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.
There is no doubt that the partial government shutdown, the longest in US history, is having a detrimental effect on the 800,000 Federal government employees and their families. In response to the crisis, some furloughed workers have gone to extreme measures; thousands have created GoFundMe pages to help pay for necessities like food, childcare, and medicine.
Put yourself in their shoes. Now imagine that you have cancer.
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: colorectal cancer, CRC, colonoscopy, screening, ColoWrap, cecal intubation time, patient experience, hospital costs, tortuous colon, gastroenterologist, endoscopy nursing, GI nursing, endoscopist, looping in colonoscopy, healthcare costs, difficult colonoscopy, endoscopy
Nurses who handle patients on a regular basis are likely to get injured, sooner or later. According to the U.S. Bureau of Labor Statistics, nursing has the highest rate of nonfatal occupational injuries of any profession, (yes, even higher than construction workers or factory employees), and an American Nursing Association survey revealed that 62 percent of nurses indicated that the risk of developing a disabling musculoskeletal disorder was a top health and safety concern.
If Colonoscopy Is the Gold Standard, Why Is Compliance So Low?
In 2018, 50,630 people in the United States will die of colorectal cancer, according to the American Cancer Society. It is the third leading cause of cancer-related deaths in men and women in this country.
Part of what makes colonoscopy the gold standard for colon cancer screening is its safety profile. The risk of serious complications is low (perforations and post-procedure bleeding occur in only 0.05% and 0.3% of colonoscopies, respectively). Yet according to a study out of Yale, a far larger percentage of patients return to the emergency room (ER) within seven days of colonoscopy, with far-reaching impacts on cost and patient satisfaction.
What’s driving Propofol use for colonoscopy, better patient care or a better bottom line?
Just 10 years ago, moderate sedation—a combination of short-acting anxiety and pain medications administered by a gastroenterologist—was used in more than 80% of all colonoscopies in the U.S. Yet over the past decade, the use of deep sedation (aka, MAC) has risen sharply. A recent study of over 6.6 million patients undergoing GI procedures found that by 2010, 33.7% of Medicare patients and 38.3% of commercially insured patients received MAC for their colonoscopy. By 2013, these figures had risen to 47.6% and 53.0%, respectively. And today those numbers are even higher.