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SPS Newsletter

An official publication of the Society for Pediatric Sedation

An official publication of the
Society for Pediatric Sedation®

    • President’s Message
      • Culture of Diversity in SPS
    • 2018 Annual Conference Reviews
      • Reviews of Monday Sessions
      • Reviews of Tuesday Sessions
      • Reviews of Wednesday Sessions
    • Literature Review
      • Neuropsychological and Behavioral Outcomes after Exposure of Young Children to Procedures Requiring General Anesthesia: The Mayo Anesthesia Safety in Kids (MASK) Study

Meeting Reviews

Pre-screening: Holy Grail vs. practical reality
Reviewed by Michelle Rhoads, MSN, APRN, BC

Presented by Jocelyn Grunwell, MD

Critical to developing a highly successful pediatric sedation service is providing not only safe and effective care but to do so in an efficient manner as well. Dr. Jocelyn Grunwell, a pediatric critical care physician, led a provocative discussion on the Development of a Pediatric Assessment Tool for MRI. Discussion focused on the development of a rapid and simple screening questionnaire to determine score thresholds to predict children who should be referred to general anesthesia without over-referral. The tool consists of nine categories with a total of 42 questions. The goal of the tool is to increase the effectiveness of pre-screening in order to minimize same day cancellation rates which would in turn:

  • Decrease patient backlog and MRI wait times
  • Decrease ineffective use of scanner, physician and nursing time
  • Decrease cost of lost school/work days
  • Increase parental satisfaction

Dr. Grunwell concluded that the Pediatric Assessment Tool can reliably predict same day cancellation and failures but should not replace clinical judgement. There are opportunities for improvement for both inpatient and outpatient MRI departments that can be addressed by utilizing the screening tools in multiple areas including outpatient, emergency, inpatient and ICU departments. Prospective testing of a PSAT scoring threshold is needed to determine whether screening can decrease frequency of same day sedation cancellation rates.

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About SPS News

SPS News is an official publication of the Society for Pediatric Sedation®

SPS News Editor
Carmen D. Sulton, MD

Contributing Authors
Nancy Crego, PhD, RN, CCRN
Benjamin F. Jackson, MD
Sue Kost, MD
Ali Ozcan, MD
Amber Rogers, MD
Anne Stormorken, MD

Share Your News!

Have an interesting story about your sedation team to share? Has your institution recently been recognized for something? We are looking for content for the next issue of SPS News, due out this summer.

Being a contributor is a great way to get involved in the Society. Contact Joye Stewart at the SPS headquarters office.

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