The document provides guidelines for endoscopy unit safety and infection control. It recommends that standard 36-inch doors and room sizes of 180 square feet are adequate for most endoscopy procedures. Staff should wear proper personal protective equipment, including gloves and gowns, depending on their role and location within the unit. Proper cleaning and disinfection protocols should be implemented daily. When moderate sedation is the target, patients should be monitored during the procedure and in recovery, but a single nurse is often sufficient to monitor the patient, with additional assistants if needed.

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Prepared by:
Dr. Mohamed Shekhani

2. ISSUES AND RATIONALE
 1. Standard 36-inch doors, if they accommodate patient transport
mechanisms& room sizes 180 square feet are adequate and safe
for endoscopy units because they do not use the same large
equipment or number of staff as the operating room.
 2. The unit should define low-risk exposure & high-risk exposure
areas & activities within the endoscopy unit & describe the attire
& personal protective equipment (PPE) that should be worn in
each area. Endoscopy staff can move freely throughout the unit
provided that there is appropriate use & changing of PPE.

3. ISSUES AND RATIONALE
 3. It is recommended that staff directly engaged in GI endoscopy
or in processes in which splash or contamination could occur
wear gloves, face and/or eye shields&impervious gowns. Scrubs or
other attire may be worn from home because endoscopy is not a
sterile procedure.

4. ISSUES AND RATIONALE
 4. Moderate sedation may be administered safely under the
supervision of a non-anesthesia physician who is credentialed &
privileged to do so.
 5. There is inadequate data to support the routine use of
capnography when moderate sedation is the target., but may be
used for procedures requiring deep sedation as ERCP,EUS,
Colonoscopy without prove that this will affect the outcome.
 6. When moderate sedation is the target, a nurse should monitor
the patient and can perform interruptible tasks. If more technical
assistance is required, a second assistant (nurse, licensed practical
nurse [LPN], or unlicensed assistive personnel [UAP]) should be
available to join the care team.

5. ISSUES AND RATIONALE
 7. When sedation / monitoring are provided by anesthesia
personnel, a single additional staff person (nurse, LPN, or UAP) is
sufficient to assist with the technical aspects of the procedure.
 8. Unlicensed technicians who have received initial orientation &
ongoing training &deemed competent by their units, can assist
with and participate in tissue acquisition during the endoscopic
procedure, including but not limited to the opening &closing of
forceps, snares, and other accessories.

6. www.themegallery.com

7. ‫التنظير‬ ‫وحدة‬ ‫في‬ ‫السالمة‬ ‫على‬ ‫للحفاظ‬ ‫رئيسية‬ ‫استراتيجيات‬ ‫ملخص‬
‫الهضمي‬

‫لكل‬ ‫يكون‬ ‫أن‬ ‫يجب‬‫وحدة‬‫المخصصة‬ ‫تدفق‬‫لحركة‬‫م‬ ‫واآلمن‬ ‫المادي‬‫ن‬
‫المعدات‬ ‫من‬ ‫وغيرها‬ ‫القذرة‬ ‫المناظير‬.
‫المعقدة‬ ‫اإلجراءات‬ ‫من‬ ‫مزيد‬ ‫مع‬ ، ‫الحجم‬ ‫في‬ ‫تختلف‬ ‫اإلجراء‬ ‫غرف‬
‫وف‬ ، ‫المتخصصة‬ ‫المعدات‬ ‫من‬ ‫مزيد‬ ‫لل‬ ‫أكبر‬ ‫مساحة‬ ‫تتطلب‬ ‫التي‬‫ي‬
‫بعضالحاالت‬‫إضافيين‬ ‫موظفين‬ ،.
‫وأداء‬ ،‫والموظفين‬ ، ‫والمريض‬ ، ‫بالمنظار‬ ‫إجراء‬ ‫في‬ ‫البدء‬ ‫قبل‬
‫الصحيح‬ ‫اإلجراء‬ ‫و‬ ‫المريض‬ ‫من‬ ‫التحقق‬ ‫يجب‬ ‫الطبيب‬‫ألن‬‫يؤدي‬‫ها‬.
‫شخص‬ ‫قبل‬ ‫من‬ ‫الموجهة‬ ‫و‬ ‫العدوى‬ ‫لمنع‬ ‫محددة‬ ‫خطة‬ ‫تنفذ‬ ‫أن‬ ‫يجب‬
‫مؤهل‬.
‫العاملين‬ ‫الموظفين‬ ‫قبل‬ ‫من‬ ‫منيع‬ ‫ثوب‬ ‫و‬ ‫القفازات‬ ‫ارتداء‬ ‫يجب‬‫في‬
‫العملية‬ ‫أثناء‬ ‫للمريض‬ ‫المباشرة‬ ‫الرعاية‬ ‫مجال‬.

8. ‫التنظير‬ ‫وحدة‬ ‫في‬ ‫السالمة‬ ‫على‬ ‫للحفاظ‬ ‫رئيسية‬ ‫استراتيجيات‬ ‫ملخص‬
‫الهضمي‬
‫يجب‬‫والم‬ ‫الطرق‬ ‫تشمل‬ ‫التي‬ ‫الطرفية‬ ‫التطهير‬ ‫خطة‬ ‫وحدة‬ ‫يكون‬ ‫أن‬‫واد‬
‫تعقيم‬ ‫و‬ ‫لتطهير‬ ‫الكيميائية‬‫اإلجرائية‬‫الفضاء‬‫اليوم‬ ‫نهاية‬ ‫في‬.
‫يخضعون‬ ‫الذين‬ ‫المرضى‬‫للتنظير‬‫المع‬ ‫التخدير‬ ‫تحت‬ ‫روتينية‬، ‫تدل‬
‫باإلضافة‬ ‫غرفة‬ ‫في‬ ‫واحدة‬ ‫ممرضة‬ ‫مطلوب‬‫إلى‬‫أداء‬‫الطبيب‬.
‫و‬ ‫الكفاءة‬ ‫لتحقيق‬ ‫إضافيين‬ ‫موظفين‬ ‫معقدة‬ ‫إجراءات‬ ‫تتطلب‬ ‫قد‬‫لكن‬
‫ليس‬‫بالضرورة‬‫للسالمة‬.
‫بع‬ ،‫العملية‬ ‫قبل‬ ‫المريض‬ ‫مراقبة‬ ‫تنفيذ‬ ‫يتم‬ ‫أن‬ ‫يجب‬ ،‫أدنى‬ ‫كحد‬‫إعطاء‬ ‫د‬
‫فترات‬ ‫على‬ ، ‫المسكنات‬‫منتظمة‬‫أثناء‬‫األولي‬ ‫االنتعاش‬ ‫أثناء‬ ، ‫اإلجراء‬
‫التفريغ‬ ‫قبل‬ ‫و‬ ،.
‫المسؤول‬ ‫الشخص‬ ‫و‬ ، ‫الهدف‬ ‫هو‬ ‫المعتدل‬ ‫التخدير‬ ‫التي‬ ‫الحاالت‬ ‫في‬
‫انقطاع‬ ‫عدم‬ ‫تؤدي‬ ‫قد‬ ‫المريض‬ ‫مراقبة‬ ‫عن‬‫وجيزة‬‫المهام‬.
‫بيان‬ ‫حاليا‬ ‫يوجد‬ ‫ال‬ ، ‫الهدف‬ ‫هو‬ ‫المعتدل‬ ‫التخدير‬ ‫التي‬ ‫الحاالت‬ ‫في‬‫ات‬
‫كافية‬

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