Associate Editor Brian C. Jacobson, MD, MPH recommends this article from the ASGE Ensuring Safety in the Gastrointestinal Endoscopy Unit Task Force titled “Guidelines for safety in the gastrointestinal endoscopy unit” featured in the March issue.
In recent years, regulatory agency surveyors have cited endoscopy units in the United States over long-accepted practices. Many of these issues relate to the Ambulatory Surgical Center Conditions for Coverage set forth by CMS and the lack of distinction between the sterile operating room and the endoscopy setting. This new guideline is the first to make a vital distinction between the sterile operating room and the typical non-sterile endoscopy unit procedure room.
Anyone who performs endoscopy, but especially those with leadership positions in their endoscopy unit, should be aware of this new multi-society document spearheaded by ASGE. This guideline codifies many of our longstanding practices and offers a road map for delivering high quality, safe, and cost-effective endoscopy services.
Endoscopy units now have a valuable single document to share with regulatory authorities to justify many longstanding endoscopy practices such as not requiring use of sterile gowns, hair covers and booties; having a non-anesthesia physician supervise the administration of moderate sedation; dispensing with end-tidal CO2 monitoring when moderate sedation is the goal; and making appropriate use of unlicensed assitive personnel to help with tissue procurement and other technical aspects of endoscopy.
Find this article online here.
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