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Position
The Canadian Society of Gastroenterology Nurses and Associates support the
position that
nurses
trained
and experienced in gastroenterology nursing and endoscopy
be given the responsibility of performing
Flexible
Sigmoidoscopy for the purpose of Colorectal cancer screening.
Education and training should include but are not limited to anatomy,
physiology and pathophysiology of the colon, rectum and abdomen;
indications, contraindications and alternatives; potential complications of
screening flexible sigmoidoscopy, and manipulation of endoscopes. Competency
is demonstrated by successful performance of safe and effective procedures,
recognition of normal anatomy and identification of pathology. This role is
subject to the approval of the Provincial Licensing Body, the Physician, and
the Employer.
Definition
Flexible sigmoidoscopy is the examination of the rectum and the colon from
the anal verge to the splenic flexure using a flexible fiberoptic or video
gastrointestinal scope.
Background
In response to the changes in the field of gastroenterology and
endoscopy the traditional role of the gastroenterology nurse has changed.
Colorectal cancer is the 2nd leading cause of cancer
deaths in the US and Canada every year. Current research and practice
publications illustrate the safety and accuracy of the performance of
routine screening flexible sigmoidoscopies by trained registered nurses.
Disclaimer
The
Canadian Society of Gastroenterolgy Nurses and Associates does not assume
responsibility for the practices or recommendations of any member or other
practitioner or for the policy and practices of any Endoscopy Unit
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