Comprehensive Endoscopy Protocol Guide

Pre-Procedure Protocol

Patient Preparation

• Verify patient identity and consent forms
• Review medical history and medications
• Confirm NPO status (8 hours for solids, 2 hours for clear liquids)
• Check vital signs
• Establish IV access

Equipment Verification

• Test endoscope functionality
• Verify light source and processor
• Check suction and irrigation systems
• Prepare appropriate accessories (biopsy forceps, snares)
• Confirm emergency equipment availability

During Procedure

Safety Measures

• Position patient appropriately (left lateral for most procedures)
• Apply oxygen monitoring
• Administer sedation as prescribed
• Monitor vital signs q5 minutes

Technical Protocol

1. Scope Introduction

   • Use appropriate technique based on procedure type
   • Maintain gentle advancement
   • Document anatomical landmarks

2. Examination Protocol

   • Systematic visualization of all segments
   • Photo documentation of normal/abnormal findings
   • Proper biopsy technique when indicated

Post-Procedure Protocol

Immediate Care

• Monitor vital signs until stable
• Assess recovery from sedation
• Document findings and complications

Equipment Management

• Initial cleaning at bedside
• Transport to reprocessing area
• Follow standardized decontamination protocol

Documentation Requirements

• Complete procedure report
• Update patient records
• Schedule follow-up if needed

Quality Assurance

• Track procedure times
• Monitor completion rates
• Document adverse events
• Regular equipment maintenance

Emergency Protocols

• Bleeding management
• Perforation response
• Cardiopulmonary emergency procedures