JAG does not provide guidance on this matter but would expect to see practice in line with national and manufacturer guidelines where they exist.
The Academy of Medical Royal Colleges, which included representation from the British Society of Gastroenterology (BSG), produced guidelines on safe sedation practice for healthcare procedures in 2013. These state:
"Patients meeting discharge criteria following sedation who go on to be discharged home should be discharged into the care of a suitable third party.”
The British National Formulary (BNF) also states that a responsible person should be available to take patients home afterwards. It also states that patients given intravenous benzodiazepines should be advised that the risks of undertaking skilled tasks including driving extends to at least 24 hours after administration of an intravenous benzodiazepine. Therefore the advice to relatives/carers should be the need to support individuals for up to 24 hours after administration.
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