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Unit information: Clinical Conscious Sedation in 2018/19

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Unit name Clinical Conscious Sedation
Unit code ORDSM0021
Credit points 20
Level of study M/7
Teaching block(s) Academic Year (weeks 1 - 52)
Unit director Professor. Robb
Open unit status Not open
Pre-requisites

As this runs over the summer will we stipulate that students MUST have completed the two taught units first

Co-requisites

None

School/department Bristol Dental School
Faculty Faculty of Health Sciences

Description

This Unit of Teaching will be offered as a Compulsory Unit as part of the PG Certificate in Clinical Conscious Sedation with Anxiety Management. This unit has the following aims:

  1. To provide the knowledge, skills and attitudes required for the basic practice of conscious sedation in dentistry
  2. To prepare the clinician for the independent practise of basic conscious sedation techniques in dentistry

Intended learning outcomes

Knowledge and understanding:

Students will be able to:-

  • Describe the underpinning core knowledge relevant to the basic practice of conscious sedation in dentistry including the relevant:-

Anatomy

Physiology

Clinical Pharmacology

  • Discuss and demonstrate the assessment and treatment planning of patients who require conscious sedation
  • Describe and explain the techniques of inhalation and intravenous sedation
  • Explain the clinical and electromechanical monitoring of patients treated with basic sedation techniques
  • Demonstrate an understanding of current guidance in relation to sedation in dentistry

Skills and attributes:

Students will be able to:-

  • Complete the assessment and treatment planning of patients requiring basic conscious sedation
  • Obtain valid consent, and follow appropriate procedures for patients unable to consent, as outlined in current legislation
  • Demonstrate basic administration of conscious sedation using:
    - inhalation sedation with nitrous oxide
    - intravenous midazolam
    - oral / transmucosal midazolam
  • Monitor a patient both clinically and electromechanically during conscious sedation
  • Assess and safely discharge patients who have received conscious sedation
  • Manage the complications of conscious sedation
  • Explain the importance of conscious sedation in the management of pain and anxiety in dentistry
  • Demonstrate appropriate communication skills in the management of patients requiring conscious sedation for dentistry
  • Demonstrate a critical and caring approach to the management of the anxious dental patient
  • Demonstrate the ability to manage patients as part of a clinical team

Teaching details

  • Self-directed CAL sessions
  • Supervised clinical practice
  • Medical simulator session
  • Reflecting writing
  • Seminar teaching
  • Practical sessions

Assessment Details

This Unit will have the following four components of summative assessment: -

  1. Satisfactory completion of supervised clinical practice including Directly Observed Procedural Skills (DOPS) assessments (50%)
  2. A reflective case study (2 500 words) or online assignments (10%)
  3. Assessment of the management of a simulated complication of conscious sedation (10%)*
  4. A final written examination comprising Multiple Short Answer and e-Assessment questions of 2 hours’ duration (30%)

The clinical activity, reflective assignments and formative assessments will be recorded in an e portfolio. This will include the assessments 1 & 2 above

  • This assessment is included as it is a professional requirement that dentists are required to be able to manage the complications of the drugs they administer.

Formative assessment:

Formative assessment Online activities will provide formative assessment

Reading and References

Meechan JG, Robb ND, Seymour RA. Pain and Anxiety Control for the Conscious Dental patient. Oxford: Oxford University Press 1998. ISBN:0-19-262848-8

Craig D, Skelly A. Practical Conscious Sedation.London: Quintessence Publishing Co. Ltd ISBN:1-85097-070-x

Lourenco-Matharu L, Ashley PF, Furness S. Sedation of children undergoing dental treatment. Cochrane Database of Systematic Reviews. 3:CD003877, 2012

Coulthard P. Bridgman CM. Gough L. Longman L. Pretty IA. Jenner T. Estimating the need for dental sedation1. The Indicator of Sedation Need (IOSN). Brit Dent J 211:E10;2011

Henthorn KM. Dickinson C. The use of flumazenil after midazolam induced conscious sedation. Brit Dent J 209;E18:2010

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