Nowadays, endoscopic procedures are increasingly common, with millions performed each year worldwide. Behind each endoscopy process, there is a healthcare team that incorporates skilled nurses. Their unwavering dedication is what makes a difference in patient care.

Assuring optimum nursing care in endoscopy requires a delicate balance of technical expertise, empathy, and attention to detail. Here, every interaction and action of a nurse at the endoscopy unit can significantly impact a patient’s experience and outcomes from arrival to discharge.

However, endoscopy nurses deal with unique challenges too. Using complicated equipment while following strict rules to prevent infections is just one part of their job. Besides, they must be flexible and think quickly as endoscopy processes can change unexpectedly. So, their work requires them to be ready to adapt to whatever situation arises during a procedure.

So, how can optimum nursing be ensured in endoscopy? Let’s explore the 6 ways to optimum nursing care for endoscopy patients.

Before that, we have to know about the roles of nurses in endoscopy.

Patient Care: 6 Ways to Ensure Optimum Nursing in Endoscopy 1

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Roles of Nurses in Endoscopy Patient Care

In the endoscopy room, there are 3 types of nurses involved in different stages of the endoscopy procedure. Each of them has specific roles to ensure the procedure is conducted safely and effectively:

Circulating Nurse:

When a patient is scheduled for an endoscopy, he/she meets with a circulating nurse before the procedure. The nurse meticulously reviews the patient’s medical history, noting any previous surgeries, allergies, or existing health conditions. For instance, a patient with a history of heart disease or respiratory issues may require additional precautions or adjustments to the sedation regimen. Based on the report provided by the nurse, doctors can take further action.

Besides, this nurse oversees nursing care in the endoscopy room but does not directly participate in the procedure. They prepare the room, make sure all necessary equipment and supplies are available, and coordinate the team’s activities. They also monitor the procedure from outside the sterile field to ensure everything runs smoothly.

Scrub Nurse:

Scrub nurses are also known as endoscopy nurses.

During endoscopy, the endoscopy nurse continues to monitor vital signs, including heart rate, blood pressure, and oxygen saturation. Any deviations from baseline are promptly addressed by the nurse to ensure the patient’s safety during the process.

This nurse assists the physician directly during the procedure. They are responsible for handling instruments, supplies, and equipment while maintaining sterile conditions. The scrub nurse needs to understand the procedure well to anticipate the physician’s needs and respond quickly to any issues.

Recovery Nurse:

After the endoscopy, patients are taken to a recovery area where they are closely monitored. The recovery nurse monitors their condition as they wake up from anesthesia. Nurses check patients’ vital signs, provide post-procedure care, and make sure patients recover safely from anesthesia before leaving.

When the patient comes to a stable condition, the recovery nurse prepares the patient for discharge. The nurse provides the patient with detailed instructions for post- endoscopy care.

It includes guidance on diet, activity restrictions, and medication management. Besides, if the patient has any potential complications, the nurse will be encouraged to contact with any concerns and queries. 

Check out the post endoscopy FAQ for more information. 

6 Ways to ensure the best nursing in endoscopy patient care

1. Comprehensive Patient Education 

According to a study published in the National Library of Medicine, patients who were educated before their procedures had less anxiety compared to those who were not educated.

Nurses always prioritize explaining the endoscopy procedure, including its purpose, potential risks, and what patients can expect before, during, and after the procedure. This helps to ensure that patients feel more at ease during this medical process.

Pre-procedure education should cover topics such as dietary restrictions, bowel preparation (if required), medication adjustments, and fasting instructions. Also, nurses should address any concerns or questions the patient may have and provide emotional support to alleviate anxiety.

2. Pre-Procedure Assessment for Proper Planning

For identifying potential risk factors and preparing nursing care plans, a thorough pre-assessment is essential for endoscopy patients. That’s why nurses must check a patient’s medical history, allergies, current medications, and past endoscopic or surgical procedures before performing an endoscopy.

Pre-endoscopy patient care

In pre-assessment, vital signs, including blood pressure, heart rate, and oxygen saturation of patients should be assessed and documented. The nurses must check the patient’s airway, heart, and lung function, and watch for potential complications such as obesity, obstructive sleep apnea, or difficult access. All the assessment outcomes should be documented for proper planning and further endoscopy care.

Finally, the nurse must get informed consent from a patient. Here, nurses play an important role in helping patients understand the information and make informed choices.

EnvisionNEXT, an advanced endoscopy management software, includes a section specifically designed for nursing. From the pre-scope worklist here, a nurse can take note of all the pre-procedure assessments. The consent section allows patients to give consent to proceed with the process. 

Nurses can work with the healthcare team to create a personalized care plan based on assessment results and patient consent. This plan should address any necessary precautions, interventions, or adjustments to the procedure or anesthesia/sedation regimen.

