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Registered Nurse Endoscopy

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Procedures

Assist with EGDs *

Assist with Endoscopic Ultrasound *

Assist with Active GI Bleed *

Cautery Devices *

Assist with Manometry Studies *

Assist with Variceal Banding *

Assist with Esophageal Dilatations *

Assist with Esophageal Ballooning *

Assist with Sclerotherapy *

Assist with TEE *

Assist with Bronchoscopy *

Assist with Colonoscopy *

Assist with Polypectomy *

Assist with ERCPs *

Assist with PEG Placements *

Assist with Liver BX *

Assist with Collection of Hot & Cold BXs *

Specimen Collection & Labeling *

Set Up of Scopes & Video Equipment *

Apply External Abdominal Pressure to Assist with Scope Movement *

Scope Cleaning *

Assist with Mobile Cases, ICU, ER, etc. *

Radiation Safety *

Automated Medication Dispensing System, Pyxis, Omnicell, or Other *

Takes Call for Emergency Cases *

National Patient Safety Goals *

Awareness of HCAHPS *

Accurate Patient Identification *

Effective Communication *

Interpretation & Communication of Lab Values *

Medication Administration *

Labeling (Medications & Specimens) *

Anticoagulation Therapy *

Monitoring Conscious Sedation *

Pain Assessment & Management *

Infection Control *

Isolation *

Minimize Risk for Falls *

Prevention of Pressure Ulcers *

Use of Rapid Response Teams *

Administer Conscious Sedation

Fentanyl *

Propofol *

Demerol *

Presedex *

Versed *

Reversal Agents *

Pre Procedure

Pre Procedure Phone Calls *

Electronic Documentation *

Patient Assessment *

Colon Prep or Re-Prep *

Pre Procedure Checklist/Consent *

IV Start, Med Admin *

Post Procedure

Assess for Air Movement Post Colonoscopy *

Assess for Pain *

Assess for Bowel Sounds *

Assess for Gag Reflex Post EGD *

Assess for Gag Reflex Post Bronchoscopy *

Recover from MAC *

Recover from (Moderate) Conscious Sedation *

Discharge Outpatients to Home *

Post Procedure Phone Calls *

Age Specific

Newborn/Neonate (Birth-30 Days) *

Infant (31 Days-1 Yrs) *

Toddler (2-3 Yrs) *

Preschooler (4-5 Yrs) *

School Age (6-12 Yrs) *

Adolescents (13-18 Yrs) *

Young Adult (Ages 22-39 Yrs) *

Middle Adults (40-64 Yrs) *

Older Adult (Ages 65-79 Yrs) *

Elderly (Ages 80+ Yrs) *

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