The American Academy of Pediatrics (AAP) has established safe practice guidelines to manage conscious sedation without an anesthesiologist for minor procedures. These AAP criteria include (1) a full-time licensed clinician (nurse, physician, physician assistant, surgeon assistant, respiratory therapist) who is strictly and exclusively monitoring the patient's breathing, level of consciousness, vital signs, and airway; (2) standard procedures for monitoring vital signs; and (3) immediate availability (on site) of airway equipment, resuscitative medications, suction apparatus, and supplemental oxygen delivery systems.
Ann, you need to be careful receiving unemployment benefits. A person receiving unemployment benefits is essentially certifying that they are ready, willing and able to work. The disability carriers often use this against claimants. With regard to the eye test, you should write the carrier and ask for clarification as to the type of testing that they are seeking. If you cannot afford it, then you need to tell them that as well. If you doctor states that there is no acuity test that will be helpful, then you should get a letter from the doctor stating this information and send it to CIGNA. You must comply with the appeal deadlines CIGNA has provided. If you would like assistance with your claim, please contact us.