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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:
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.
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