Overtime Mom

Thanks everyone. We have become a regional hub for out lying smaller hospitals and are getting acute GI Bleed and ERCP transfers. Sometimes more than one nurse can handle, therefore the backup call "just in case". We only take call every 12th weekend now so one extra back up call would not be so bad. I think the young nurses are overreacting but I have concern more for the patients and my coworkers with these sicker patients than whining over one weekend of backup call needed to support the team.

Can hospitals require you to do "extra" on-call shifts? We've been asked to start doing a "Back Up" call weekend in addition to the "1st Call" weekend we already do. That means twice as many on-call weekends. Some of the younger nurses are threatening to quit because they don't want to do the extra call.

Do any of you use Steris/Us Endoscopy disposable Endoscope buttons and if so, are you satisfied with their performance???? Thinking of switching to these buttons in our department.

Thank you!!

Thanks so much for your response! Do you store your Savory Dilators vertically? Possibly in something like this? Dilator Storage - Swinson Medical

Would like to know how your Endoscopy Lab stores their Savory Dilators. Recent Joint Commission Surveys have cited facilities for storing them flat in the carrying case. Reason: 1. Should hang vertical to allow draining/drying of wire channel 2. Lack of sanitization of the carrying case. Are any of your labs storing vertically? If so, by what means? Also, traceability: Do you keep a reprocessing tag on each dilator and place in the patient record like your endoscopes? Need ideas/suggestions! Thanks for your responses!!!!

Thanks so much for the information.

Thanks so much for the feedback!

I found an answer in one of SGNA's publications with their position statement on placement of PEG tubes. STERTILE PROCEDURE!!!!! https://www.sgna.org/Portals/0/Education/PDF/Position-Statements/PEGPlacementPositionStatement.pdf

Can anyone direct me to literature that states whether sterile or just clean technique should be used during endoscopic pull through PEG tube insertion? I have checked the Endovine package insert, SGNA, AORN(on line search), ASGE practice guidelines, Association of Professionals in Infection Control and a general google search and I cannot find any verbage specifying which should be used. Please Help!

Thanks so much for the feedback!

I agree. Yes, I will ask her to do that! Thanks!

Yes, I definitely have some of those personality types in the department. I guess when I start the position (in the near future), when it is announced, I will tell them collectively that my job is to educate and remediate but also let them know what the Director expects me to report. I will just have to remember what you said about having a thick skin when certain nurses accuse me of "picking" on them. Thanks so much for the advice and encouragement!

Yes, we are encouraged to do self reporting of errors and most do but there are a couple that feel like the Director "doesn't like them" and fear being reprimanded. These are the same ones who have repeated mistakes. They accuse the charge nurses of "picking" on them and not reporting everyone who makes errors. Like you say, my best bet is to talk to the Director about her expectations of me in this situation and stick to policy. Thanks so much for the response/advice!

I work in the Endoscopy Lab and we get called in during the night for emergent bronchoscopies by the Pulmonologist. Often times the House Supervisor has retrieved the bronchoscope cart for them, due to the urgency of the situation, and the procedure is over by the time we get there. We still have to clean and process the scope within 1 hour to stay in compliance with endoscopy standards. Our Respiratory department is looking into disposable bronchoscopes so they don't have to call us or wait for us to come in if non-emergent. Do any of you have experience with these disposable scopes? They are reportedly around $300.00 each and the monitor/software around $2500.00. This is the link to the product: [COLOR=#0000ff]http://www.ambuusa.com/usa/products/clinical_studies/ambu%C2%AE_ascope.aspx[/COLOR]