scope:

This instruction applies to all Naval Medical Treatment Facilities (MTF) and Dental Treatment Facilities (DTF) ashore and afloat. It applies to the spectrum of minimal sedation (anxiolysis) to general anesthesia services and care.

Purpose.

To establish the responsibilities of Navy Medicine for the oversight, quality assurance (QA), and treatment protocols to be observed by personnel involved in the administration of anxiolysis, sedation, and anesthesia per references (a) through (h) and enclosures (1) through (8). This instruction is not applicable to care delivered within the specialty of Anesthesiology, the practice of Certified Registered Nurse Anesthetists (CRNAs), or sedation of mechanically ventilated patients in intensive care settings. This instruction is a complete revision and should be reviewed in its entirety.