warning

Alert: Because flu cases are on the rise, children 12 and younger will be restricted from visiting hospitals and certain inpatient facilities. Learn more.

In order to be eligible to request clinical privilege for Moderate Sedation, a practitioner must meet the following minimum threshold criteria:

Initial Appointment:
Education/ Training:

1. Successful completion of an accredited three-year residency in anesthesia,
OR
2. Successful completion of a residency (with or without a subspecialty fellowship) wherein the LIP received education, training, and experience to administer and/or supervise moderate sedation and maintain the airway (this would apply to physicians other than anesthesiologist, such as emergency medicine, neurologists, pulmonologists, gastroenterologists, radiologist, surgeons, or cardiologists). Residency Director verification of residency training and competency for Moderate Sedation
OR
3. Completion of a CHS approved physician moderate sedation training program, e.g. the Carolinas Medical Center (CMC) Moderate Sedation Program.
AND
CHS Moderate Sedation Standard Signed documentation that the practitioner has reviewed and agrees to comply with the CHS Moderate Sedation standard.

Reappointment:

Required Previous Experience:

1. Performance of moderate sedation for at least 8 patients over the past 12 months.
OR
2. Meet one of the education requirements for initial appointment.
I have read the above requirements and hospital policy re: moderate sedation and attest to my compliance by submitting this form.
Close