Staffing at ambulatory endoscopy centers in the United States

Practice, trends, and rationale

Deepak Agrawal, Rajeev Jain

Research output: Contribution to journalArticle

Abstract

Background. Endoscopy nurse (RN) has a pivotal role in administration and monitoring of moderate sedation during endoscopic procedures. When sedation for the procedure is administered and monitored by an anesthesia specialist, the role of an RN is less clear. The guidelines on this issue by nursing and gastroenterology societies are contradictory. Methods. Survey study of endoscopy lab managers and directors at outpatient endoscopy units in Texas. The questions related to staffing patterns for outpatient endoscopies and responsibilities of different personnel assisting with endoscopies. Results. Responses were received from 65 endoscopy units (response rate 38%). 63/65 (97%) performed at least a few cases with an anesthesia specialist. Of these, 49/63 (78%) involved only an endoscopy technician, without an additional RN in the room. At 12/49 (25%) units, the RN performed tasks of an endoscopy technician. At 14/63 (22%), an additional RN was present during endoscopic procedures and performed tasks not directly related to patient care. Conclusions. Many ambulatory endoscopy units do not have an RN present at all times when sedation is administered by an anesthesia specialist. An RN, when present, did not perform tasks commensurate with the education and training. This has implications about optimal utilization of nurses and cost of performing endoscopies.

Original languageEnglish (US)
Article number9463670
JournalGastroenterology Research and Practice
Volume2018
DOIs
StatePublished - Jan 1 2018

Fingerprint

Endoscopy
Anesthesia
Outpatients
Nursing Societies
Nurses
Conscious Sedation
Gastroenterology
Patient Care
Guidelines
Education
Costs and Cost Analysis

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Staffing at ambulatory endoscopy centers in the United States : Practice, trends, and rationale. / Agrawal, Deepak; Jain, Rajeev.

In: Gastroenterology Research and Practice, Vol. 2018, 9463670, 01.01.2018.

Research output: Contribution to journalArticle

@article{8063e82223a54aebb81d57e47038540f,
title = "Staffing at ambulatory endoscopy centers in the United States: Practice, trends, and rationale",
abstract = "Background. Endoscopy nurse (RN) has a pivotal role in administration and monitoring of moderate sedation during endoscopic procedures. When sedation for the procedure is administered and monitored by an anesthesia specialist, the role of an RN is less clear. The guidelines on this issue by nursing and gastroenterology societies are contradictory. Methods. Survey study of endoscopy lab managers and directors at outpatient endoscopy units in Texas. The questions related to staffing patterns for outpatient endoscopies and responsibilities of different personnel assisting with endoscopies. Results. Responses were received from 65 endoscopy units (response rate 38{\%}). 63/65 (97{\%}) performed at least a few cases with an anesthesia specialist. Of these, 49/63 (78{\%}) involved only an endoscopy technician, without an additional RN in the room. At 12/49 (25{\%}) units, the RN performed tasks of an endoscopy technician. At 14/63 (22{\%}), an additional RN was present during endoscopic procedures and performed tasks not directly related to patient care. Conclusions. Many ambulatory endoscopy units do not have an RN present at all times when sedation is administered by an anesthesia specialist. An RN, when present, did not perform tasks commensurate with the education and training. This has implications about optimal utilization of nurses and cost of performing endoscopies.",
author = "Deepak Agrawal and Rajeev Jain",
year = "2018",
month = "1",
day = "1",
doi = "10.1155/2018/9463670",
language = "English (US)",
volume = "2018",
journal = "Gastroenterology Research and Practice",
issn = "1687-6121",
publisher = "Hindawi Publishing Corporation",

}

TY - JOUR

T1 - Staffing at ambulatory endoscopy centers in the United States

T2 - Practice, trends, and rationale

AU - Agrawal, Deepak

AU - Jain, Rajeev

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background. Endoscopy nurse (RN) has a pivotal role in administration and monitoring of moderate sedation during endoscopic procedures. When sedation for the procedure is administered and monitored by an anesthesia specialist, the role of an RN is less clear. The guidelines on this issue by nursing and gastroenterology societies are contradictory. Methods. Survey study of endoscopy lab managers and directors at outpatient endoscopy units in Texas. The questions related to staffing patterns for outpatient endoscopies and responsibilities of different personnel assisting with endoscopies. Results. Responses were received from 65 endoscopy units (response rate 38%). 63/65 (97%) performed at least a few cases with an anesthesia specialist. Of these, 49/63 (78%) involved only an endoscopy technician, without an additional RN in the room. At 12/49 (25%) units, the RN performed tasks of an endoscopy technician. At 14/63 (22%), an additional RN was present during endoscopic procedures and performed tasks not directly related to patient care. Conclusions. Many ambulatory endoscopy units do not have an RN present at all times when sedation is administered by an anesthesia specialist. An RN, when present, did not perform tasks commensurate with the education and training. This has implications about optimal utilization of nurses and cost of performing endoscopies.

AB - Background. Endoscopy nurse (RN) has a pivotal role in administration and monitoring of moderate sedation during endoscopic procedures. When sedation for the procedure is administered and monitored by an anesthesia specialist, the role of an RN is less clear. The guidelines on this issue by nursing and gastroenterology societies are contradictory. Methods. Survey study of endoscopy lab managers and directors at outpatient endoscopy units in Texas. The questions related to staffing patterns for outpatient endoscopies and responsibilities of different personnel assisting with endoscopies. Results. Responses were received from 65 endoscopy units (response rate 38%). 63/65 (97%) performed at least a few cases with an anesthesia specialist. Of these, 49/63 (78%) involved only an endoscopy technician, without an additional RN in the room. At 12/49 (25%) units, the RN performed tasks of an endoscopy technician. At 14/63 (22%), an additional RN was present during endoscopic procedures and performed tasks not directly related to patient care. Conclusions. Many ambulatory endoscopy units do not have an RN present at all times when sedation is administered by an anesthesia specialist. An RN, when present, did not perform tasks commensurate with the education and training. This has implications about optimal utilization of nurses and cost of performing endoscopies.

UR - http://www.scopus.com/inward/record.url?scp=85062845040&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85062845040&partnerID=8YFLogxK

U2 - 10.1155/2018/9463670

DO - 10.1155/2018/9463670

M3 - Article

VL - 2018

JO - Gastroenterology Research and Practice

JF - Gastroenterology Research and Practice

SN - 1687-6121

M1 - 9463670

ER -