Credentialing for Pediatric Sedation Services

Per the Pediatric Sedation Policy for Non-Anesthesiologists (ADMIN 0212), a qualified practitioner's order is required for all sedations. A qualified practitioner is a physician or nurse practitioner who has successfully completed all pediatric sedation credentialing requirements and has privileges to administer pediatric sedation outside the operating room. Sedation providers must successfully complete competency testing during each credentialing and re-credentialing period. Clinical professionals monitoring sedation procedures or administering medications under a privileged physician or nurse practitioner must successfully complete competency testing at least every two years.

Requirements for Individual Credentialing

Sedation Service (Nurses)

(contact your nurse manager for detailed instructions)

PALS
TeamSTEPPS
Training modules (to receive credit, employees should access through LMS by searching for "pediatric sedation")
Patient Simulators

Attending, NP, and Fellow MD’s

(download the checklist with instructions here)

ICU

PALS, NRP, or NALS
TeamSTEPPS
Training modules (to receive credit, employees should access through LMS by searching for "pediatric sedation")

Emergency Medicine

PALS (or equivalent program as approved by the UNC Hospitals' Chief Sedation Officer, Chair of the Department of Emergency Medicine, and Pediatric Sedation Committee)
TeamSTEPPS
Training modules (to receive credit, employees should access through LMS by searching for "pediatric sedation")

Others (ex. Pediatric Cardiologist, Pediatric Hospitalist, Radiologist)

PALS
TeamSTEPPS
Training modules (to receive credit, employees should access through LMS by searching for "pediatric sedation")
Patient Simulators

Nurses

(contact your nurse manager for detailed instructions)

ICU

PALS, NRP, or NALS
TeamSTEPPS
Training modules (to receive credit, employees should access through LMS by searching for "pediatric sedation")

Emergency Medicine

PALS
TeamSTEPPS
Training modules (to receive credit, employees should access through LMS by searching for "pediatric sedation")

Others* (Pediatric Cath Lab RNs, Pediatric floor RNs, Radiology RNs)

PALS
TeamSTEPPS
Training modules (to receive credit, employees should access through LMS by searching for "pediatric sedation")
Patient Simulators

Recertification

• Maintain Certification in PALS, NRP, or NALS
• Document 20 sedations every 2 years
• All adverse events must be reviewed by sedation committee before recertification is granted. The sedation committee may ask for additional training prior to recertification.

*Nurses with a minimum of 3 years of pediatric experience or 1 year of PICU experience may apply for credentials to provide sedation under the guidance of a credentialed physician.

*Residents may take LMS module but cannot provide sedation without a credentialed attending.