Course Description:

**This course is only for TEAM MEMBERS. Doctors who purchase the course will not receive CE credits.**


This course consists of 9 modules. After course completion and a passing score of 75% or above on a proctored test, you’ll earn 15 CE credits.

The Essentials of Monitoring the Sedation Patient is designed for sedation team members in Missouri (minimum of 2) to meet the regulations* to qualify for a moderate sedation site certificate, required for the dental office wherein moderate sedation will be performed. This course also meets the requirements for renewal of the site certificate as set by the Missouri Dental Board.

Presented by Dr. Allan Schwartz, DDS, CRNA, and DOCS Education, this informative program will explore the concepts, protocols, and requirements for monitoring a patient undergoing sedation in a dental office environment.

From preoperative patient evaluation, selection, and consent, through the enteral sedation itself and on to patient recovery and discharge, participants will learn the basics of monitoring, and how to ensure a safe, successful procedure for patients, dentists, and team.

Please note: this course is meant only for MO team members, and not for doctors. CE will not be provided to doctors who take this course. 

Course Objectives

  • Learn to identify patient requirements for sedation.
  • Review the continuum of anesthesia and the depth of sedation.
  • Discuss assignment of ASA physical status and classifications.
  • Identify the five critical patient vital signs.
  • Review basic heart anatomy.
  • Understand the differences of pediatric monitoring versus adults.
  • Discuss pharmacokinetics and pharmacodynamics.
  • Learn to assess patient positioning and skin status.
  • Identify the risks of venous thromboembolism.
  • Discuss nitrous oxide and Guedel’s Planes of Anesthesia.
  • Review facility requirements and essential documentation for providing sedation.
  • Review patient recovery and discharge after anesthesia.
  • Understand critical dental office emergency protocols.

*Regulations vary for different states. Be sure to research and understand the requirements for your state. Missouri regulation requires two sedation team members be present with the dentist during every moderate sedation procedure. This course does not fulfill recertification requirements.

Call for special multiple team member pricing.

All sales are final. This course is intended for Missouri team members only. Doctors will not receive CE credit for this course. 

Purchase of this course grants access for one year and requires an internet connection, computer with video and audio capabilities, and in some cases, Adobe Reader to view handouts and articles. 

You can download this course and watch it anywhere using the DOCS APP. Get it on Google Play or the Apple Store.

Watch the video and complete the proctored exam to earn 15 CE credit.


  • Identify patient requirements for sedation.
  • Discuss the continuum of anesthesia and the depth of sedation.
  • Discuss the essentials of paperwork, consents for anesthesia and surgery.
  • Discuss documentation of patient vital signs (the anesthesia record) and the automatic recording of anesthesia data.
  • Discuss assignment of ASA physical status and classifications.
  • Identify facility requirements for sedation and necessary equipment.
  • Identify the five critical patient vital signs.
  • Discuss the physiology and importance of the five critical patient vital signs.
  • Identify normal patient vital signs.
  • Discuss the basic anatomy of the heart.
  • Introduce the Electrocardiogram (EKG).
  • Identify abnormal patient vital signs.
  • Identify vital signs of concern.
  • Identify normal and abnormal dysrhythmias.
  • Discuss non-mechanical and mechanical assessment of patient vital signs.
  • Discuss the rules of good patient monitoring.
  • Discuss monitoring a child versus an adult.
  • Discuss drug pharmacokinetics versus pharmacodynamics.
  • Discuss venous thromboembolism
  • Discuss Nitrous Oxide and Guedel’s Planes of Anesthesia.
  • Discuss patient recovery and discharge after anesthesia
  • Discuss and demonstrate basic “what to do” with abnormal vital signs.
  • Discuss dental office emergency protocols.
  • How common physiologic changes can affect a drug’s pharmacodynamics
  • How altering the structure of benzodiazepines impacts the sedation process
  • How nerve receptors change configuration
  • How nerve receptors internally control consciousness
  • Why components are added to benzodiazepines
  • Why large therapeutic ranges are preferable over smaller ones
  • How to explain the relationship between dosage and response
  • Why fat-loving drugs cannot coexist peaceably with water-loving drugs

340 Anesthesia and Pain Management – 14.5 hours

010 Basic Sciences – 0.5 hours 

DOCS online courses are available to the purchaser for one year from date of purchase.
No refund of course tuition is available.




Dr. Anthony Feck
Dr. Leslie Fang
Dr. Allan Schwartz

How can I meet my state’s requirements?

To learn more about how DOCS Education’s full range of courses can satisfy your state’s regulatory requirements, visit This unique online resource is kept up-to-date with the latest in sedation legislation by DOCS Education’s fulltime regulatory counsel. Contact one of our course advisers with any questions or visit our course listings to see upcoming classes and locations.

DOCS Education courses carry the AGD PACE certification

DOCS Education is the nation’s premier provider of safe sedation and advanced dentistry education, having trained almost 24,000 dentists. Since 2000, our courses have been accepted by the AGD for Fellowship/Mastership and membership maintenance credit. We offer extensive CE opportunities, both in-person and online, that meet your needs.

What is DOCS Education?

DOCS Education is an exclusive community of professionals serving at the forefront of dentistry. We offer world-class courses on safe sedation and advanced dentistry, relying on instructors who are consistently ranked among the very best in the nation. We also are a supportive network of members who guide one another to be better, more confident, more successful dentists.