Overtime Mom

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 threatenin...

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 weeken...

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!!

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. La...

Most Gastroenterology labs, at least inpatient, also have to assist with bronchoscopies. Does your endoscopy team come in during the night even for emergent bronchoscopies in the ICU? Does the pulmonologist wait on you to get there or does he get ...

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

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...

Thanks so much for the information.

Thanks so much for the feedback!

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 guideline...

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

Thanks so much for the feedback!

As a department specific clinical educator you are destined to find mistakes made by staff during your daily work. Are you expected to report these to the unit manager? How do you decide when to report and when not to report an error? What do you...

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 ...

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...

Have any of you had experience with the Ambu Ascope3 Disposable Bronchoscopes? Our Respiratory Department is looking at this as an alternative to the pulmonologist calling us in during the night. This is the link : [COLOR=#0000ff]http://www.ambuusa...

Thank you so much for the response!

Thank you!

If you were promoted from a staff position to the professional/clinical educator position in your department, did you experience a different relationship with your coworkers, (us verses them) or were you able to maintain the same level of comradery w...

Thanks so much for the response. We don't have residents as we are not a teaching hospital but we do have O.R. staff in the building 24 hours a day so that is a good suggestion for them to clean the scope. Thanks so much!!!

Thanks for your response GiDiva2012! Some other thing I heard about this week are: 1. Precise measuring of the detergent put into the sink for manual cleaning of scopes. Does it follow the detergent's recommendation? 2. Not writing open and expi...

Thank you so much for the encouraging words. I really hope it goes that smoothly for me too.

Thanks so much!