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The role
of the Registered Nurse In Scope Advancement
Position
The Canadian
Society of Gastroenterology Nurses and Associates CSGNA supports scope
advancement in an Advanced Nursing practice/Delegated Medical Act. This is
subject to approval of the individual provincial governing bodies and Health
care facility.
Definition
Advancement refers only to the
act of advancing the endoscope under direct supervision of the Endoscopist.
Background
The primary
role of the registered nurse during endoscopy procedures is maintenance of
patient safety. Advancement should only be carried out under direct
visualization. The registered nurse must have the knowledge, skill and
judgment to assist with the procedure and independently know when to stop
advancing. An education program including Anatomy and Physiology, principles
underlying the procedure, nursing implications and expected outcomes are
integral components. This can only be carried out under the direct
supervision of a qualified Physician.
Disclaimer
The Canadian Society of Gastroenterology Nurses and
Associates (CSGNA) assumes
no responsibility for the practices
and recommendations of any member or other practitioner or for policies and
procedures of any Endoscopy unit.
Bibliography
Delegated Medical Acts. Medical Society of Nova Scotia June 1994.
Guidelines for shared competencies and delegated medical functions.
Registered Nurses Association of Nova Scotia 1996.
Guidelines for basic and advanced nursing procedures and delegated Medical
acts. Registered Nurses Association of Nova Scotia. 1993.
Guidelines for the Delegation of a Medical Act. CMA Position Statement
1998.
Gastroenterology Nursing: Flexible Sigmoidoscopy Training for Nurses. August
1995.
Nursing practice: A Guide to decide July 1995.
SGNA 1998 Manipulation of Endoscopes during Endoscopic Procedures.
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