Sedation

• Elective and Site Director: Dr. Tina Mannix (christina.mannix@health.slu.edu)

• Faculty Dr. Tina Mannix and Pediatric Critical Care faculty

• Up to one learner per week: pediatric resident, dental resident, fourth year, or third year medical student

• Multidisciplinary healthcare team providers

  • Radiology techs

  • Sedation nursing staff

  • Vascular access nursing staff

  • Child Life

• Contact Dr. Mannix via e-mail at least a week before starting to discuss your rotation goals, objectives, strategies, as well as any schedule requests.

  • No ferrous (iron) metals are allowed in MRI. We ask those with internal metal devices (Eg. orthopedic screws) and/or any learners with questions about MRI safety, contact Dr. Mannix prior to scheduling a sedation rotation. Ability to spend the rotation exclusively in the procedure suite is dependent on the schedule for a specific week.

• EPIC. Preview the schedule for both MRI and special procedures in order to confirm times the first patient is scheduled and decide which setting would be more interesting to you each day and/or work in both settings. We intentionally schedule only one learner to allow for this flexibility.

  • CG Inpatient Medicine →CG MRI AND CG Special Procedures

• Individual Study

  • Primer on Pediatric Sedation. Please review prior to starting

• White coat: optional

*Topics recommended for early review in bold

Presenting Problems

• Need for radiology study under sedation

• Need for long term IV access

• Need for procedure under sedation

Diagnoses

• Chronic renal disease

• Developmental delay

• Fracture

• Hydrocephalus and shunt

• Chronic headaches

• Neuromuscular spasticity

• Malignancy

• Meningitis

• Osteomyelitis

• Seizures

• Septic arthritis

• Trauma

*Topics recommended for early review in bold

• Please keep a log of patients seen with plans to discuss with Dr. Mannix at the end of the rotation

• Observed patient encounter problem based encounter possible

• Document required clerkship encounters (OASIS)

  • Problem based complaints

• Qualtrics self-assessment and formative feedback. Possible.

• Radiology: ground level, follow signs for MRI

• Procedural sedation: Could you specify directions?

• Please arrive ~30min prior to the first scheduled patient

• After actively observing 1-2 patient visits, you may see a patient independently

Student performance evaluations are assigned to Dr. Mannix who completes them based on her own experience as well as feedback from the team.

• No ferrous (iron) metals allowed in MRI.

  • You will need to complete an MRI screening sheet prior to working in this area. Those with internal metal devices (Eg. orthopedic screws) will not be able to work in this area

  • You will be required to leave badges/wallets/metal hair accessories etc in a locker. (Key provided)

• Recent changes

  • Pediatric sedation as a clerkship “mini elective” option (Jan ‘22)

  • Pediatric sedation as an M4 elective

• Planned projects

• We welcome additional ideas and student involvement!