Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Gastroenterology Nursing /

A few questions ???



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,523 members! Join today to network with other nurses, laugh, share, and much more.

Oct 14, 2002 10:50 AM

A few questions ???


I am new to GI nursing and have a few questions I'd like to ask. First of all I am not an RN , I am an EMT and a MA who is new to the medical field. I have transferred from the telemetry unit to the endoscopy unit and I am enjoying the move. I am working as 1st assist in procedures and find the work very interesting. I have done alot of research and am trying to become a good GI person. Now that you know a bit about me let me get to my questions : ) Please keep in mind that I am NOT an RN so there may be many things out of my scope (no pun intended ) of practice. Do 1st assist in your area spray pts. prior to EGD procedure ? One of the nurses in the unit feels that since I am not an RN I should not be allowed to do this what are your thoughts ? It seems that this is the only person that feels that this is a medication and since I am NOT an RN I should not be allowed to spray although I did it for about 3 weeks before this was brought up. I have no idea what the pay scale for NON RN persons in this position should be making , would anyone care to comment on pay rates for 1st assist ? And last but not least how do RNs feel about techs performing as 1st assist ? Thanks for reading my post. Jacqueline


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
6 Comments
No. 1
from EndoRN
Old Oct 14, 2002, 12:00 PM

1. I am fine with techs assisting the doctor! As long as you've been trained properly. It doesn't take an RN to do biopsies, etc. Where I work, the RN's are required to do the tattoing, injecting epi and so on, though.

2. We actually don't spray the patient's throats (or have them swish lido) where I work. This is because we have anesthesia sedation which is deep enough that they seldom gag or have problems. We also found that the spray more often than not just caused a lot of coughing from vocal irritation. I guess I would have to say it should be an RN job to do the spray, though. Not that it's that difficult, but it IS a medication so........

3. As for the pay scale, couldn't tell you! I have no clue what our techs make???? If I had to hazard a guess I'd say maybe around $10/hr???? I'm just guessing, though!!

Good luck! Welcome to GI. I've been doing it for almost 4 yrs. I really love it.

Amy
Top
 
No. 2
from patsue53
Old Oct 16, 2002, 09:37 PM

In our endo lab we have LPN's who assist the physician. They spray the patient's throats because it is within their scope of practice to administer meds that aren't IV. I guess it depends on the laws in your state, but cetacaine spray (or lidocaine or whatever caine you use) IS a medication. So, if it is within the laws or your state for you to administer medication I don't see a problem as long as you are educated in the contraindications and potential side effects of the drug. If you are not allowed to administer meds then you shouldn't be doing it. There are potentially serious complications from these sprays i.e. anaphylaxsis and methemaglobanemia.

If I were you I would check the laws and policies. If you are not supposed to be administering medication then by all means insist that the RN spray.
Top
 
No. 3
from jburris
Old Oct 30, 2002, 10:21 PM

In our unit we allow techs to spray the throat and push the epi., etc. under the direction of the physcian and the RN. They have competencies and are very capable.
We love our techs. in our department but it has been difficult for the RNs to give up the hands on technical role. Their role is to monitor and assess the patient .
Good luck, have been in endo for over 20 years and still love it.
Top
 
No. 4
Old Nov 16, 2002, 08:44 AM

Thank you for your answers to my post. It seems that different areas of the country have different rules according to where you have said you are located. I am still learning so much and I do like the work . I suppose that the best thing for this ole gal to do is bite the bullet and get into nursing school. Geez is 45 too old to try to keep up with all the kids out there LOL ? Again, thanks for the replies.

Jacqueline
Top
 
No. 5
from EndoRN
Old Nov 16, 2002, 12:10 PM

Too old? No way! Do whatever you want to do!
I've thought about going back for my BSN, but have decided against it. I'm pretty happy w/my lot in life right now. I like my job and want to stay there. Obtaining a BSN wouldn't get me any more money at this point! Plus working part time as a fitness instructor in addition to my full time AND my four kids leaves little time, so......LOL!
But, if going to nursing school is something you want to do it, do it! There will a job for you anywhere you want to go!
Good luck!

Amy
Top
 
No. 6
Old Dec 03, 2002, 01:14 AM

I'm in nursing school right now... and, I can tell you that 45 is NOT too old. I, myself, am 26... but, one of my good friends in the course is turning 42 this week, and another is 44. In fact, there is a woman in my program who has been a CNA for 7 years, and now has decided to go to nursing school. she is 59, and will be 60 soon. In fact, i'm one of the younger students in my program. Most are in their early 30's (average) where I am in school. So, 45 is certainly not too old!

Good luck to you.
Top
 
Reply




Thread Tools


Who's Online
414 members
3,661 guests
4,075

0

Patient Evaluation of Retail Clinic Care

0

The hard to reach on-call doctor, and its effects on...

3

Woman charged with passing off prescription drug as...

8

Man in "Vegetative State" was conscious for 23...

2

Interesting article on ThedaCare's Collaborative Care Model

7

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

10

Really interesting article on Indian open hearts

10

High-Tech Pump Does What Her Heart Can't

6

Air Force RN Found Not Guilty



1

Society Needs Care Too

12

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: