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Conscious Sedation Nursing (NEBDN)

Summary

This course is aimed at dental nurses who assist in the surgery during routine conscious sedation. The National Examining Board for Dental Nurses (NEBDN), the awarding body, now provide a choice of dental sedation qualifications for  dental nurses who assist in conscious sedation in their own area of clinical practice.

Qualifications available are:

Certificate in Dental Sedation Nursing (DSN)

This is the traditional full qualification allowing dental nurses to work with all types of sedation commonly used in practice. You will need to be able to gain significant experience in both inhalation and intravenous sedation.

Award in Inhalation Sedation Dental Nursing (IHSN)

This qualification will allow dental nurses to work with patients undergoing treatment with inhalation sedation. You will need to be able to gain significant experience in inhalation sedation.

Award in Intravenous Sedation Dental Nursing (IVSN)

This qualification will allow dental nurses to work with patients undergoing treatment with intravenous sedation. You will need to be able to gain significant experience in intravenous sedation.

The course will run over eight lecture presentation days (9.30am - 4pm) to cover all of the theoretical instruction, six record of competence workshops (9.30am - 4pm) to cover all of the guidance required to complete the record of competence and  three examination revision sessions.

Your progress will be monitored throughout the course and your employer will be kept up to date with your progress. The timetable of events will be discussed at your pre interview and within the course programme.

Entry

To be eligible for the course you must:

  • Be on the GDC Register (you will need to provide proof of registration)
  • Have support of your employer to support you in completion of the record of competence (employer must sign a declaration)
  • Commit to 100% attendance on the given course dates
  • Be able to meet the clinical requirements for the record of competence

IMPORTANT NOTE

Dental Nurses who DO NOT hold a recognised dental nursing qualification must undertake a pre course assessment

The Award

In order to achieve the award you will have to successfully complete: -

  • and gain a pass in the written examination paper
  • a Record of Competence

Underpinning knowledge and understanding is assessed by the written examination; Practical skills are assessed in the record of competence

Written Examination

Candidates for each qualification are required to undertake the written examination to assess underpinning knowledge and understanding of the entire syllabus. The 90 minute examination consists of a mixture of 45 best single answer from a 5 option multiple choice question (MCQ) and 30 extended matching questions (EMQ)

NEBDN Examination Dates

Examination Date

3RD Friday in September  or 3rd Friday in March

The SAAD award is awarded to the best overall candidate for the examination (nationally)

Record of Competence

The Record of Competence is designed to demonstrate the application of knowledge and skills during sedation procedures as outlined in the NEBDN syllabus.

The record of competence is in four parts:

 

PART A - PRACTICAL COMPETENCE ASSESSMENT SHEETS (PCAS)

Candidates must complete the PCAS to provide evidence of their involvement in the care of patients undergoing conscious sedation and during the recovery stage.

 

Qualification

 

Treatment

Intravenous

 

Treatment

Inhalation

 

Recovery

Intravenous

 

Recovery Inhalation

 

 

Certificate in Dental Sedation Nursing (DSN)

 

20

 

10

 

20

 

10

 

Award in Inhalation Sedation Dental Nursing (IHSN)

 

0

 

10

 

0

 

10

 

Award in Intravenous Sedation Nursing (IVSN)

 

20

 

0

 

20

 

0

 

PART B - EXPANDED CASE STUDIES

Each case study must be between 1800 - 2200 words. The patient may be included in the PCAS, but the case study must meet set criteria and you must follow the guidelines. The case study/studies will demonstrate evidence of further reading and reflective practice.

 

Case Studies

Certificate in Dental Sedation Nursing

Award in Inhalation Sedation Dental Nursing

Award in Intravenous Sedation Dental Nursing

Inhalation Sedation Procedure

ü

ü

 

Intravenous Sedation Procedure

ü

 

ü

 

PART C - DIRECTLY OBSERVED CLINICAL SKILLS ASSESSMENTS (DOCS)

Clinical Skill

DSN

IHSN

IVSN

Required

Taking and recording patients blood pressure using an automatic cuff

ü 

ü 

ü 

10

Taking and recording patients oxygen saturation  and heart rate using a pulse oximeter

ü 

ü 

10

Giving pre and post operative instructions to a patient for inhalation sedation

ü 

ü 

10

Giving pre and post operative instructions to a patient for intravenous sedation

ü 

ü 

10

Preparing an inhalation sedation machine for use including safety checks

ü 

ü 

10

Preparing IV sedation equipment and drugs ready for use

ü 

ü 

10

Drawing up drugs

ü 

ü 

10

Assisting during the cannulation of patients

ü 

ü 

10

Removal of a cannula

ü 

ü 

10

Clearing IV sedation equipment and drugs after use

ü 

ü 

10

Leading the dental team in the management of a simulated medical emergency

ü 

ü 

ü

3

PART D - SUPPLEMENTARY OUTCOMES

Candidates must complete each of the supplementary outcomes to a level deemed satisfactory by the course provider. The supplementary outcomes will allow candidates to demonstrate knowledge and understanding of areas of the syllabus in which they may not be able to gain clinical experience.

Supplementary Outcomes

DSN

IHSN

IVSN

A witnessed copy of a current certificate in Immediate Life Support

ü

ü

ü

A list of equipment used for sedation stating maintenance and service history

ü

ü

ü

A list of emergency drugs stocked and indications for use with expiry dates

ü

ü

ü

Questions relating to current national guidance on conscious sedation in dentistry

ü

ü

ü

A question relating to an ethical dilemma

ü

ü

ü

A short audit relating to patient satisfaction

ü

ü

ü

A question relating to the advantages and disadvantages of alternative methods of pain and anxiety management

ü

ü

ü

A record of continuing professional development relating to dental sedation nursing, e.g. background reading, meetings, courses

ü

ü

ü

Key:

Certificate in Dental Sedation Nursing (DSN)

Award in Inhalation Sedation Dental Nursing (IHSN)

Award in Intravenous Sedation Nursing (IVSN)

IMPORTANT NOTE

If you do not submit your Record of Competence by the specified deadline date, you will not be able to sit the examination. The NEBDN will charge you, the candidate, the amount of £30.00 in order to defer to the next examination.

 

It is the candidate's responsibility to ensure they have access to the clinical requirements of the record of competence, this will not be provided on the course.

In order to be awarded the final qualification you must: -

  • Complete the Record of Competence to meet the required standard of the NEBDN
  • Achieve a pass in the written paper