When asked to identify dangerous occupations, most people would not rank healthcare workers high on their lists. Yet the healthcare industry records 6.4 injuries per 100 workers compared with 3.3 per 100 workers for all other industries combined, including professions like firefighters and construction workers. In addition, as many as 50% of injuries may go unreported by healthcare workers.
An article in the latest issue of The International Journal of SPHM (Safe Patient Handling and Mobility) investigates a significant but rarely publicized problem—musculoskeletal disorders (MSDs) among endoscopy nurses and technicians. “Endoscopy Staff Injury: A Serious Problem Hiding in Plain Sight” provides specifics on the extent, nature, and root causes of endoscopy staff MSDs and includes data compiled from various studies.
Looping occurs in 90% of all colonoscopies. It is the main cause of patient pain and failed and prolonged procedures. Yet the concept of looping can be hard to grasp and even harder to visualize.
This short video illustrates WHAT looping looks like and WHY it happens.
She’s an endoscopy technician with over 30 years of experience. She loves her job, but not the pain and injuries that come along with it.
Research consistently shows that the adenoma detection rate (ADR) is higher the more time spent withdrawing the scope. In fact, a presentation at the 2018 meeting of the American College of Gastroenterology indicated a significantly higher adenoma detection rate when the withdrawal time in the right colon was greater than three minutes. The reverse is true as well; in a review of 76,810 screening colonoscopies, faster withdrawal times were independently associated with lower ADRs.
Topics: endocopy, adenoma, abdominal pressure colonoscopy, looping in colonoscopy, endoscopist, difficult colonoscopy, gastroenterologist, CRC, colorectal cancer, tortuous colon, cecal intubation time, withdrawal time
All physicians want to provide superior care for their patients, but practicing medicine today can be complicated. In the last decade, doctors have been tasked with navigating new technologies, government mandates, and payment guidelines, all of which can detract from caring for patients.
Topics: endocopy, screening, adenoma, safe patient hadling, abdominal pressure colonoscopy, looping in colonoscopy, bowel prep colonoscopy, endoscopist, difficult colonoscopy, gastroenterologist, CRC, colorectal cancer, tortuous colon, injury endoscopist, GI injury, nurse injury, patient experience, women in GI
The Definition of “Difficult”
A difficult colonoscopy is one “in which the endoscopist has trouble getting through the entire colon or fails to do so,” said Dr. Jerome Waye, in an interview with the journal Gastroenterology & Hepatology. Difficult colonoscopies are problematic because they can result in longer-than-expected procedure times, incomplete procedures, and higher risks.
What is looping?
During colonoscopy, looping is a frequent challenge. It occurs when the colonoscope stretches and distends the colon in response to the physician’s efforts to advance the scope forward. Typically once a loop has formed, it must be straightened before the procedure can continue. Looping is most common in the sigmoid colon, although it can occur anywhere the scope encounters a barrier.
An alpha loop in the sigmoid colon (Sages Image Library)