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Unit information: Foundations of Conscious Sedation in 2024/25

Please note: Programme and unit information may change as the relevant academic field develops. We may also make changes to the structure of programmes and assessments to improve the student experience.

Unit name Foundations of Conscious Sedation
Unit code ORDSM0073
Credit points 20
Level of study M/7
Teaching block(s) Teaching Block 1 (weeks 1 - 12)
Unit director Miss. Brown
Open unit status Not open
Units you must take before you take this one (pre-requisite units)

None

Units you must take alongside this one (co-requisite units)

None

Units you may not take alongside this one

None

School/department Bristol Dental School
Faculty Faculty of Health Sciences

Unit Information

Why is this unit important?

The aim of this unit is to provide the foundation knowledge and skills required to commence intravenous dental conscious sedation training on patients. Patient safety is paramount, and the completion of initial pre-clinical skills training ensures that you have the knowledge, skills and behaviours necessary to commence safe patient care. This will ensure that you are adequately prepared for the transition to clinical care (ORDSM0021 Clinical Conscious Sedation) where you will be administering intravenous sedation to live patients under the supervision of Specialist Oral Surgeons. This is a must pass unit.

How does this unit fit into your programme of study?

Completion of this unit will ensure you are prepared for clinical training as part of ORDSM0021 Clinical Conscious Sedation. The unit provides essential pre-clinical knowledge and skills to be able to safely deliver intravenous sedation to patients, in line with the learning outcomes outlined in the Standards for Conscious Sedation in the Provision of Dental Care (2020) published by the Report of the Intercollegiate Advisory Committee for Sedation in Dentistry (IACSD) for training in conscious sedation. You will receive simulated pre-clinical training including Immediate Life Support (ILS) practical skills involved in dental conscious sedation training e.g., cannulation.

Your learning on this unit

An overview of content

The unit will include self-directed content and two face-to-face contact days. The contact days will provide mandatory Immediate Life Support (ILS) Medical Emergencies training including simulation and cover the practical skills involved in dental conscious sedation training, from pre-sedation assessment and treatment planning, through to the management and post-operative care of patients.

How will students, personally, be different as a result of the unit

As a result of this unit, you will have attained the foundation skills required to safely commence intravenous dental conscious sedation clinical training on patients.

Learning outcomes

You will obtain knowledge and understanding of:

  • The anatomy and physiology relevant to dental conscious sedation
  • The pharmacology, advantages and disadvantages of local anaesthetics commonly used in clinical dentistry, as well as advanced or adjunctive techniques.
  • The pharmacology of benzodiazepines and their use in dental conscious sedation.
  • Comprehensive assessment and treatment planning of dental patients for sedation.
  • The medical, legal and ethical issues surrounding the use of sedative agents for conscious sedation in dentistry.
  • How to establish conscious sedation in dental practice.

You will acquire the skills and attributes necessary for:

  • Safe and effective local anaesthesia for operative dental procedures, including the management of failed anaesthesia and administration of advanced or adjunctive techniques.
  • Placement of a cannula for the administration of intravenous sedation.
  • Setting-up the equipment and drugs required for the provision of dental conscious sedation.
  • Monitoring of a patient undergoing dental conscious sedation.
  • The management of sedation related complications including respiratory depression and medical emergencies.

How you will learn

Teaching will use a blended learning approach delivered through a combination of synchronous and asynchronous activities. You will be expected to engage with all learning.

A range of teaching are used in the unit including:

Self-directed computer-aided learning (CAL) sessions via the virtual learning environment (Blackboard), providing the necessary materials and references to attain knowledge. This will include narrated lectures on topics including:

  • The anatomy and physiology relevant to dental conscious sedation.
  • The pharmacology, advantages and disadvantages of local anaesthetics commonly used in clinical dentistry, as well as advanced or adjunctive techniques.
  • The pharmacology of benzodiazepines and their use in dental conscious sedation.
  • Comprehensive assessment and treatment planning of dental patients for sedation.
  • The medical, legal and ethical issues surrounding the use of sedative agents for conscious sedation in dentistry.
  • How to establish conscious sedation in dental practice.

Two face-to-face contact days to consolidate and test knowledge through interactive medical simulation and sedation complication scenarios as part of Immediate Life Support (ILS) training and practical skills for dental conscious sedation. Practical skills will include:

  • Placement of an intravenous cannula in the dorsum of the hand or antecubital fossa of a mannikin arm.
  • Measuring arterial blood pressure.
  • Use of a pulse-oximeter.
  • Drawing up intravenous drugs.

A critical thinking written assignment will set you an intellectually stimulating question, helping you to think across disciplines and from a civic perspective about contemporary challenges in dental conscious sedation. This will allow you to demonstrate both your ability to appraise the existing literature, reflect and think logically as to how such problems can be overcome.

A final end of unit multiple-choice question (MCQ) e-assessment to test knowledge from online learning and contact days.

How you will be assessed

Tasks which help you learn and prepare you for summative tasks (formative):

Formative assessment will take place during the two face-to-face contact days as described below:

Day 1- Immediate Life Support (ILS) (Must engage)

Participation in the management of simulated medical emergencies and sedation complications as part of the Immediate Life Support (ILS) training day. Embedded within this will be an assessment focussed on the management of a simulated emergency scenario, which you must engage with as part of any standard ILS certification, which is required for all members of the team involved in the delivery of dental conscious sedation (see IACSD standards above).

Day 2- Practical skills for dental conscious sedation (Must engage)

As part of this contact day, there will be four formative direct observation of procedural skills (DOPS), including:

  • Placement of an intravenous cannula in the dorsum of the hand or antecubital fossa of a mannikin arm
  • Measuring arterial blood pressure
  • Use of a pulse-oximeter
  • Drawing-up, labelling and delivering intravenous drugs

You must engage in this contact day and should retake DOPS until you successfully complete one in each of the four skills described above.

Example assignments/ questions will be provided with the opportunity to discuss them with a tutor will prepare you for the end of unit knowledge assessment.

Tasks which count towards your unit mark (summative):

A critical thinking written assignment focussed on contemporary challenges in dental conscious sedation. This will account for 40% of the unit mark.

A final written end of unit examination comprising a multiple choice question (MCQ) e-assessment of 2 hours’ duration. This will account for 60% of the unit mark.

When assessment does not go to plan

If you do not pass the unit, you will normally be given the opportunity to take a reassessment as per the Regulations and Code of Practice for Taught Programmes. Decisions on the award of reassessment will normally be taken after all taught units of the year have been completed. Reassessment will normally be in a similar format to the original assessment that has been failed.

Resources

If this unit has a Resource List, you will normally find a link to it in the Blackboard area for the unit. Sometimes there will be a separate link for each weekly topic.

If you are unable to access a list through Blackboard, you can also find it via the Resource Lists homepage. Search for the list by the unit name or code (e.g. ORDSM0073).

How much time the unit requires
Each credit equates to 10 hours of total student input. For example a 20 credit unit will take you 200 hours of study to complete. Your total learning time is made up of contact time, directed learning tasks, independent learning and assessment activity.

See the University Workload statement relating to this unit for more information.

Assessment
The Board of Examiners will consider all cases where students have failed or not completed the assessments required for credit. The Board considers each student's outcomes across all the units which contribute to each year's programme of study. For appropriate assessments, if you have self-certificated your absence, you will normally be required to complete it the next time it runs (for assessments at the end of TB1 and TB2 this is usually in the next re-assessment period).
The Board of Examiners will take into account any exceptional circumstances and operates within the Regulations and Code of Practice for Taught Programmes.

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