 Trim: 234mm×153mm CharCount=
vi Contents
5 Typesofsedation 68
Introduction 68
Intravenoussedation 69
Inhalationsedation 82
Oralsedation 109
Bibliography 113
6 Medicalemergencies 114
Introduction 114
Preventionofmedicalemergencies 114
Legalaspectsdealingwithmedicalemergencies 116
Dealingwithmedicalemergencies 116
Commonmedicalemergencies 125
Signsandsymptomsofmedicalemergencies 126
Medicalemergencies 126
Cardiacemergencies 130
Chokingandaspiration 135
Epilepsy 137
Hypoglycaemia 139
Fainting/syncope 140
Note 141
Airwaycontrolandventilation 141
Conclusion 149
Bibliography 153
7 Essentialanatomy 155
Introduction 155
Theblood 155
Theheart 158
Therespiratorysystem 160
Thedorsumofthehandandtheantecubitalfossa 169
Bibliography 172
Index 173
BLBK373-FM April19,2011 11:34 Trim: 234mm×153mm CharCount=
How to use this book
This book is a basic guide to dental sedation nursing, which has been written
with dental nurses in mind. However, it could be used by other members of
thedentalteamasitisaself-explanatoryresource.
Ithasbeencompiledinorderthatanydentalnurse,whetherworkingwithin
adentalpracticethatprovidessedationornot,afterreadingwouldhaveaclear
understanding of the roles and responsibilities of the dental nurse, enabling
them to recognise good practice. It can also be used in conjunction with any
course material that may be provided to dental nurses who are sitting the
National Examining Board for Dental Nurses’ National Certificate in Dental
SedationNursingexamination,asithasbeenwritteninauser-friendlymanner
coveringallaspectsrelevanttotheexamination.
Thereisnointentionofinstructing/criticisingclinicians,anaesthetistsorany
professionals on their role in the surgery, which have only been explained to
furthertheknowledgeofdentalnurses.Anyoffenceisentirelyunintendedand
apologiesaretenderedforanyperceivedaffront.
Dentalnursesaresubsequentlyreminded/warnedthatonnoaccountshould
theyundertakeanydutythatissolelytheprovinceoftheclinician/anaesthetist
oranyotherprofessional.
vii

BLBK373-FM April19,2011 11:34 Trim: 234mm×153mm CharCount=
Acknowledgements
To my husband David and son Sean, both of whom I am very proud of and
gratefulforthelove,patienceandsupporttheyhaveshownwhileIhavebeen
writingthisbook.
To my parents and Valerie for always teaching me to reach for my dreams
and for the valuable time they invested in me, especially my father, who has
constantlygivenhistimetoreadingandhelpingmecorrectthechapters.
ToChrisBell,mysedationcoursetutor,whoseknowledgeandskillspassed
tomyselfhavemadethisbookpossible.
PhotographsbyDavidRogers,ablyassistedbyTinaHuckle,ZaraPlumley
and Maria Tregale, courtesy of Southmead Health Centre, Bristol and Bristol
DentalHospital.
Thanks are also tendered to Wiley-Blackwell for permission to use various
diagrams,partialtexts,etc.,andalsototheGeneralDentalCouncil.
ix