Statement of Purpose
- Name of Provider: Dr Sarah Zaidi
- Email Address: drsarahclinics@gmail.com
- Telephone Number: 07747244106
Aims and Objectives
To provide safe, high-quality, and person-centered conscious sedation services for patients undergoing dental procedures. Our visiting service is designed to support host dental practices by helping anxious or medically compromised patients access complex dental treatments in a comfortable and controlled manner.
Our objectives are to:
- Deliver conscious sedation (primarily Intravenous/IV Sedation) strictly aligned with the Standards for Conscious Sedation in the Provision of Dental Care (IACSD).
- Ensure comprehensive preoperative assessments to confirm patient suitability.
- Provide a fully equipped visiting service, supplying all necessary sedation medications, monitoring, and emergency resuscitation equipment.
- Maintain absolute compliance with the CQC Mythbuster 10: Safe and Effective Conscious Sedation requirements for external sedationists.
- Support host practices in managing patient recovery, discharge, and aftercare.
Location and Scope of Service
As a visiting sedationist, I provide mobile services to host Care Quality Commission (CQC) registered dental practices across the UK.
Service User Bands Supported:
- Adults aged 18-79
- Patients with dental anxiety or phobia
- Patients requiring prolonged or complex dental procedures (subject to individual assessment)
How We Deliver Safe and Effective Care
To guarantee the highest standards of safety during every clinic visit, we employ the following operational processes:
- Pre-Sedation Assessment: All patients undergo a medical history and airway assessment prior to the visiting day. We ensure appropriate patient consent is obtained before sedation administration begins.
- Equipment & Medicines Management: As a visiting service, I supply and maintain all critical sedation equipment (e.g., pulse oximetry, IV cannulation kits) and emergency medication. All equipment is regularly serviced and calibrated to meet SDCEP Conscious Sedation Guidelines.
- Governance and Audits: I conduct regular audits of my clinical practice, sedation protocols, and emergency responses to maintain professional competence and CQC compliance.
- Collaboration: I work collaboratively with the host practice’s dental team, who provide a designated, appropriately trained escort and second appropriately trained person during the sedation and recovery periods.
Standard Operating Procedure
Standard Operating Procedure for Dr Sarah Clinics Visiting Dental Sedation
Service
1. Pre-Visit & Assessment
● Consultation: The operating dentist must complete a full medical history, weight
assessment, and anxiety score at a prior appointment.
● Fasting Instructions: Instruct the patient to consume no solid food for 6 hours,
but clear fluids up to 2 hours pre-procedure.
● Escort Confirmation: The host practice must confirm the patient has a designated, able-bodied adult escort.
2. Travel & Transport of Medications
● Security: Visiting sedationists must personally transport sedatives and
emergency drugs. Never leave medications in an unattended vehicle. Keep drugs
in a locked, padded carry case.
● Temperature: Keep medications below 25°C. Monitor extremes using a digital
max-min thermometer inside the transport bag.
● Controlled Drugs (CDs): Keep an up-to-date CD register during transport. Log all
drug quantities in and out of the host practice.
3. On-Site Storage
● CD Cabinet: Store all controlled drugs (e.g., Midazolam) in a locked cabinet
bolted to the wall. Keep the keys on the sedationist's person.
● Emergency Drugs: Store anaphylaxis and resuscitation kits in a central, unlocked,
and clearly labeled location.
● Gas Cylinders: Secure nitrous oxide and oxygen cylinders safely via chains or
wall brackets.
4. Equipment & Checks
● Daily Checks: The sedationist must verify the calibration and battery/mains
power of all monitors.
● Required Equipment:
○ Pulse oximeter (oxygen saturation monitor)
○ Blood pressure cuff
○ Supplemental oxygen supply
○ Airway management tools (e.g., suction, oropharyngeal airways)
○ Flumazenil (the antagonist/reversal drug) readily accessible.
● Cannulation: Ensure venous access equipment and sharps are laid out for use.
5. Sedation Procedure
● Team: The minimum team requires 3 trained individuals: the Operator (Dentist),
Dedicated Sedationist, and a trained Sedation Nurse.
● Monitoring: The sedationist administers the drug, typically titrated intravenously.
The team continuously monitors the patient's breathing, heart rate, and oxygen
levels.
● Life Support: All team members must hold valid Immediate Life Support (ILS)
certification.
6. Recovery & Discharge
● Monitoring: The patient recovers in a dedicated clinical area with 1:1 nursing
observation.
● Discharge: The sedationist is strictly responsible for clearing the patient for
discharge. The Aldrete score must indicate the patient is fully alert, can breathe
unassisted, and can walk without help.
● Aftercare Instructions: Provide both the patient and escort with written and
verbal post-operative instructions (e.g., no driving or operating machinery for 24 hours)
Sedation notes template
Sedation notes by Dr Sarah Zaidi BDS GDC 83516
Full sedation notes taken on paper records - to be scanned /kept in patient file - including pre op sedation check, reason for treatment required with sedation , MH ASA vital signs recorded to confirm suitable for Midazolam sedation, patient verbal and written consent, sedation log records (staff present, sedation method, drugs dose and batch, monitoring, discharge), and audit sheets.
Treating dentist carried out the full exam, diagnosis, treatment plan and consent. Patient aware of any possible changes and that they will be discussed after treatment, pt consents discussing with escort , follow ups arranged with dentist.
Monitoring of BP O2 HR , IV access with Provein safe 24 gauge cannula L /R ACF /Hand flushed with saline. 1st attempt cannulation
Monitoring of BP O2 HR throughout, Midazolam titrated
Total Midazolam dose given
Remaining Midazolam denatured/disposed and witnessed
W and V POIG to pt and escort, pt discharge to escort at least 30 minutes after last Midazolam dose given and deemed fit.
Positive/Negatives from the session
Contact
Dr Sarah Zaidi
info@drsarahclinics.co.uk
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