What are the nursing responsibilities for pre and post endoscopy?
Colonoscopy is a diagnostic procedure that utilizes a flexible fiberoptic colonoscope inserted into the rectum to examine the large intestine (colon) lining visually. It is indicated for patients with a history of
constipation, diarrhea, persistent rectal bleeding, and lower abdominal pain when the results of proctosigmoidoscopy and a
barium enema test are negative or inconclusive. The nurse‘s responsibility during colonoscopy encompasses different tasks to ensure the patient’s safety before, during, and after the procedure. It is also the nurse’s responsibility to bowel prep the patient for colonoscopy, obtain informed consent and ease the patient’s
anxiety by providing information about the procedure. Aside from assisting the physician during the colonoscopy, another essential task of the nurse is to ensure patient safety when the colonoscope is reprocessed. Proper cleaning, disinfection, and sterilization of the
equipment is an important step to prevent infection from patient to patient. Proper reprocessing involves wiping the scope tube with a lint-free cloth soaked using a detergent solution, then taking it to a sterile reprocessing room for meticulous cleaning, leak testing, visual examination, and sterilizing. This study guide can help nurses understand their tasks and responsibilities during
colonoscopy. Colonoscopy IndicationColonoscopy is indicated for several reasons, which includes:
ContraindicationThis procedure is contraindicated for:
ProcedureSteps to colonoscopy are performed as follows:
Interfering factorsThese are factors that may affect the outcome of the colonoscopy:
Nursing ResponsibilitiesThe following are the nursing interventions and nursing care considerations for the patient: Before the procedureThe following are the nursing interventions before colonoscopy:
During the procedureThe following are the nursing interventions during colonoscopy:
After the procedureThe nurse should note the following nursing interventions post-colonoscopy:
Normal resultsNormal findings of colonoscopy will show a:
Abnormal resultsAbnormal colonoscopy findings may reveal:
GalleryImages related to colonoscopy: ReferencesAdditional resources and references for the colonoscopy study guide:
Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession. What does the nurse do after an endoscopy?After the procedure:
Reprocessing of endoscopic instruments and devices. Transfer patient to recovery room. Handover to recovery nurse.
What is the nursing responsibility?Nurses are responsible for recognizing patients' symptoms, taking measures within their scope of practice to administer medications, providing other measures for symptom alleviation, and collaborating with other professionals to optimize patients' comfort and families' understanding and adaptation.
What do you do after an endoscopy?Once home, they should drink plenty of water to help eliminate the sedative more efficiently. Eating soft foods and liquids such as broth can enable recovery with minimal soreness and easier swallowing. To further soothe a sore throat, patients may suck on popsicles or hard candies.
What precautions does the nurse take before the client goes for the EGD?Nothing to eat or drink at least 8 hours before the procedure. Medication can be taken 4 hours before examination with little sips of water. DO NOT TAKE ANY ANTACIDS OR CARAFATE BEFORE THE PROCEDURE or any of the medications mentioned. Wear loose comfortable clothing.
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