Meri Pinner

*Pre-Op Nurse:

IV initiation, Pre-Op teaching, Admission assessment, Vital signs.

*Circulating Nurse:

Conscious sedation

Patient monitoring

Specimen collection

*Recovery Nurse:

Post-Op teaching, Post-Op assessment and care of sedated

endoscopy patients

Charting: EPIC

Pre-op:

• Pre-procedural assessment of adults and pediatric endoscopy patients, IV starts, pre-op medication administration, pre-op teaching.

Intra-op:

• Endoscopy circulator for adult and pediatric patients. Procedures are EGD, Colonoscopy, Dilatation, PEG tube removal.
• PATT phone calls.

• Charting: Meditech

• Prepared rooms according to specific endoscopic procedures.
• Educated patients on procedures and facility processes.
• Recovered patient from anesthesia to perform discharge teaching.
• Performed patient assessment, VS monitoring, IV insertion and other routine procedures and documented in electronic medical record.
• Circulated for following procedures: EGD, Colonoscopy, Flex Sig, PEG tube placement, Bronchoscopy, Bravo.
• Charting: Epic

• Prepared rooms according to specific endoscopic procedures.
• Pre and Post op phone calls.
• Educated patients on procedures and facility processes.
• Recovered patient from anesthesia to perform discharge teaching.
• Performed patient assessment, VS monitoring, IV insertion and other routine procedures and documented in electronic medical record to support interdisciplinary care.
• Conscious Sedation
• Circulated for following procedures: EGD, Colonoscopy, Flex Sig, PEG tube placement, ERCP, Bronchoscopy, Bravo.
• Charting: Epic
• Referrals: Melissa Miller, RN Endo Supervisor melissa.miller@commonspirit.org 606-424-7156 and Brandy Sontag, RN Endo Nurse Manager brandy.sontag@commonspirit.org 859-313-4598

• Pre OP and Recovery
• Pre OP phone calls
• Endo nurse circulator for: Colonoscopy, EGD, Flex Sig, PEG tube placement, EUS with FNA, Bravo placement
• Charting: Meditech
• Charge Nurse: Melissa Michael, RN 912-660-8557 mmichael1825@yahoo.com

• Charting: Epic
• Pre and Post OP teaching
• Pre and Post OP phone calls
• IV insertion and care
• Specimen collection
• Circulating RN for EGD, Colonoscopy, Flex Sig, Bronchoscopy, PEG tube placement, Bravo placement
• Charge Nurse: Jessica Sultan, RN Jessica.Sultan@adventhealth.com 352-470-1131

• Endoscopy Circulator
• Post OP phone calls
• Assist Doctor with EGD, Colonoscopy, Flex Sig, Bronchoscopy
• Bravo Capsule placement, Conscious Sedation, PEG tube placement
• Cerner charting
• Monitor patient and specimen collection
• IV starts, pre and post of teaching
• Reference: Diana Culberson, Endoscopy Manager, 770-548-2078
• Holly Burgess, Assistant Endoscopy Manager 706-260-7903

• I worked here full time until November 2020 at that time I became PRN so that I could start travel endoscopy
• Responsibilities: Endoscopy Circulator
• Assist Doctor with EGD, Colonoscopy, Flex Sig, ERCP, EUS, EMR, Bronchoscopy, Bravo Capsule Placement
• Monitor patient, charting, specimen collection

• Educated patients on procedures and facility processes.
• Recovered patient from anesthesia to perform discharge teaching.
• Performed patient assessment, VS monitoring, IV insertion and other routine procedures.
• Circulated for EGD, Colonoscopy, Flex Sig, Bravo, ERCP, EUS with FNA, PEG tube placement.
• References: Eddie Perez, Nurse Manager 813-998-8000
• Paper Charting

• Pre-OP and Circulator for EGD, Colonoscopy, and Flex Sig.
• Pre and Post OP phone calls.
• Educated patients on procedures and facility processes.
• Recovered patient from anesthesia to perform discharge teaching.
• Conducted pre-op calls to review specific instructions prior to surgery and post-op calls to improve patient satisfaction, answer questions and address new or worsening symptoms.
• Paper Charting

