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20th ESGENA Conference

Tuesday, 26 April 2016 12:46

20th ESGENA Conference
15-17 October 2016

Hosted by the Austrian Society of Endoscopy Nurses and Associates (IVEPA)
In Conjunction with the 24th United European Gastroenterology Week

The 20th ESGENA Conference which will be held during the 24th United European Gastroenterology Week, October 15-17, 2016 in Vienna, Austria.

ESGENA will celebrate its 20th Anniversary in Vienna. Since its foundation in Berlin in 1996, ESGENA has established close co-operation with more than 40 countries within Europe and overseas. ESGENA provides a platform for strong networking and the exchange of information. Educational structures include the development of curricula, standards and guidelines as well as the establishment of clinical grants for individual nurses.

The Conference in Vienna is a good chance to reflect on the recent developments of the society and to discuss cutting-edge ideas. The jubilee also invites you to discuss new projects and the advancement of the profession with experts.

The ESGENA conference is also an opportunity to meet colleagues from different countries. The exchange with nurses from all over the world combined with the opportunity to attend the medical programme of the UEG Week ensures the ESGENA conference is an exceptional educational event.

The three day ESGENA conference will include state-of-the-art lectures, free papers & posters, lunch sessions, several workshops with hands-on training and live transmissions covering current topics in Gastroenterology and Endoscopy.

Non-Medical Endoscopist Competence Assessment Portfolio

Thursday, 10 December 2015 09:40

This document supports the Skills for Health / Higher Education England Non-Medical Endoscopist career framework by providing a portfolio of evidence for competence achievement. This document is not mandatory for all trainees to complete, but provides a structure and framework document which can be used to evidence their progress and completion of competencies which are specific to NME's within endoscopy.

Context

The role of the Non-Medical Endoscopist is crucial in the delivery of high quality diagnostic and therapeutic endoscopy services. As such, NME's are required to demonstrate critical awareness of knowledge issues in the field of endoscopy and at the interface between different fields. Typically operating at level 7, they are innovative and have a responsibility for developing and changing practice and/or services in a complex and unpredictable environment. The role spans leadership, innovation, excellence and mastery within the individual’s scope of practice, and provides a holistic approach to care for individuals undergoing endoscopy, spanning the journey from initial referral through to discharge and future management. As a consequence, individuals entering into the role MUST be able to demonstrate the necessary level of knowledge, skills and attributes commensurate with that of professionals who have significant experience within the healthcare setting. Such areas include communication skills, infection control, record keeping / documentation etc. The career framework document which outlines the NME role contains within it (page 6) diagrammatic representation of the typical attributes of level 7 roles which should be considered as part of competency development and assessment.

Making reasonable adjustments to cancer screening

Tuesday, 10 November 2015 13:38

Public Health England - update of the 2012 report

Cancer screening programmes have been asked to make reasonable adjustments for people with learning disabilities. This population have been shown to have poorer health and are more likely to die at a younger age than people in the general population, in part because of poor access to health services. People with learning disabilities are at a higher risk of gastrointestinal cancer, improving uptake for bowel cancer screening programmes is needed for this population. The guidance from Public Health England gives useful links to resources to help healthcare providers adjust services to meet the healthcare needs for people with learning disabilities for all the cancer screening programmes in England.

If you have any questions or concerns please contact Dr Helen Griffiths, nurse advisor bowel cancer screening programme, via e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Patient Safety Alert: Naloxone

Friday, 30 October 2015 10:35

Resources to minimise the risk of distress and death from inappropriate doses of naloxone

A Stage One: Warning Alert was issued 20 November 2014 drawing attention to the safety implications of inappropriate doses of the opioid/opiate antagonist naloxone. Whilst naloxone use can be life-saving in respiratory depression and respiratory arrest, the previous Stage One Alert highlighted that use of naloxone in patients where it is not indicated, or in larger than recommended doses, can cause a rapid reversal of the physiological effects for pain control, leading to intense pain and distress, and an increase in sympathetic nervous stimulation and cytokine release precipitating an acute withdrawal syndrome. Hypertension, cardiac arrhythmias, pulmonary oedema and cardiac arrest may result from inappropriate doses of naloxone being used for these types of patients.

Potential transmission of multi resistant bacteria and duodenoscopes

Thursday, 22 October 2015 08:30

October 2015

Recent reports in the media have highlighted the potential for transmission of infection associated with duodenoscopes. A recent peer reviewed publication (Endoscopy (2015) 47: 493-502) described an outbreak of VIM-2 producing Pseudomonas aeruginosa and identified an issue with the design and reprocessing of a recently introduced duodenoscope with a specific modified design. This may be similar to the outbreaks in the US (Gastrointestinal Endoscopy (2015) 82(3): 477-83).

The BSG would like to highlight the following points to staff carrying out the decontamination of flexible endoscopes, in particular duodenoscopes:

  • Adherence to manufacturers' instructions at all times is essential.
  • The pre clean procedure should take place at the patient bedside, as described in the instructions from the UK suppliers and BSG guidance.
  • The cover on the raiser bridge mechanism at the distal tip should be removed prior to brushing all areas of the distal tip and cleaning with detergent and replaced on completion of the decontamination process. The brush must be used on all surface areas of the distal tip ensure that all debris is removed.
  • The elevator wire channel should be flushed with detergent during the manual cleaning ensuring the correct size syringe is used. If automated flushing systems are used for this stage of the process, staff should ensure that this channel is included.
  • Staff should ensure that the endoscope washer disinfector has the capability of flushing the elevator wire channel with detergent, disinfectant and rinse water.
  • If stored in a drying cabinet, the elevator wire channel should be flushed with HEPA filtered air along with all the other channels. If this channel is not flushed with air, the endoscope should be used within 3 hours or the endoscope reprocessed before patient use. Not all cabinets have this facility. An EN standard, EN 16442, has now been published for endoscope storage drying cabinets.
  • Routine microbiological surveillance of processed endoscopes is not recommended. However, this may be carried out on advice from the infection prevention and control team if an outbreak is known or suspected.
  • Staff should receive comprehensive training, and a record retained, on all aspects of the decontamination of endoscopes, in particular, duodenoscopes.

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