topHopkinsNameText
 Log In



OVERVIEW
Each year in the United States, 48 million inpatient surgeries are performed with approximately 20 million patients receiving general anesthesia. Oversedation during inpatient surgery occurs in 3.3 per 1000 patients, and an overdose of anesthetics has been reported to account for 46.6% of anesthesia-related deaths in the United States. Adverse drug events and oversedation is preventable; and the use of sedation management protocols is correlated with the achievement of sedation goals. Unfortunately, a lack of institutional protocols combined with the under-awareness of proper sedation procedures and inadequate education among healthcare providers managing anesthesia are documented barriers to proper sedation management in perioperative care. This interactive consult module will discuss the symptoms and risk factors in managing sedation in perioperative patients, different assessment tools, and pharmacologic and nonpharmacologic treatment strategies to help participating clinicians improve clinical outcomes as they monitor sedation in surgical patients.

GOAL
This educational activity will provide anesthesiologists and nurse anesthetists with up-to-date information on the challenges of managing sedation in perioperative patients.


TARGET AUDIENCE
This activity is designed to meet the educational needs of anesthesiologists and nurse anesthetists. No prerequisites required.

LEARNING OBJECTIVES
After completing this activity, the participant will demonstrate the ability to:
  • Discuss the multiple aspects of anesthesia and related pharmacologic agents.
  • Describe the continuum of sedation and the physiology associated with varying degrees of sedation observed in the perioperative setting.
  • Identify adverse events related to sedation.
The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing take responsibility for the content, quality, and scientific integrity of this CME/CNE activity.

CME CREDIT INFORMATION
Accreditation Statement: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing. The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation Statement: The Johns Hopkins University School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The estimated time to complete this activity: 1 hour.

Release date: January 9, 2014. Expiration date: January 9, 2016.


CNE CONTACT HOURS INFORMATION
Accreditation Statement:The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Credit Designation Statement:This 1.0 contact hour educational activity is provided by The Institute for Johns Hopkins Nursing. Claim only those contact hours actually spent in the activity. Statements will be awarded for this educational activity until January 9, 2016.

The estimated time to complete this activity: 1 hour.

Release date: January 9, 2014. Expiration date: January 9, 2016.


AANA CREDIT INFORMATION
This program has been prior approved by the American Association of Nurse Anesthetists for 1.0 CE credits; Code Number 1029052; Expiration Date 12/12/14.


HOW TO RECEIVE CREDIT OR CONTACT HOURS
After reviewing this online activity, participants may receive a certificate by receiving a score of 80% or higher on the CME/CNE test and completing an evaluation; no retesting will be permitted. A certificate of participation will be available online immediately following successful completion of the activity.


FACULTY
Steering Committee
Michael C. Banks, MD (Co-Course Director)

Assistant Professor
Anesthesiology and Critical Care Medicine
The Johns Hopkins Hospital
Baltimore, Maryland

Kevin Driscoll, MSN, CRNA (Co-Course Director)

Rebecca Barshick, RN, MSN (Nurse Planner)
Nurse Educator
Institute for Johns Hopkins Nursing
The Johns Hopkins Hospital
Baltimore, Maryland

Participating Faculty
Mary Scott-Herring, MSN, CRNA

Clinical Coordinator of Graduate Nurse Anesthesia Education
Department of Anesthesiology and Critical Care Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

DISCLOSURE POLICIES
Full Disclosure Policy Affecting CME Activities
As a provider approved by the Accreditation Council for Continuing Medical Education (ACCME), it is the policy of the Johns Hopkins University School of Medicine Office of Continuing Medical Education (OCME) to require signed disclosure of the existence of financial relationships with industry from any individual in a position to control the content of a CME activity sponsored by OCME. Members of the Planning Committee are required to disclose all relationships regardless of their relevance to the content of the activity. Faculty are required to disclose only those relationships that are relevant to their specific presentation.

Policy on Faculty and Provider Disclosure
It is the policy of The Institute for Johns Hopkins Nursing to require our continuing nursing education faculty and planning committee members to disclose any financial relationships with companies providing program funding or manufacturers of any commercial products discussed in the educational activity.

The following relationships have been reported for this activity:

Participating Faculty Disclosures
No speaker has indicated that they have any financial interests or relationships with a commercial entity whose products or services are relevant to the content of their presentation(s).

Planner Disclosures
No planner has indicated that they have any financial interests or relationships with a commercial entity.

Note: Grants to investigators at The Johns Hopkins University are negotiated and administered by the institution that receives the grants, typically through the Office of Research Administration. Individual investigators who participate in the sponsored project(s) are not directly compensated by the sponsor, but may receive salary or other support from the institution to support their effort on the project(s).

