Endoscopy – unizon

Requested by *

Recruiter Email ID *

First Name *

Last Name *

Phone Number *

Today's Date *

Your Email Address *

WORK SETTING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Inpatient Acute Care Facility *

Trauma Center *

Academic/Teaching Facility *

Outpatient Care Facility *

Long term care/Skilled Nursing *

Clinic/Ambulatory *

Home Health Setting *

PROCEDURES EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Assist with EGD’s *

Assist with endoscopic ultrasound *

Assist with active GI bleed *

Cautery devices *

Assist with manometry studies *

Assist with variceal banding *

Assist with esophageal dilatations *

Assist with esophageal ballooning *

Assist with sclerotherapy *

Assist with TEE *

Assist with bronchoscopy *

Assist with colonoscopy *

Assist with polypectomy *

Assist with ERCP’s *

Assist with PEG placements *

Assist with liver BX *

Assist with collection of hot & cold BX’s *

Specimen collection & labeling *

Set up of scopes & video equipment *

Apply external abdominal pressure to assist with scope movement *

Scope cleaning *

Assist with mobile cases, ICU, ER, etc. *

Radiation safety *

Automated Medication Dispensing System, Pyxis, Omnicell, or other *

Takes call for emergency cases *

National Patient Safety Goals *

Awareness of HCAHPS *

Accurate patient identification *

Effective communication *

Interpretation & communication of lab values *

Medication administration *

Labeling (medications & specimens) *

Anticoagulation therapy *

Monitoring conscious sedation *

Pain assessment & management *

Infection control *

Universal precautions *

Isolation *

Minimize risk for falls *

Prevention of pressure ulcers *

Use of rapid response teams *

Administer Conscious Sedation:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Fentanyl *

Propofol *

Demerol *

Presedex *

Versed *

Reversal agents *

PRE PROCEDURE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Pre procedure phone calls *

Electronic documentation *

Patient assessment *

Colon prep or re-prep *

Pre procedure checklist / consent *

IV start, med admin *

Time Out Protocol *

POST PROCEDURE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Assess for air movement post colonoscopy *

Assess for pain *

Assess for bowel sounds *

Assess for gag reflex post EGD *

Assess for gag reflex post bronchoscopy *

Recover from MAC (Monitored Anesthesia Care) *

Recover from (moderate) conscious sedation *

Discharge outpatients to home *

Post procedure phone calls *

AGE-SPECIFIC COMPETENCIES EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Newborn / neonate (birth-30 days) *

Infant (31 days-1 year) *

Toddler (ages 2-3 years) *

School age (ages 6-12 years) *

Adolescent (ages 13-21 years) *

Young adult (ages 22-39 years) *

Preschool (ages 4-5 years) *

Older adult (ages 65-79 years) *

Elderly (ages 80+ years) *

Adult (ages 40-64 years) *