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I. General Nursing Care
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21%
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A. Assess, Analyze, and Monitor the Patient's Health Status through Evidence Based Practice to Determine Necessary Nursing Interventions
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Knowledge of:
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1. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
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2. Physiological, psychological, social, sexual, cultural, and spiritual aspects of patient wellness
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3. Pharmacology (e.g., prescription medication, OTC, supplements/herbal, compliance/non-compliance issues, education, drug interaction)
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4. Patients' rights and privacy (e.g., HIPAA, ethics)
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5. Standards of clinical nursing practice and role delineation in gastroenterology setting
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B. Develop a Plan of Care and Educate based on the Patient's Level of Understanding
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Knowledge of:
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1. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
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2. Physiological, psychological, social, sexual, cultural, and spiritual aspects of patient wellness
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3. Pharmacology (e.g., prescription medication, OTC, supplements/herbal, compliance/non-compliance issues, education, drug interaction)
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4. Patients' rights and privacy (e.g., HIPAA, ethics)
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II. Gastroenterological Procedures
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35%
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A. Collaborate with the Health Care Team during Endoscopic Procedures to Provide Safe Care
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Knowledge of:
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1. Endoscopic procedures (diagnostic and therapeutic)
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2. Equipment, devices, and accessories
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3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
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4. Environment of care (e.g., thermal burns, chemical spills, radiation, timeout)
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5. Pharmacology (e.g., sedation/anesthesia medication, reversal agents, procedure medications, resuscitative medication)
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6. Physiological, psychological, social, sexual, spiritual, and cultural aspects of wellness
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7. Potential complications and anticipated interventions (e.g., hemorrhage, perforation, compromised airway, medication reaction)
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8. Specimen preparation, collection, processing, and handling (e.g., labelling, storage, transportation, documentation)
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B. Collaborate with the Health Care Team and Perform Non-Endoscopic Procedures to Provide Safe Care
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Knowledge of:
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1. Non-endoscopic procedures (e.g., diagnostic, therapeutic)
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2. Equipment, devices, and accessories
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3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
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4. Environment of care (e.g., time out, spills)
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5. Pharmacology (e.g., learning needs, sedation/anesthesia medications, reversal agents, procedure medications, resuscitative medication, biologics)
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6. Physiological, psychological, social, sexual, spiritual, and cultural aspects of wellness
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7. Potential risks, complications, and interventions
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8. Specimen preparation, collection, processing, and handling (e.g., labelling, storage, transportation, documentation)
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III. Patient Care Interventions
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25%
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A. Recognize and Respond to Emergent Changes in Patient Status to Prevent Complications and Maximize Positive Outcomes
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Knowledge of:
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1. Potential risks, complications, and anticipated interventions (e.g., underlying conditions)
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2. Resuscitation procedures and equipment
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3. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
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4. Emergency/reversal medications
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5. Sedation/anesthesia guidelines and principles (e.g., American Society of Anesthesia [ASA], airway status)
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B. Promote Wellness by Managing GI Health Care Needs
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Knowledge of:
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1. Health maintenance, health promotion, and disease prevention activities (e.g., diet, nutrition, screening intervals, adenoma detection rates [ADR], lifestyle modification)
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2. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
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3. Therapeutic interventions in pain management (e.g., ambulation, medication, positioning)
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4. Patient's rights and responsibilities (e.g., advance directives)
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5. Pharmacology (e.g., PPI, laxative, pro-biotics, biologics, timing of medication)
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6. Potential complications (e.g., flare ups, drug reactions/interactions)
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7. Physiological, psychological, social, sexual, spiritual, and cultural aspects of wellness
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8. Resources (e.g., palliative, support group, financial and social assistance)
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C. Administer Medications and Fluids to Provide Safe Care
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Knowledge of:
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1. Established standards for administering medications and fluids (e.g., safe administration practices)
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2. Normal and abnormal gastrointestinal anatomy, physiology, and pathophysiology
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3. Pharmacology (e.g., biologics, infusions/injections, antibiotic, timing of medication)
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4. Physiological, psychological, social, sexual, cultural, and spiritual aspects of wellness
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5. Potential adverse reactions, complications, and anticipated interventions
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IV. Environmental Safety, Infection Prevention and Control
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19%
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A. Implement Procedure-Related Environmental Safety, Infection Prevention, and Control
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Knowledge of:
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1. Standards for infection prevention in an endoscopy setting (e.g., validation of competencies, OEM instructions for use, PPE, spills)
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2. Equipment reprocessing (e.g., scopes, devices, and accessories, AER, bio burden, timing/delayed reprocessing)
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3. Sterilization and high-level disinfection (e.g., Spaulding classification, single use devices versus reusable devices, minimal effective concentration of disinfection solutions)
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4. Safe administration practices (e.g., multi-dose vial)
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5. Body mechanics (e.g., ergonomics, abdominal pressure, repetitive injuries)
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6. Electrical, laser, radiation, and chemical exposure (e.g., body piercings, tattoos, implanted devices, return electrode placement)
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B. Implement Environmental Safety, Infection Prevention and Control in Gastroenterology
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Knowledge of:
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1. Patient education related to infectious disease
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2. Pathogen transmission (e.g., bloodborne, airborne, contact)
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3. Multi-drug resistant organisms (e.g., VRE, CRE)
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4. Personal Protective Equipment (PPE)
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5. Surface disinfection (e.g., point-of-care monitors, non-disposable equipment, communication devices, contact time)
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