title: Development and implementation of an education and credentialing programme to provide safe paediatric procedural sedation in emergency departments.
abstract: OBJECTIVE
  In the conduct of paediatric procedural sedation (PPS) within the ED the combination of powerful drugs, variable competency levels and high staff turnover carry the potential for sedation-associated adverse events. Yet, currently, there is no set programme for education and accreditation of ED staff in PPS. We set out to develop such a programme.
  
  
  METHODS
  We outline the development process of a comprehensive multidisciplinary PPS programme and present its key educational elements (sedation manual, lecture, treatment order form and checklist, parent information handout) and credentialing through multiple-choice questions and competency assessments. We describe issues associated with the implementation of the programme at a metropolitan mixed ED and the ED of a major tertiary paediatric centre.
  
  
  RESULTS
  Since its inception a total of 294 emergency staff have either completed or have partially completed the programme. Staff feedback showed that the majority of staff scored the elements of the programme as very good to excellent, and felt that their sedation skills had improved and their practice was safer. The development and implementation of the PPS programme raised many issues and posed a number of challenges. We describe the strategies we used to overcome such challenges and barriers.
  
  
  CONCLUSIONS
  We present the development and implementation of a comprehensive PPS programme for emergency staff. As a result of the multicentre development process involving a community and a tertiary paediatric ED the programme will likely have broad applicability in different types of ED caring for children.
authors.affiliation: Emergency Department, Royal Children's Hospital, Parkville, Victoria, Australia. franz.babl@rch.org.au
authors.forename: Franz
authors.initials: F
authors.lastname: Babl
authors.forename: Stephen
authors.initials: S
authors.lastname: Priestley
authors.forename: David
authors.initials: D
authors.lastname: Krieser
authors.forename: Joanne
authors.initials: J
authors.lastname: Miller
authors.forename: Melissa
authors.initials: M
authors.lastname: Tully
authors.forename: Maureen
authors.initials: M
authors.lastname: Spicer
authors.forename: Vicki
authors.initials: V
authors.lastname: McGowan
authors.forename: Natashia
authors.initials: N
authors.lastname: Dilla
mesh_terms: D000776:Anesthesiology / Q000193:education*; D016292:Procedural Sedation; D003406:Credentialing; D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000592:standards*; D006764:Hospitals, Community; D006776:Hospitals, Pediatric; D006801:Humans; D016730:Program Development; D014739:Victoria