Leaving the emergency room for endoscopy - page 2

Hey all! Just wanting to introduce myself and talk about endoscopy. I'm going to be starting a new position in the field in the next two or three weeks. I'm pretty excited - I shadowed for a... Read More

  1. Visit  brandyo123} profile page
    0
    I worked for 4 years in a busy out/inpatient endo unit in a hospital, and I loved it. Endoscopy is truly an interesting field, and I think you will get out what you put in. There is a lot to learn, and the field changes a lot. I was also able to become a float in the department, after I learned pre-op, post-op and PACU, and gained more valuable skills that way. I do think that if you haven't already, you should definitely research the unit and figure out what they're really all about (i.e.: hours, holidays, etc.). I ended up leaving endo recently for all the reasons you seem to think you'll be leaving behind in the ER: non-stop politics, horrible hours, crappy management, incompetent physicians, etc. The endo unit was supposed to be 4 10-hour shifts, but we were chronically understaffed and had to take call, so I was frequently putting in 14-16 hour days. Also, since the schedule was solely census based, we were staffed daily -- meaning I didn't know what time I was coming to work the next day until the previous afternoon/evening. I could be staffed at 0530, or not until 1200. That kind of work environment was not conducive to a happy life, so I got out. The 3 12-hour shifts without call that I work now are such a welcome change!

    As for being "clique-y," you have to learn to work really closely with your co-workers and be part of a team. If one member of the team fails, literally you all fail. You depend on one another to make the unit flow smoothly. I also think endo nursing is very unique, and a type of nursing that you can only understand after you enter the field, so that may also contribute to what people perceive as "clique-y."

    I know that not all endo units are as dysfunctional as mine was -- I would just encourage you ask as many questions as possible before you commit! Definitely shadow there also. Good luck to you!
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  3. Visit  yrmajesty3} profile page
    1
    Nurses nurturing nurses....I love that! Thank you all so much for your pearls of wisdom !!!
    I especially appreciated knowing more of what the patient experiences per Brillohead....muchas gracias. I LOVE your nursing intervention of "cloth-in-crack"...lol! (So simple yet so effective. I wonder why I haven't seen this offered yet.)

    Having never undergone these types of procedures myself, it's INVALUABLE to hear a "nurse-as-patient" perception. I also agree with you that I would be best served by observing each procedure now that I am a little more comfortable in the unit. My unit manager has agreed to allow me the time to do exactly that.
    brillohead likes this.
  4. Visit  Georgia peach RN} profile page
    0
    I work in a small out patient clinic where the GI lab is also located, we do GI 3 - 4 days a week, we see aprox 25- 30 patients a week in our small GI lab. I am and LPN soon to sit for my NCLEX RN, I have done preop, assisted with the scopes, and assisted an RN in the recovery area. the flow of our pts are:
    1 patient arrives
    2 pt signs all consents and discharge instructions, review all home medications, time out is started
    3 pt changes into a gown and placed on a stretcher, IV is started and LR is up
    4 procedure with sedation by a CRNA we use diprovan to sedate
    The nurse assisting also fills out all relevant paper work to the procedure, label specimens, and at end of day deliver all specimens to Lab.
    5 recovery

    we have one nurse in preop, one nurse in the procedure room, one nurse and a CNA in recovery room, one nurse in the clean room cleaning scopes with evotech, and one nurse to float to assist where needed between the four.

    We do any where from 5 to 20 procedures in a day. We are very busy, we are a team. If one doesnt pull their weight then everyone else feels it. Cliques --- I dont know we are a close bunch if one is hurting we all hurt for them, we pull together and act like a family.

    I also work in our ER part time when there are staffing issues I find that both are very stimulating.

    Medications we use in the GI lab -- we might give a little glucogon, zofran for the occasional nausea

    It can be just as stressful as ER at times - GI bleed.....

    in short I love Gi nursing
  5. Visit  brillohead} profile page
    0
    Quote from yrmajesty3
    Nurses nurturing nurses....I love that! Thank you all so much for your pearls of wisdom !!!
    I especially appreciated knowing more of what the patient experiences per Brillohead....muchas gracias. I LOVE your nursing intervention of "cloth-in-crack"...lol! (So simple yet so effective. I wonder why I haven't seen this offered yet.)

    Having never undergone these types of procedures myself, it's INVALUABLE to hear a "nurse-as-patient" perception. I also agree with you that I would be best served by observing each procedure now that I am a little more comfortable in the unit. My unit manager has agreed to allow me the time to do exactly that.
    I'm so glad that my perspective was helpful to you!

    As I said, I'm an old pro at EGDs now, plus I've gone the other end as well. If there's anything I can help you with from the patient's perspective, please feel free to ask -- I'm subscribed to this thread, so I'll know when there's a new post here.
  6. Visit  lcornett007} profile page
    0
    cadency-

    Your story sounds identical to mine!!! I have been in the ER for 3+ years and desperately wanted a change. I will be starting in an outpatient endoscopy lab in a few weeks!! I am so excited. I have two great friends that work there, and they love it!! One was a prior med-surg nurse and the other worked at a long term acute-care hospital. I hope everything is going well for you!! How do you like it? Any tips for me? Thanks!!


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