Objective To explore the experiences and needs of children and their families during procedural sedation in outpatient settings, so as to provide references for optimizing pediatric sedation service processes and improving patient experiences.Methods From December 2024 to February 2025, 30 children undergoing outpatient procedural sedation and their caregivers were enrolled.Non-participatory observation was employed to track and document the entire sedation process.Then a descriptive qualitative study was designed to conduct semi-structured interviews among 14 caregivers, and content analysis was used to analyze the interview data.Results Based on clinical phases,26 themes on needs of children and their families during procedural sedation in outpatient settings were summarized and categorized into four dimensions （tasks, emotions, satisfactions, and pain points）, and a patient journey map was developed.Conclusion The experiences and needs of children and their families during procedural sedation in outpatient settings can be understood through a patient journey map, and the multidimensional challenges and requirements can be identified, and it can provide a reference for improving the sedation service process.