LibraSun

Latest Activity

1. Pre-endoscopy check/ Use of Alcohol

   LibraSun replied to JEEMA's topic in Gastroenterology

   Like EndoNurse, we use water (but sterile, because the tap water here can be hard and may cause mineral buildup in the scope)to flush/check the channels. We use an alcohol flush after cleaning to aid in drying. Because isopropol alcohol can cause de...

2. Can you go to endoscopy unit fresh out of nursing school?

   LibraSun replied to paula77720's topic in Gastroenterology

   The direct answer to your question is: Our endoscopy unit requires critical care experience and ACLS certs. Although we work in the hospital, we are independent in that we don't have RTs around or EKG techs or an IV team, etc so we have to be able ...

3. recent colonoscopy experience

   LibraSun replied to mat/childnurse's topic in Gastroenterology

   That is the answer.....

4. recent colonoscopy experience

   LibraSun replied to mat/childnurse's topic in Gastroenterology

   Will tell you why later, but I want to ask you : Are you a redhead? (NO, I wasn't there at the procedure!)

5. How do u clean the scope taken out from the pt's mouth (which has to be reinserted).

   LibraSun replied to JEEMA's topic in Gastroenterology

   Hmmm....we DON'T clean it--assuming it is going back into the same patient!! Our scope table is clean where we put the bander on (the scope was just lying there BEFORE we put it in the pts mouth). We use clean gloves and the bander is new and supp...

6. Please tell me your opinion

   LibraSun replied to paula77720's topic in Gastroenterology

   Staffing is an important factor here. You should be given breaks every 2 hours or so (there is a law about getting breaks, you know). Our unit has a charge nurse who acts as relief for breaks and lunches. And Yes, endoscopy suites are danged busy p...

7. The Case of the Green Poop

   LibraSun replied to Browneyedgirl's topic in Gastroenterology

   Guys, I think you should check with your ped Doc. These are abnormal bowel movements and should be discussed with the PCP--not in an online message board. We all know possible causes of stool changes, but we don't know the little patients. It is ...

8. Call Pay

   LibraSun replied to ENDOgal's topic in General Nursing

   $4.50/hr oncall 1.5X base hourly if called in w/ 2.5 hour guarantee. OR/GI oncall.

9. Propofol

   LibraSun replied to czipp's topic in Gastroenterology

   I agree that propofol can cause hypotension, respiratory depression and loss of protective reflexes--as does demerol, fentanyl and versed given in quantities that some GI docs request for 'sedation'. We get unexpected responses from our 'sedation' ...

10. Do U Apply Abdominal Pressure During Colonoscopy?

    LibraSun replied to JEEMA's topic in Gastroenterology

    It can be exhausting with people with difficult turns or Drs with less skill, FOR SURE! My boss and I even thought up a compression device, but it seems someone else patented our idea in 1997, but didn't do anything with it!! dang! I wonder if anyo...

11. how may procedures per day

    LibraSun replied to ENDOgal's topic in Gastroenterology

    We have 2.5 rooms (.5 is so small we only use it in a pinch!) and do 12-16 egd/colon per day except Tuesday morning when we are closed and only do 6-8 procedures in the PM. We only do 2-3 ERCPs a week and sometimes none. But there are lots of GI docs...

12. post colonoscopy position

    LibraSun replied to JEEMA's topic in Gastroenterology

    What is the theory behind putting in a rectal tube? That the pt can't pass the air naturally? How do you decide who gets one? I am incredulous that a healthy person would need (let alone tolerate) a rectal tube for a routine colonoscopy. Do you t...

13. Nurses advancing endoscopes

    LibraSun replied to lmbv55's topic in Gastroenterology

    I have to agree with the comments of MLL, If the GI doc routinely needs to have the nurse advance the scope, then they need some remedial training!! I would definitely check with my state nursing board about doing that. That just seems unsafe. It ...

14. Docs don't allow enough time to sedate

    LibraSun replied to Scopette's topic in General Nursing

    Propofol (Diprivan) is an IV sedative-hypnotic. It is rapid acting and rapid clearing. Currently used almost exclusively by CRNAs and Anesthesiologists. Use is begining to expand to specially trained and supervised RNs. Illegal? Are you referring ...

15. post colonoscopy position

    LibraSun replied to JEEMA's topic in Gastroenterology

    Wow! Rectal Tubes????? That seems extreme!! I have had 3 colonoscopies by 2 different GI doctors and suites and I have never been placed in any position but supine. Who takes the rectal tube out? and when? Does the pt wake up with the tube still...