A recent article in Endoscopy International raises the question, “Should the endoscopist be considered and trained like an athlete?” Although those outside the field of endoscopy might not immediately see the connection, because of the physical nature of a gastroenterologist’s job, the issue is an important one. And given the fact that one out of every two endoscopy staff will eventually suffer a work-related musculoskeletal (MSK) injury, the same question should be asked of nurses and nursing assistants.
Topics: colonoscopy, nurse, endoscopy, nursing, safe patient handling, patient safety, GI nursing, endoscopy nursing, looping in colonoscopy, endoscopist, injury endoscopist, nurse injury, endoscope, OSHA, endoscopy tech
What Is Endoscopy?
For those not immersed in the world of gastroenterology (GI), endoscopy refers to nonsurgical procedures that allow a physician to examine the digestive tract. In these procedures, a flexible tube with a small light and camera attached (an endoscope) is inserted into the mouth or the rectum. Physicians can then inspect, take pictures, and perform therapies like removing polyps and taking biopsies. The two most common endoscopic procedures are 1) upper endoscopy, which looks at the first part of the small intestine and 2) colonoscopy, which examines the lower intestine (colon).
Waiting is hating
Americans hate to wait, whether it’s for food, Internet connectivity, or a green light. So it should come as no surprise that the more time patients spend waiting to see a physician, the more dissatisfied they are. What might be surprising is that longer wait times have a negative impact on other, potentially more consequential aspects of the patient experience, specifically patients’ confidence in their physician and how they perceive their quality of care.
Topics: colonoscopy, endoscopy, screening, healthcare costs, GI nursing, endoscopy nursing, looping in colonoscopy, endoscopist, difficult colonoscopy, gastroenterologist, CRC, colorectal cancer, tortuous colon, hospital costs, patient experience, cecal intubation time, ColoWrap
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
I attended ACG 2018 to represent my company whose mission is to make colonoscopy easier, safer, and more effective . I am also the daughter of a Stage IV colon cancer survivor and watched as my father underwent chemo, numerous surgeries, and immeasurable mental and physical stress. Both professionally and personally, promoting colonoscopy is high on my priority list. It is through these lenses that I experienced the conference.
A mainstay U.S. gastroenterology event is set to take place October 5 through 10 in Philadelphia, PA: the ACG Annual Scientific Meeting & Postgraduate Course. The agenda is jam-packed with worthwhile lectures, poster presentations, hands-on workshops, plus an exhibition hall full hundreds of vendors. The choices can be overwhelming, ranging from a roundtable discussion on how to get published to a lunch session on the endoscopic treatment of patients with pancreatobiliary cancers.
For those interested in educational and networking opportunities specific to colonoscopy and colorectal cancer (CRC), the sample agenda below should come in handy.
Why would you have a sedation-free colonoscopy, when the norm is sleeping through the procedure and having no recollection of it?
Topics: nurse, endocopy, patient, screening, adenoma, polyp, Deep sedation, Propofol, Propofol for colonoscopy, patient safety, GI nursing, endoscopy nursing, endoscopist, gastroenterologist, CRC, colorectal cancer, hospital costs, patient experience
The safety and comfort of patients undergoing colonoscopy is of paramount importance to hospitals, providers, and of course, the patients themselves. But what about the physicians performing the procedure? It might be news to those outside the field, but gastroenterologists are commonly injured on the job. A review of current literature found that musculoskeletal complaints are extremely common among GIs; the incidence of pain and injuries ranges from 29% up to 89%. Another study indicated that 45% of endoscopists undergo physical therapy to combat pain, 26.8% get steroid injections, and 13.3% require surgery.