3. Strong Collaboration with the Endoscopist

As per the annual report of the Joint Commission, sentinel events (patient safety incidents) most often happen due to communication breakdowns. This means the healthcare team members do not have the same understanding of the situation or there is a communication gap between the staff members.

So, effective collaboration and communication between nurses and Endoscopists are essential for an optimized endoscopic process. 

Collaboration with nurse and healthcare professionals

To ensure the best care during endoscopy, nurses have to take part in pre-procedure briefings. This is an opportunity for them to share their assessments, address any concerns, and work together to create a suitable care plan.

During the procedure, nurses should maintain open communication with the Endoscopist, promptly reporting any changes in the patient’s condition or any potential complications. In that case, nurses should share their expertise and observations to help make better decisions and improve the quality of care. Thus, the collaborative approach enables timely interventions and adjustments to the treatment plan as needed.

4. Continuous Monitoring and Rapid Response

During the endoscopic procedure, nurses closely observe the patient’s vital signs, level of awareness, and overall condition. So, they need to quickly recognize and alert the healthcare team to any changes in the patient’s condition. If the patient faces difficulty breathing, low oxygen levels, or unstable blood flow, the endoscopy nurse has to inform the healthcare team immediately.

Endoscopy nursing care during the process

In addition, nurses should be skilled in managing the patient’s comfort level by providing appropriate analgesia and sedation as prescribed by the Endoscopist. They should also ensure proper positioning and support during the procedure to minimize discomfort and potential complications.

Check out the endoscopy pain and discomfort FAQs for further details.

5.  Documenting Patient Outcomes in an Organized Way

After endoscopy, the patient’s documentation is needed to monitor his/her changes closely. So, accurate and comprehensive documentation is the most important component of endoscopy nursing care. Nurses must thoroughly document all aspects of patient care, including pre-procedure, during, and post-procedure, as well as any follow-up instructions.

EnvisionNEXT Nursing portal interface

The documentation should include vital signs, level of consciousness, medications given, procedural findings, any complications or adverse events, and the patient’s response to treatments. Also, nurses need to record patient outcomes, including symptom relief, quality of life improvements, and any complications or adverse events.

In modern endoscopy reporting software, such as EnvisionNEXT, nurses have access to structured reporting. This dataset encompasses every detail of each endoscopy patient. By cutting down the paperwork for huge data, nurses can easily get organized data by using this software. All these data can be used for continuing care and improving quality, doing research, and legal reasons. 

6. Post-endoscopic Care and Follow-up

When the endoscopy patient is taken to the recovery section after the process, nurses have to monitor the patient’s recovery by providing appropriate post-procedural care. This includes assessing vital signs, level of consciousness, and any potential complications, such as bleeding, perforation, or respiratory distress. 

Once the patient recovers well, the healthcare team prepares him/her for discharge. Patient Care: 6 Ways to Ensure Optimum Nursing in Endoscopy 3

With the technologically advanced endoscopy management software EnvisionNEXT, nurses can track the points based on the patient’s condition. When the patient’s condition is stable, the post-scope worklist of the Nursing section shows 9+ points and the nurse then makes the patient ready to discharge. By leveraging this feature, nurses can understand the patient’s condition easily. Thus, they can provide better care of patients than traditional ways.

Final Words

As endoscopy evolves, the role of nurses will become increasingly important. To ensure the best care, nurses must prioritize patient education, and address concerns about pre-planning of endoscopy patient care. During endoscopy, collaboration between nurses and Endoscopists is crucial for effective communication and timely interventions. Also, accurate documentation, including vital signs, medications, and patient outcomes, helps continuity of care and quality improvement.

Overall, achieving optimal endoscopy nursing care requires a combination of skills and advanced technological knowledge. Advanced software like EnvisionNext enhances the nursing workflow, ultimately improving patient outcomes and reducing the risk of errors. By harnessing the power of technology, nurses can focus more on delivering compassionate and personalized care to their endoscopy patients.

Key Takeaways

  • Nurses are essential in endoscopy, providing critical support and care throughout the process.
  • Endoscopy nurses face distinct challenges, necessitating adaptability and quick decision-making.
  • Patient education is paramount, reducing anxiety and complications through clear communication.
  • Thorough pre-procedure assessments tailor care plans, ensuring patient safety and individualized attention.
  • Effective collaboration between nurses and Endoscopists is pivotal, enhancing patient outcomes and overall care quality.
  • To ensure top-notch nursing care, encompassing education, assessment, documentation, monitoring, collaboration, and post-procedure care is a must.
Patient Care: 6 Ways to Ensure Optimum Nursing in Endoscopy 4

Tahmin Aysha Murshed

Hi there! I am a professional content writer specialized in writing in Healthcare technology. As a computer science grad I… See More