Douglass, A.; Bramble, M.G.; Barrison, I.G.
April 2003
Gut;Apr2003 Supplement 1, Vol. 52, pA113
Academic Journal
Introduction: The increasing demand for all endoscopic procedures means that a consultant based service is impossible. Many units have looked to the "nurse endoscopist" (NE) to potentially ease this problem. Aims and Objectives: To determine the prevalence of NE in JAG registered training units, to assess their workload and add tonal clinical commitments. Methods: All JAG registered units in 2001 were circulated a questionnaire regarding the role of their nurse practitioners, as defined in the BSG working party document 2001. Units failing to respond were sent further reminders in early 2002. 196 units were contacted; the results of the 150 (76.5%) respondents are presented. Results: 64% of units employed nurse endoscopists and performed gastroscopies (OGD) in 43.2% of units (5.3% had > 1 upper Gl NE) flexible sigmoidoscopies (FS) in 62.1% and colonoscopies in 11.6% of centres (14.7% had > 1 lower Gl NE). Of those that did no, 66.7% had been in post for less than 1 year. The average duration in post for all NE was 19.6 ± 2.0 months. Nurse endoscopist performed a mean of 15.3 ± 1.50GDs, 12.4 ± 1.0 FSs and 5.6 ±1.7 colonoscopies per week. The number of dedicated sessions was 2.56 +/- 0.2. 23.9% of Upper GI NE were experienced in PEG tube placement. Centres who employed NE, listed their additional duties in 81% of replies: colorectal nurse specialist 21%, management 18%, multiple/ general clinics 15%, MDT and patient care pathways 12.6%, manometry and "normal" nursing duties both in 6%, and miscellaneous, 21%. Conclusions: Nurse endoscopists are becoming an integral part of the endoscopy workforce and the vast majority have their own dedicated lists as well as other roles. Units without a NE will need to consider whether they sustain this policy and still have time to train SPRs.


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