Patient Safety Tool: Pre-Procedure Evaluation Template for Procedures Requiring Moderate Sedation

The VA National Center for Patient Safety has developed a free, downloadable pre-procedure evaluation template for procedures that require moderate sedation.

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The template identifies key features of patient evaluation that should be performed prior to beginning such procedures.

Download the pre-procedure evaluation template (pdf) for adaptation and use in your facility.

Note: View our database providing more than 125 reports that link to free, downloadable and adaptable tools for use in surgery centers, hospitals and other organizations by clicking here.

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