We have anesthesiologists or CRNA, RN, GI tech, and GI doc in every room. The RN charts, handles specimens, pulls supplies, assists with monitoring pt (suctioning airway if anesthesia has hands full, etc). The tech sets up scope, uses the tools (opening/closing forceps, stripping wires for ercps). I feel that we all work as a team, and we’re short techs so us nurses have to tech regularly. I love how endo gives you the pt/family interaction in preop and recovery and the OR feel being in the procedure room, best of both worlds.