• Pre-Op:
• Obtain vital signs, health history, and consent
• Start IV and give any ordered pre-op meds
• Patient teaching
• Intra-Op:
• Procedures: colonoscopy, EGD, fecal transplant
• Monitor patient, charting
• Assist Gastroenterologist
• Prepare specimens
• Transfer patient to PACU and give report
• References: LeeAnna Ayan, RN Nurse Manager 813-978-1494, Assigned daily to either Pre-Op, Procedure Room, or Recovery
• Pre-Op:
• Obtain vital signs, health history, and consent
• Start IV and give any ordered pre-op meds
• Patient teaching
• Intra-Op:
• Monitor patient, charting
• Assist Gastroenterologist
• Prepare specimens
• Post-Op:
• Monitor patient
• Patient teaching/assist with further appointments or orders
• Discharge of patient when discharge criteria is met
• References:
• Lisa Shrader Endoscopy Nurse Manager 270-706-5652
• Dinah Haycraft Endoscopy Charge Nurse 270-706-5652
• Lisa Chasmar Procedure Room Charge Nurse 270-706-5652

• Admissions: Obtain health history, vital signs, establish IV, pre-op teaching, pre-op medications
• Procedure Room: Assist doctor, monitor patient, obtain specimens, wash scopes, stock room
• Recovery: Monitor patient, patient teaching, discharge of patient when discharge criteria is met

• Pre-Op: Obtain vital signs, health history, and consent; Start IV and give any pre-op meds, patient teaching
• Intra-Op: Conscious Sedation, monitor patient, charting, assist
• Gastroenterologist, prepare specimens
• Post-Op: Monitor patient, charting, patient teaching, fulfill any post-op orders, discharge of patient when criteria met
• References:
• Keith Moss Office Manager 910-323-5203
• Dr
• Anthony Daniels, MD Gastroenterologist 910-323-5203
• Dr
• Dimiter Zafirov, MD Gastroenterologist 910-323-5203
• Tina Edge, RN Assistant Nurse Manager 910-223-1620

• Medication Administration
• Vision, hearing, growth and development screenings
• Assessment and care of student's complaints/injuries
• Carried out normal routine of School Nurse that was absent

• Prepare patient for procedure
• Take health history and vital signs
• Start IV, give pre-op meds
• Recover patient
• Discharge teaching

Pre-op:

Teaching, procedural preparation, IV starts, medication administration.

Intra-op:

Circulator for EGD, Colonoscopy, PEG tube placement, Bronchoscopy, Flexible Sigmoidoscopy.

Recovery:

Discharge teaching, post procedural assessment of patients in phase I and phase II recovery of both inpatients and outpatients.

Charting: Epic

• Prepare patients for short stay surgery or AM admissions
• Administer pre-op medication
• Acquired health history and vital signs
• Initiate IV if necessary
• Recover patient
• Discharge teaching

• Prepare patient for endoscopy (EGD, Colonoscopy, ERCP, Feeding
• Tube placement, etc.)
• Obtain health history, vital signs, and IV
• Assist physician with procedure
• Monitor patient under conscious sedation
• Recover patient
• Discharge teaching

• Prepare patient for endoscopy (EGD, Colonoscopy, ERCP, Feeding
• Tube placement, etc.)
• Obtain health history, vital signs, and IV
• Assist physician with procedure
• Monitor patient under conscious sedation
• Recover patient
• Discharge teaching

• Monitor patient's vital signs after surgery
• Assess pain after surgery
• Assess wound/surgical site
• Administer required medications/post-op orders
• Perform necessary dressing changes, positioning of patients, ambulatoryneeds, etc.

• Carried out normal routine of School Nurse that was absent
• Medication administration
• Assessment of aches, pains, illnesses
• Communication with parents and staff about child's situation

• Continuous assessment and care of acute, emergent patients and their families
• Triage of patients
• Medication administration, initiation of IV access, collection of venous blood, various catheter insertions, NG tube placement, lavage, wound care, burn care, acute OB/GYN care
• Worked as a team with the head nurse and emergency room physicians
• Individualized care plans
• Discharge teaching