Guidelines & Statements
Facts at your fingertips: Review important practice guidelines and the roles and responsibilities nurses play in specific procedures.
The Role of the Registered Nurse in Percutaneous Endoscopic Gastrostomy Tube Placement
The Role of the Registered Nurse in Percutaneous Endoscopic Gastrostomy Tube Placement
Position
The CSGNA supports the position that a Registered Nurse experienced and educated in Gastroenterology Nursing and Endoscopy may perform the Advanced Role of the Nurse. This role is subject to the approval of the Provincial Licensing Body, the Physician, and the Employer.
The Nurse performing the Advanced Role must have the necessary training as outlined by the Provincial Licensing Body.
The CSGNA supports the inclusion of the following:
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Anatomy
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Physiology
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Pathophysiology
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Procedural Techniques
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Expected Client Outcomes
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Management of Complications
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A Supervised Clinical Practice and
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Demonstrated Competency
The Advanced Role can only be carried out under the direct supervision of a qualified Physician. The Nurse is accountable for the responsibilities she/he accepts.
When a Nurse is functioning in the Advanced Role, a Second Registered Nurse must be present to monitor the patient, administer medication as ordered, maintain a patent airway, and monitor the tolerance of the procedure and documentation.
Definition
Percutaneous endoscopic gastrostomy tube (PEG) placement is an endoscopic technique for placing a gastrostomy tube or jejunostomy tube for enteral feeding.
Background
The Primary Role of the Nurse is maintenance of patient safety through continuous assessment of the patient’s condition and intervention as necessary.
The Advanced Nursing Practice Role of the Nurse/Delegated Medical Act may include assisting the Physician with manipulation of the endoscope, snaring the wire, insufflation of viscera, local infiltration, incision, trocar placement, threading the wire, and positioning of the gastrostomy tube.
Disclaimer
Canadian Society of Gastroenterology Nurses and Associates CSGNA assumes no responsibility for the practices and recommendations of any member, or other practitioner or for the policies and procedures of any Gastroenterology Unit.
Bibliography
ASGE position statement. Percutaneous endoscopic gastrostomy ASGE governing board 1992.
Gastroenterology Nursing: A Core Curriculum, Mosby 1993.
Guidelines for registered nurses 1993. Alberta Association of Registered Nurses.
Guidelines for the delegation of a medical act. CMA position statement 1988.
Placement of percutaneous gastrostomy tube SGNA position statement 1994,1998.
Scope of nursing practice. Association of Registered Nurses of NFL 1995.
The registered nurses scope of practice. Saskatchewan registered nurses association 1993.