/depts/,/depts/uwhealth/,/depts/uwhealth/ambulatory-education/,/depts/uwhealth/ambulatory-education/ambulatory-orientation/,/depts/uwhealth/ambulatory-education/ambulatory-orientation/checklists/,/depts/uwhealth/ambulatory-education/ambulatory-orientation/checklists/resources/,

/depts/uwhealth/ambulatory-education/ambulatory-orientation/checklists/resources/DHC-Endoscopy-RN-Tech-Workflow-Checklist-182018.pdf

20180116

page

100

UWHC,UWMF,

Learning and Development,

Departments & Programs,UW Health,Ambulatory Education,Ambulatory Orientation,Checklists - Core and Department Specific,Resources

DHC Endoscopy RN-Tech Workflow

DHC Endoscopy RN-Tech Workflow - Departments & Programs, UW Health, Ambulatory Education, Ambulatory Orientation, Checklists - Core and Department Specific, Resources


Digestive Health Center
Endoscopy Orientation Workflows Name:_______________________________
WORKFLOW: Procedure Phase of Care
Performance Criteria
Performed by
(RN/Tech) Comments
Ensures room set up is complete according to Procedure
room checklist RN/Tech
Obtain appropriate endoscopy equipment for procedure.
Assemble & test RN/Tech
Ensure room is stocked, safety equipment in place, ready
to go RN/Tech
Review pt chart: ht/wt, meds, metal implants, hx, past
sedation notes, H&P completion, any anesthesia
difficulties, baseline Aldrete. RN
Obtain sedation medications from Accu-dose RN
Pre-charting: assign self, endo tech, anesthesia to Care
team. Add meds and pain scale to sedation flowsheet.
Data validate, sedation plan. Begin assessment &
Universal protocol documentation RN
Retrieve patient from Prep room. Connect PDM to GE
monitor RN/Tech
Verify consent in completed appropriately RN/Tech
Confirm correct patient with wrist band & chart, using
TWO patient identifiers RN
Obtain pt labels. Re-confirm right patient/right
procedure. Enter patient information into Provation RN/Tech
Provide pt education re: sedating meds/effects RN
Assessment (date/initial of
preceptor/trainer)
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Digestive Health Center
Endoscopy Orientation Workflows Name:_______________________________
Performance Criteria
Performed by
(RN/Tech) Comments
Assessment (date/initial of
preceptor/trainer)
Obtain VS, pain assessment prior to initiation of sedation
per policy 8.38 RN
Assess cardiac rhythm. Document in HL RN
Complete remainder of assessment as appropriate.
Document in HL RN
Ensure oxygen tubing/CPAP is in place and on RN/Tech
Assist patient into proper position for procedure RN/Tech
Ensure all team members are wearing PPE before start of
procedure RN/Tech
Begin sedation according to Order set RN
Document "Sedation Start" time on flowsheet RN
* If sedation time is > 1 hour, patients blood sugar should
be checked RN/Tech
Notify Provider pt is ready by clicking staff or wall SC
badge RN/Tech
Upon arrival of provider (and prior to beginning
procedure), Perform Time out/Universal protocol.
Document in HL RN/Tech
Upon insertion of scope, document "Procedure Start
Time" RN
Document (in Provation) which scope was used for
colonoscopies RN/Tech
Page 2 1/12/2018

Digestive Health Center
Endoscopy Orientation Workflows Name:_______________________________
Performance Criteria
Performed by
(RN/Tech) Comments
Assessment (date/initial of
preceptor/trainer)
Document Q 5 min from start of sedation & throughout
procedure: VS, sedation level RN
Once procedure started: document Pain scale Q 5 min
AND with administration of medications RN
Document extent reached & start withdrawal in Provation
for colonoscopies RN/Tech
Assess skin & apply grounding pad to a safe site for
Cautery use RN
Specimen collection: document in Smartset and
correlating supply charges RN
Document total amount of medications given on MAR RN
Document "Scope out" in Provation for colonoscopies RN/Tech
Document "Procedure ended/Phase I recovery started"
time in flowsheet RN
Assess for pain and sedation level with last set of VS.
Inform pt procedure is done. RN
Document Phase I Aldrete on Sedation flowsheet RN
Document event "Patient in Recovery" RN
Document & verify sedation charges. Ensure all charges
for supplies have been entered. RN
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Digestive Health Center
Endoscopy Orientation Workflows Name:_______________________________
Performance Criteria
Performed by
(RN/Tech) Comments
Assessment (date/initial of
preceptor/trainer)
Remove grounding pad if cautery used. Assess skin under
pad. Document RN
Document Nursing note. RN
List medication totals for MD on post it, with pt last name
& first initial. Include polyp count, etc if necessary RN
Prior to patient leaving room: RN & Tech independently
verify actual specimen in bottle; bottle & cap letter
correspond, and TWO pt identifiers on bottle & wristband
correspond with order requisition. Procedure RN &
Procedure Tech initial order requisition, verifying
completion of independent checks. RN/Tech
After 14:30, all lab specimens needing delivery to lab are
the joint responsibility of RN & Tech. NO specimen can
be left in procedure room unattended. RN/Tech
Prepares used equipment for reprocessing as per
checklist in procedure room. RN/Tech
Provides complete handoff report to Recovery RN RN
Finish charting as needed. WAIT a few minutes before
resetting monitor in room (allow time for pt to be re-
connected in recovery room) RN
Preceptor/Trainer: ________________________________________ Date: __________
Page 4 1/12/2018