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BIS Monitoring Guideline - Medical Center Intranet

BIS Monitoring Guideline - Medical Center Intranet

BIS Monitoring Guideline - Medical Center

GUIDELINES FOR BIS MONITORING TECHNOLOGY UTILIZATION IN THE HVC Owner: HVC Originated: 1/2006 Location / File name: Reviewed: Legal Review: Revised: PURPOSE: Provide guidelines for BIS Monitoring Utilization in the Heart and Vascular Center GUIDELINES: Indications for Use: BIS monitoring should be considered for the following patients: 1. Mechanical Ventilator Therapy ●Utilize BIS monitoring to assure sedation level is appropriate for the anticipated progression of ventilator therapy. 2. Sedation level under which the patient cannot be assessed clinically ●i.e. moderate to deep states of sedation ●BIS monitor is used to guide interventions to minimize potential awareness, pain, anxiety or over sedation... 3. Other patients as identified by specific physician order. PROCEDURE: Initiation of BIS Monitoring: BIS monitoring use may be nurse-initiated. BIS monitoring does not require a physician order. Implementing BIS Monitoring: Sensors have a 12-month shelf-life with the expiration date on the sensor package. Documentation Standards: The BIS Numeric Region or BIS index score will be documented on the Moderate Conscious Sedation flow sheet with the vital signs prior to patient stimulation and every 10 -15 minutes during the procedure. BIS Value is 0 to 100. 0 = Flat line 20 = Burst suppression 60 = Low probability of explicit recall 80 = Responds to loud commands 100 = Wide awake Guidelines for BIS Monitoring Utilization in the Heart and Vascular Center Page 1 of 2

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