The Importance Of Sedation In Nursing Education
Nursing Education Nurse’s resistance against using sedation protocols or daily interruptions in sedation has been identified as a barrier to the implementation in many intensive care units (Rock, 2014).
Reasons given were that “Sedation is necessary for patient comfort” and characterized mechanical ventilation as “uncomfortable and stressful” (Rock 2014). Suggestion that sedation protocols such as light sedation or analgosedation with daily interruptions strategy can be utilized in treating mechanically ventilated patients to prevent PSTD. But in order to achieve success in current practice guidelines, education on the relationship between PSTD and sedation is eminent to increase the acceptance of such protocols. In The Bahamas to utilize such protocol, more training and continued nursing
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Speaking with members of staff from both PMH and Doctors hospital ICU some method from the article (Rock, 2014) is being utilized such as sedation interruption period and assessment for agitation. According to Winifred Alleyne, Nursing Officer II at PMH, all patients who are mechanically ventilated under sedation are treated with midazolam. Assessment is done using the Glasgow coma scale and the Riker agitation scale and titrated based on agitation level when weaning (Personal communication, May 27, 2015). She further mentioned that these patients are place on weaning trial which include sedation interruptions when ventilation treatment is nearing completion. On the other hand, Lynda Stuart ICU Coordinator at Doctor’s Hospital reported that mechanically ventilated patient are treated with Propofol and assessed also with the Glasgow coma scale along with the head to toe physical assessment scale. She further mentioned that these patients receive sedation interruption daily to ensure that they do not develop
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