Evidence-based Clinical Care: Pre-Anesthesia/Sedation Testing Guidelines and Pre-Surgical NPO Guidelines

This evidence-based clinical care course provides practitioners with step-by-step training on the use of a new documentation tool within the Baptist Health electronic medical record for presurgical evaluation.

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.
 

Target Audience

Anesthesiologists, Surgeons, Hospitalists, Physician Assistants/Physician Associates, Nurses and Advanced Practice Registered Nurses

Learning Objectives

  • Identify pre-anesthesia/sedation testing guidelines for low/intermediate/high-risk procedures, including patient comorbidities and patient evaluation tool for noncardiac procedures.
  • Describe the benefits and inclusion/exclusion criteria of Baptist Health Surgical Fasting Guidelines.
Additional information
Bibliography: 

Bierle, D. M., Raslau, D., Regan, D. W., Sundsted, K. K., & Mauck, K. F. (2020b). Preoperative evaluation before noncardiac surgery. Mayo Clinic Proceedings, 95(4), 807–822. 

Mukherjee, D. (2024). Risk stratification before cardiac surgery. The American Journal of Cardiology, 210, 300–301. 

Statement on Asa Physical Status Classification System. (n.d.). https://www.asahq.org/standards-and-practice-parameters/statement-on-asa-physical-status-classification-system 

Stonemetz, J. (n.d.). Johns Hopkins Medicine Department of Anesthesiology and Critical Care ... Center for Perioperative Optimization, ACCM. https://anesthesiology.hopkinsmedicine.org/wp-content/uploads/2022/08/FY23-Preoperative-Roadmap-7.22.pdf 

UCLA Health. (n.d.). Risk stratification. https://www.uclahealth.org/departments/anes/referring-providers/risk-stratification

Related Topics

Evidence-based Clinical Care: Anesthesia Guidelines and Preventing Acute Kidney Injury

This Evidence-based Clinical Care course will review the new systemwide, pre-anesthesia/sedation testing guidelines developed for planned procedures.
Moderate Sedation and Analgesia for Non-Anesthesiologist Physicians

Providers using moderate sedation should be able to allay the patient's fear and anxiety when using analgesia. Moderate sedation involves managing the care of patients receiving sedative or analgesic medications.
Course Summary
Available credit: 
  • 1.00 ABS MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
Course opens: 
11/01/2024
Course expires: 
10/31/2027

Faculty

Jose Vazquez, M.D.
Chief of Primary Care- Baptist Health Medical Group
Diplomate American Board of Internal Medicine
Assistant Professor, FIU Herbert Wertheim College of Medicine
Miami, Florida

Andrew Letayf, M.D.
Chief of Anesthesiology, Chief of Pediatric Anesthesiology, Director of Obstetrical Services, Chair of Credentialing Committee, Medical Executive Committee member 
Baptist Health Bethesda Hospital East and West 
Boynton Beach, Florida

Bianca Capella, APRN
Corporate Clinical Director & Quality Outcomes
Evidence-Based Clinical Care (EBCC)
Baptist Health
Miami, Florida


Bianca Capella, APRN, and Jose Vazquez, M.D., faculty for this educational activity, have no relevant financial relationships with ineligible companies* to disclose, and have indicated that the presentations or discussions will not include off-label or unapproved product usage.

Andrew Letayf, M.D., conference director for this activity, has no relevant financial relationships with ineligible companies* to disclose, and has indicated that the presentation or discussion will not include off-label or unapproved product usage.


Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.

*Ineligible companies - Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Surgery - Maintenance of Certification (MOC) - Accredited CME -  General Surgery

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Available Credit

  • 1.00 ABS MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
Please login or register for a Baptist Health CME account to take this course.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Required Hardware/Software

PC/Mac Users
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Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.