Staffing at Ambulatory Endoscopy Centers in the United States: Practice, Trends, and Rationale
Background. Endoscopy nurse (RN) has a pivotal role in administration and monitoring of moderate sedation during endoscopic procedures. When sedation for the procedure is administered and monitored by an anesthesia specialist, the role of an RN is less clear. The guidelines on this issue by nursing...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2018/9463670 |
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| _version_ | 1832563239713505280 |
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| author | Deepak Agrawal Rajeev Jain |
| author_facet | Deepak Agrawal Rajeev Jain |
| author_sort | Deepak Agrawal |
| collection | DOAJ |
| description | Background. Endoscopy nurse (RN) has a pivotal role in administration and monitoring of moderate sedation during endoscopic procedures. When sedation for the procedure is administered and monitored by an anesthesia specialist, the role of an RN is less clear. The guidelines on this issue by nursing and gastroenterology societies are contradictory. Methods. Survey study of endoscopy lab managers and directors at outpatient endoscopy units in Texas. The questions related to staffing patterns for outpatient endoscopies and responsibilities of different personnel assisting with endoscopies. Results. Responses were received from 65 endoscopy units (response rate 38%). 63/65 (97%) performed at least a few cases with an anesthesia specialist. Of these, 49/63 (78%) involved only an endoscopy technician, without an additional RN in the room. At 12/49 (25%) units, the RN performed tasks of an endoscopy technician. At 14/63 (22%), an additional RN was present during endoscopic procedures and performed tasks not directly related to patient care. Conclusions. Many ambulatory endoscopy units do not have an RN present at all times when sedation is administered by an anesthesia specialist. An RN, when present, did not perform tasks commensurate with the education and training. This has implications about optimal utilization of nurses and cost of performing endoscopies. |
| format | Article |
| id | doaj-art-b5546825ac4c4812b9a294ba0c95b5ef |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-b5546825ac4c4812b9a294ba0c95b5ef2025-02-03T01:20:42ZengWileyGastroenterology Research and Practice1687-61211687-630X2018-01-01201810.1155/2018/94636709463670Staffing at Ambulatory Endoscopy Centers in the United States: Practice, Trends, and RationaleDeepak Agrawal0Rajeev Jain1Department of Medicine, Division of Digestive and Liver Diseases, University Texas Southwestern Medical Center, Dallas, TX, USATexas Digestive Disease Consultants, Dallas, TX, USABackground. Endoscopy nurse (RN) has a pivotal role in administration and monitoring of moderate sedation during endoscopic procedures. When sedation for the procedure is administered and monitored by an anesthesia specialist, the role of an RN is less clear. The guidelines on this issue by nursing and gastroenterology societies are contradictory. Methods. Survey study of endoscopy lab managers and directors at outpatient endoscopy units in Texas. The questions related to staffing patterns for outpatient endoscopies and responsibilities of different personnel assisting with endoscopies. Results. Responses were received from 65 endoscopy units (response rate 38%). 63/65 (97%) performed at least a few cases with an anesthesia specialist. Of these, 49/63 (78%) involved only an endoscopy technician, without an additional RN in the room. At 12/49 (25%) units, the RN performed tasks of an endoscopy technician. At 14/63 (22%), an additional RN was present during endoscopic procedures and performed tasks not directly related to patient care. Conclusions. Many ambulatory endoscopy units do not have an RN present at all times when sedation is administered by an anesthesia specialist. An RN, when present, did not perform tasks commensurate with the education and training. This has implications about optimal utilization of nurses and cost of performing endoscopies.http://dx.doi.org/10.1155/2018/9463670 |
| spellingShingle | Deepak Agrawal Rajeev Jain Staffing at Ambulatory Endoscopy Centers in the United States: Practice, Trends, and Rationale Gastroenterology Research and Practice |
| title | Staffing at Ambulatory Endoscopy Centers in the United States: Practice, Trends, and Rationale |
| title_full | Staffing at Ambulatory Endoscopy Centers in the United States: Practice, Trends, and Rationale |
| title_fullStr | Staffing at Ambulatory Endoscopy Centers in the United States: Practice, Trends, and Rationale |
| title_full_unstemmed | Staffing at Ambulatory Endoscopy Centers in the United States: Practice, Trends, and Rationale |
| title_short | Staffing at Ambulatory Endoscopy Centers in the United States: Practice, Trends, and Rationale |
| title_sort | staffing at ambulatory endoscopy centers in the united states practice trends and rationale |
| url | http://dx.doi.org/10.1155/2018/9463670 |
| work_keys_str_mv | AT deepakagrawal staffingatambulatoryendoscopycentersintheunitedstatespracticetrendsandrationale AT rajeevjain staffingatambulatoryendoscopycentersintheunitedstatespracticetrendsandrationale |