Nurses advancing endoscopes - page 4

I am interested to find how how many places advance the endoscopes for the Dr.'s, both EGD and Colon. I work with surgeons and GI doc. We have 1 surgeon that can not manipulate the scope and... Read More

  1. by   GI Jackie
    I am a GI nurse at a hospital and have been for seven years. We have a couple of surgeons and a GI doc that do our scopes. We push the scopes for our surgeons but not for the GI doc. I can see why someone would be hesitant to start this practice and if the docs dont want you to push the scope, I wouldn't volunteer. That said, I have no reservations pushing the scopes for our docs. We did research on this to make sure or facility was in line within the nurses scope of practice. Currently in Oklahoma we could not find anything in the state nurse practice acts that would contraindicate this practice. The SGNA or Society of Gastroenterolgy Nurses Assoc., there is position statement on their website stating that with proper training and experience, pushing the scope is an accepted practice. I agree with a previous post that I feel the procedures go more quickly and smoothly because the docs have both hands on the controls of the scope. To me, it is no different than the doctors surgical assistants in the OR that assist parts of the surgeries with the doctors direct supervision.
  2. by   tldawson74
    Quote from lmbv55
    I am interested to find how how many places advance the endoscopes for the Dr.'s, both EGD and Colon.

    I work with surgeons and GI doc. We have 1 surgeon that can not
    manipulate the scope and advance the scope at the same time.
    This Dr. has recently returned to work after an absence and since we have not had to advance scope since he has been gone we are reluctant to do so now.

    As one of our GI doc's said "who ever is driving the scope is doing the exam" and we are not sure we want to be "drivingtthe scope.

    So ,is it common practice for nurses to drive the scope for docs?

    Thanks,
    LMBV
    I work at a hospital endo dept and the techs are the ones advancing the scopes while dr manipulates the scope. the tech also does the assisting with biopsies,etc...
  3. by   guntbr1
    All of ours nurses and techs are taught to pass the scope.
  4. by   bbarbie1
    Thanks--I've just learned one more question to ask before my next colonoscopy--do nurses or techs "push" the scope? Frankly, I don't see how that can be a good idea. Only the person operating the controls can really know how far, how fast, how much to turn, etc., and another pair of hands just cannot react as quickly. I would definitely not feel comfortable in that situation. Kind of like one person steering the car, and another running the accelerator. Gives me the shivers. There are enough questionable aspects to this procedure, let's not add yet one more.
  5. by   katyRN111
    any one please give some inforamation about MARS machine. How it work
  6. by   core0
    Quote from katyRN111
    any one please give some inforamation about MARS machine. How it work
    Are you talking about:Molecular Adsorbents Recirculation System (MARS)?

    Not sure what this has to do with nurses advancing endoscopes.

    David Carpenter, PA-C

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