A male dentist plans to treat a female patient under intravenous sedation. Which modification is MOST appropriate?

Correct answer: A. Have a second staff member present in the operatory throughout the procedure

• A. Correct. A sedated patient is vulnerable, has impaired recall, and may experience sexual fantasy or distorted perception as a documented effect of sedative agents. The standard of care — and the protection for both patient and practitioner — is a CHAPERONE: an appropriately trained staff member present continuously from administration until full recovery and discharge. This also serves the clinical need for a dedicated monitor.
• B. A waiver does not substitute for a chaperone and would not protect either party from an allegation.
• C. Consent addresses the procedure itself. It does not eliminate the risk of misperception under sedation or the need for continuous monitoring by a second trained person.
• D. Family members are untrained, cannot assist in an emergency, and their presence in the operatory during sedation is generally not appropriate; a trained staff member is required.