Instruments and Equipment
This is the general electrosurgery mode used on ERBE for standard hot snare polypectomy
EndoCut
The first thing that should be done if a scope malfunctions during an active bleed.
Obtain backup scope
Before a hot snare is used, this should be confirmed realated to the grounding pad.
Verifying the pad is correctly applied on: clean, hair free, well-vascularized muscle; fully adhered and connected to the generator
The primary goal of all quality testing
Patient safety
This must be completed prior to every procedure start
Timeout
This is used for esophageal strictures, pyloric or intestinal narrowing
Balloon Dilator
These things can be done to achieve endoscopic hemostasis
Clips, cautery, powder or spray
Ground pads placed over scar tissue, bony prominences or wet skin increase the risk of this complication
Burns
This quality test is the first step in scope cleaning
Leak testing
More commonly used as insufflation over room air due to its quick absorption by the body
CO2
This is used for esophageal varices treatment
Speedband Superview Super 7
One of the most common post-polypectomy complications
Bleeding
Electrosurgery, APC and lasers are all what part f the fire triangle during endoscopy
Ignition source
Tracking scope serial numbers, technicians, and cycle data ensures this
Traceability
These two things can be done to improve visualization and polyp detection
Patient repositioning and targeted abdominal pressure
This device can be used to safely remove larger polyps without excessive bleeding
Endoloop
Direct trauma, excessive air pressure or thermal injury can all lead to what type of emergency.
Perforation
This portion of the fire triangle is increased during endoscopy procedures and can increase the risk of fire when using electrocautery.
Oxygen
Documentation of cycle completion verifies this process occurred
High-Level Disinfection
During an ERCP or EGD, cytology brushing is commonly performed when the physician identifies this.
A suspicious stricture, lesion, or mass
Remove as much blood as possible; get as close to the bleeding spot as you can; apply by moving the applicator until the product exceeds the margins of the leison.
PuraStat use
A rare complication caused by excessive gas (insufflation/APC) enters the vessels
Gas embolism
Pacemaker or ICD
ANSI/AAMI; AORN and SGNA state these things should be present in the scope drying cabinet
Scopes hang vertically; scopes hang freely so they do not touch each other or cabinet walls; pressure regulated or HEPA filtered air cycles through; doors remain closed
The physician requests APC, a clip deployment device, Hemospray, a hot snare, and a balloon dilator during a complex therapeutic colonoscopy.
A therapeutic endoscopy requiring multiple advanced accessories (aka: a tech's worst nightmare if supplies are not restocked)