Off-Label Product Discussion
No faculty member has indicated that their presentation will include information on off-label products.

Non-Endorsement of Products
The Institute for Johns Hopkins Nursing and the American Nurses Credentialing Center do not endorse the use of any commercial products discussed or displayed in conjunction with this educational activity.

DISCLAIMER
The opinions and recommendations expressed by faculty and other experts whose input is included in this activity are their own. This activity is produced for educational purposes only. Use of Johns Hopkins University School of Medicine name implies review of educational format, design, and approach. Please review the complete prescribing information of specific drugs or combinations of drugs, including indications, contraindications, warnings, and adverse effects before administering pharmacologic therapy to patients.

INTERNET CME POLICY
The Office of Continuing Medical Education (CME) at the Johns Hopkins University School of Medicine is committed to protect the privacy of its members and customers. Johns Hopkins University SOM CME maintains its Internet site as an information resource and service for physicians, other health professionals, and the public. Continuing Medical Education at the Johns Hopkins University School of Medicine will keep your personal and credit information confidential when you participate in a CME Internet based activity. Your information will never be given to anyone outside of the Johns Hopkins University School of Medicine’s CME activity. CME collects only the information necessary to provide you with the services that you request.


CONFIDENTIALITY DISCLAIMER FOR CME ACTIVITY PARTICIPANT
I certify that I am participating in this Johns Hopkins University School of Medicine activity for CME-accredited training and/or educational purposes.

I understand that while I am participating in this capacity, I may be exposed to "protected health information," as that term is defined and used in Johns Hopkins policies and in the federal HIPAA privacy regulations (the "Privacy Regulations"). Protected health information is information about a person’s health or treatment that identifies the person. I also understand that while I am participating in this capacity I will be treated as a temporary member of Johns Hopkins for purposes of the Privacy Regulations only.

I pledge and agree to use and disclose any of this protected health information only for the training and/or educational purposes of my visit and to keep the information confidential.

I understand that I may direct to the Johns Hopkins Privacy Officer any questions I have about my obligations under this Confidentiality Pledge or under any of the Hopkins policies and procedures and applicable laws and regulations related to confidentiality. The contact information is: Johns Hopkins Privacy Officer, telephone: 410-735-6509, e-mail: HIPAA@jhmi.edu.

“The Office of Continuing Medical Education at the Johns Hopkins University School of Medicine, as sponsor of this activity, has relayed information with the CME attendees/participants and certify that the visitor is here for training, education and/or observation purposes only.”

Johns Hopkins University School of Medicine
Office of Continuing Medical Education
720 Rutland Avenue/ Turner 20
Baltimore, Maryland 21205-2195
Reviewed & Approved by: General Counsel, Johns Hopkins Medicine (4/1/09)

THE INSTITUTE FOR JOHNS HOPKINS NURSING MISSION STATEMENT
The mission of The Institute for Johns Hopkins Nursing is to share the innovations of Johns Hopkins Nursing in practice, education, and research—locally, nationally, and globally.

Our goal in continuing nursing education is to bring you activities that reflect the expertise and creativity of Johns Hopkins Nursing. Our service values are quality, integrity, flexibility, and personal attentiveness. We appreciate your thoughts and welcome your concerns—please feel free to e-mail us: ijhn@jhmi.edu.

HARDWARE AND SOFTWARE REQUIREMENTS
Pentium 800 processor or greater, Windows 98/NT/200/XP or Mac OS 9/X or later, Microsoft Internet Explorer, Safari, Firefox, Windows Media Player 9.0 or later Flash player, 128 MB of RAM Monitor settings: High color at 800 x 600 pixels, sound card and speakers, Adobe Acrobat Reader.

ACTIVITY
Instructions
Please complete a brief, unaccredited pre-test before participating in this patient case activity. After reviewing this online activity, participants may receive a certificate by receiving a score of 80% or higher on the CME/CNE test and completing an evaluation; no retesting will be permitted. A certificate of participation will be available online immediately following successful completion of the activity.

Pre-Test

General Principles of Perioperative Anesthesia:
  A Focus on Sedation

Mary Scott-Herring MSN, CRNA

Post-Test
procced to pretest



© 2013 JHUSOM, JHU, JHH, JHHS. All rights reserved. The claims and opinions expressed in this site or the sponsor advertising found on this website are those of the advertiser and not necessarily the views or opinions of Johns Hopkins Medicine, its faculty, staff or its advertisers.