Infection Control
Minimum level of hand hygiene
Four Moments of Hand Hygiene
Monitoring required during moderate sedation
Pulse oximetry
Blood Pressure
Heart rate
Level of consciousness
How will patients be screened for contraindications or special needs?
Pre-procedure screening completed by patient and reviewed by nursing staff
How will interdisciplinary communication confirm readiness?
Huddles and dashboards
A patient arrives without documented consent but insists they signed it earlier. What is the correct workflow?
Do not proceed until valid consent is confirmed and documented
Required PPE for endoscopy procedures with splash risk
Gloves
Gown
Mask
Eye protection
Drug commonly used for reversal of opioids
Naloxone
How are patients going to be informed of wait times and procedural steps?
Verbal updates and printed materials
How will patient monitoring be conducted during the procedure?
Every 5 minutes vital signs monitoring
During turnover, a scope is accidentally placed in a clean area before reprocessing. Next step?
Consider contaminated and send for full reprocessing
Time frame for pre-cleaning endoscopes after use
Immediately at point of care (ie. flushing scopes after patient use)
Assess patient risk assessment before procedure
ASA
How are safety checks completed in procedure rooms?
Surgical Safety Checklist (i.e. sign in, time out, sign out)
How will scope usage be tracked and linked to the patient record?
Scanning of scopes into patient's EMR
Patient desaturates during sedation—what is the immediate workflow priority?
Airway support and oxygenation before continuing procedure
Key risk of improper channel drying
Biofilm formation and infection transmission
Capnography measures
What is end-tidal CO₂?
Discharge readiness
Aldrete scoring in EMR
How will the patient be monitored during recovery?
Every 15 minutes vital signs monitoring
Incomplete colonoscopy due to poor prep—what workflow step must follow?
Document, inform patient, and arrange repeat procedure
Process that destroys all microorganisms except high numbers of spores
What is high-level disinfection (HLD)?
Most serious sedation-related complication
Respiratory depression
How will feedback or satisfaction be collected after patient discharge?
Survey link on patient relations card
How will patients be informed of symptoms to watch for?
Red-flag symptoms reviewed by nurses and printed instructions
Missing scope traceability log during audit—impact?
Accreditation risk and patient safety concern requiring corrective action