1. Nurses role in advanced endoscopy
Peggie Capecci, RN, BSN, CGRN
Lead Nurse Endoscopy
Silver Cross Hospital

2. Endoscopy is a subspecialty of Gastroenterology, dedicated to the diagnosis and treatment of digestive diseases, using endoscopic procedures.
Advanced Therapeutic Endoscopy is a specialty within a specialty.

3. Medical Treatment
Advanced
Endoscopy
Surgical
Intervention

4. TRUST
COMMITTMENT
KNOWLEDGE
RESPECT
COMMUNICATION

5. Physician ↔Nurse SYNERGY!!!

6. Physician ↔ Nurse SYNERGY!!!
“The interaction or co-operation of two or more……to produce a combined effect greater than the sum of their separate effects”

7. Silver Cross Endoscopy Special Forces

8. Anesthesia
Pathology
Pathology
Radiology

9. Are You in the Know? Know your equipment Manufactures recommendations
Set up / Take down
Properly functioning
Trouble shooting
When to call for repair
Saves the department on costly repairs

13. Know your product.... Sphinctertome from catheter
5-4-3, from UTS, from swing tip
Short wire system from long wire system
Balloons from baskets
.018, .021, .025, .035 wires
Most wires are hydrophilic
FLUSH YOUR WIRES!!!!
Know what you’re priming and what your flushing
FLUSH YOUR WIRE PORT!!!!
PRIME YOUR CONTRAST PORT!!!!
Don’t get caught in a “sticky” situation
Know your vendor, love your Rep

15. Know Your Patients… Review the History and Physical
Know why you’re performing the procedure
ERCP for SOD
ERCP for Cholangiocarcinoma
EUS for Pancreatitis or for staging
FNA for cyst or tumor

16. Communicate

17. Knowing the why behind the procedure will help you interview your patient, as well as know what their mental state may be when you enter the room.

19. Intra procedure…. Have room therapeutic ready
Have products in the room, organized and ready to go
Have equipment checked and ready to go
Base what you have in the room on the cases you’ll be doing that day

20. Proper wire exchanging technique
When and how to strip the short wire
Advancing with the long wire
COMMUNICATE, COMMUNICATE!!
Proper wire exchanging technique
Separates the men from the boys and the women from the girls.

21. Know Your Location
You Are Here

22. Anticipate Your Next Move

23. EUS-FNA Know the different types of needles Have supplies in the room
Know the where and why of the FNA
Notify pathology in a timely manner
Having PATH in the room is safer practice for the patient (ROSE)
Extra pair of experienced hands is always helpful
COMMUNICATE, COMMUNICATE

26. Having Pathology in the room helps to ensure….
Adequate Sample &
Preliminary Diagnosis

27. Post Procedure… Thorough report
Be attentive to physician’s post op instructions
Potential complications include
Perforation
Pancreatitis
Infection
Bleeding

28. Y’all be back in 15

29. Video
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