I am also an Endo RN. We get a baseline, then monitor the patient q 5 or 10 minutes, depending upon the nature of the procedure, i.e. Sig, Colon, EGD, Bronch, ERCP. Obviously, if the patient is unstable, or highly advanced in years with multiple health problems, common sense dictates that you monitor more frequently. Our policy states VS q 5 - 10 minutes throughout the procedure, unless unstable.
Joint Commission is looking for consistency between your policy and your documentation. Have you assessed thoroughly pre, intra, and post-procedure (allergies, H & P, ASA scores pre and post, etc.) IV access until discharge, reversal drugs ready and available, emergency equipment ready and available, airway and B/P management with all equipment available, and the list goes on, and on, and on, and on.
If documention on the patient record shows evidence of continued assessment, education, diagnosis, outcome identifications, planning, implementation, and evaluation of patient care, and these are all consistent with your hospital's policies, you should be O.K. with JC. Providing of course the policies make sense.
Pain assessment is a big one which we will be working on this year, as we have heard through the grapevine Joint will be concentrating on it in a big way.
Another big question is care plans
for ENDO, with all the procedures we do, and all the potential patient complications that might arise.
Have a good one!