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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > April, 2007 Vol. VIII, No. 4

Prevent Things From Going Bad in the Endo Suite

How to navigate your way around some common problems.

Robin Egbert, RN, BSN

RMV->) Your biggest patients might also be your biggest colonoscopy challenges. We once had to tie two stretchers together to scope a 500-plus-pound patient. Even then, all that weight pressing on his abdomen and his short neck made for a tense time. We had the Ambu bag ready, just in case.

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Categories: Gastroenterology, Safety
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1 Start with a good physical assessment.; 2 Assess every patient for NPO status.; 3 Keep your pulse oximeter on.; 4 When the procedure's done.; 5 Check your equipment.; 6 When things go wrong.; Beth Daugherty, RN; Jana Beasley, RN; Lori Knepp, BSN, RN, CGRN; Tammy Baergen, RN, CNOR; Mary Peterson, RN, CNOR, RNFA; Ambu; Ambulatory Surgery Center Butler, Pa. Bring CPAP You We; Assess; BSN, RN, CGRN Administrator; Baergen, RN, CNOR Director, Perioperative Services Harris Methodist Southwest Fort Worth, Texas; Beasley, RN Assistant; Beth; Bottom; Bovie; Butler; Buying; CGRN Administrator; CNOR Dir... show all keywords
1 Start with a good physical assessment.; 2 Assess every patient for NPO status.; 3 Keep your pulse oximeter on.; 4 When the procedure's done.; 5 Check your equipment.; 6 When things go wrong.; Beth Daugherty, RN; Jana Beasley, RN; Lori Knepp, BSN, RN, CGRN; Tammy Baergen, RN, CNOR; Mary Peterson, RN, CNOR, RNFA; Ambu; Ambulatory Surgery Center Butler, Pa. Bring CPAP You We; Assess; BSN, RN, CGRN Administrator; Baergen, RN, CNOR Director, Perioperative Services Harris Methodist Southwest Fort Worth, Texas; Beasley, RN Assistant; Beth; Bottom; Bovie; Butler; Buying; CGRN Administrator; CNOR Director, Perioperative Services Harris Methodist Southwest Fort Worth, Texas; COPD; CPAP; CPAP You We; Cables; Cases; Center Butler, Pa. Bring CPAP You We; Center Wichita Falls, Texas; Challenging Cases; Check; Conclude; Daugherty, RN Staff; Endoscopy Center Wichita Falls, Texas; Ends Scope When; Facilitate; Falls Endoscopy Center Wichita Falls, Texas; Falls, Texas; GI; Groove At; IV; Knepp, BSN, RN, CGRN Administrator; Light; Lori; Maintain; Maintain IV; Make; Methodist Southwest Fort Worth, Texas; Monitor; NPO; NSAIDs; Obstruction The; Obstructions; Once What; Pa. Bring CPAP You We; Parkinson's; Perforations; Perioperative Services Harris Methodist Southwest Fort Worth, Texas; Pretty; RMV->) Your; RN Assistant; RN Staff; RN, CGRN Administrator; RN, CNOR Director, Perioperative Services Harris Methodist Southwest Fort Worth, Texas; Scope When; Scopes; Services Harris Methodist Southwest Fort Worth, Texas; Share Challenging Cases; Something's; Southwest Fort Worth, Texas; Staff; Start; Surgery Center Butler, Pa. Bring CPAP You We; Texas; Thinking; Trendelenburg; Wichita; Worth, Texas; You We; abdomen; abdominal; aborted; acceptable; accessories; adjoining; administrator; affording; air/water/suction; airway; airways; alert; anesthesia; anesthesiologist; anesthetist; answer; antibiotics; apnea; arrangements; asked; aspiration; assess; assessing; atrial; aware; back; bag; bagged; balloon; begins; bending; biggest; biopsy; bleeding; blood; blood-thinners; blown; body; bottle; bowel; breathing; bring; broad-based; canister; careful; case; caused; cautery; central; chances; channels; checked; chin; choose; clips; close; colon; colonoscopy; communication; complications; compromised; confess; connect; connected; constant; constricts; consumed; continuously; control; correct; cough; current; days; decade; decrease; deliver; department; depending; depresses; detect; determine; develop; device; discover; discretion; disposable; distention; diverticulosis; diverticulum; doctor; dog; drainage; due; early; eat; eighth; elderly; eliminate; emergency; emerging; ended; endo; endoscopist; enters; epinephrine; equipment; examining; experience; facilitate; fall; feel; fever; fiber; find; fitting; fix; flow; follow-up; fully; functions; glass; good; greater; hall; halt; handled; happened; harder; he'll; head; hear; higher; history; hospital; hospital/transport; hospitalized; hot; hour; hypoventilation; idea; including; inevitably; inflated; injection; instructed; intervention; jaws; key; laryngospasm; lens; level; lift; light; lining; literally; long; lower; lying; made; maintain; make; malfunctioning; medical; medications; milk; mind; minimize; moderate; monitor; move; movement; multiple; nasal; navigating; nearby; neck; needed; nervous; nurse; obese; obstructions; occlude; occur; odds; optics; oral; order; oximeter; oxygen; oxygenate; page; pair; paper; patient; patients; perforated; performing; physical; physically; physician; pillow; pink; plenty; pliability; pliers; plugged; polyp; polyps; positioning; positive; potential; pre-oxygenate; presence; pressing; prevent; preventing; prevention; previous; printer; proactive; problems; procedure; proper; properly; prophylactically; provider; pulled; pulse; putting; quickly; raise; readjust; ready; recessed; recovered; red; reduce; remember; removal; removing; rep; require; respiratory; reversed; reviewing; rhythm; risk; room; rooms; routine; rubber; run; saturation; scar; scope; scopes; screen; sedate; send; set; setting; settings; severe; short; short-necked; side; significant; significantly; signs; six-foot; sleep; slight; slower; smokers; snare; source; spasms; splinting; stated; status; stayed; stool; stopped; stretchers; suction; suggestions; surgeries; surgery; surgical; suspect; suspected; symptoms; system; taking; talked; technique; tense; things; tie; time; times; tips; tissue; tongues; top; totally; touch; transfer; transported; treat; treated; treatment; triaged; triple-check; truthful; turned; turns; tweaked; typically; underneath; uneventful; ventilation; vital; walks; wall; water; wavelike; week; weight; white; who've; working; wrong

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