END08 Position individuals during endoscopic procedures

Overview

This standard covers the positioning of individuals during endoscopic procedures.  The individual undergoing the procedure has to be positioned prior to, and a number of times during, the procedure.  The positioning has to be undertaken safely, and needs to be coordinated with other practitioners.  During this process the individual should be monitored to ensure their safety.  Users of this standard will need to ensure that practice reflects up to date information and policies. Version No 1

Knowledge and Understanding

You will need to know and understand:

1. the ethics and responsibilities of practitioners, and relevant professional bodies, codes of conduct, and guidelines
2. evidence-based practice and its role in improving care
3. the legislation relating to the:
1. role of practitioners and clinical practice
2. health and safety
3. the care of individuals, include impact of the Human Rights Act
4. freedom of information and data protection
4. government and organisational policies relating to the provision of endoscopy
5. aetiology, pathogenesis, and progress of specific conditions, including genetic or environmental factors
6. the anatomy, physiology, and pathology relevant to specific conditions
7. the methods for managing specific conditions
8. the short, medium, and long term effects of specific conditions on individuals and their carers
9. symptoms of specific conditions, and potential complications and outcomes
10. the signs of abnormalities revealed by endoscopic procedures
11. legislation and legal processes relating to consent
12. the principles of informed consent, including implied consent and expressed consent
13. the process and timing for obtaining informed consent during endoscopic procedures, and what to do if consent is withdrawn during procedures
14. the relevant national and organisational policies and guidelines on consent
15. statutory statements, living wills, advanced directives, and other expressions of an individual’s wishes
16. established and new endoscopic procedures and techniques that are available for use with specific conditions
17. the equipment and accessories to be used with specific endoscopic procedures
18. the suitability of endoscopic procedures and techniques for specific groups of individuals
19. the risks and complications of specific endoscopic procedures and techniques
20. the guidelines and procedures for quality assurance, and evidence of effectiveness of specific endoscopic procedures
21. the methods to assess and monitor the individual during endoscopic procedures
22. the needs of individuals and carers, including issues relating to dignity, confidentiality, and privacy
23. the role, responsibilities, needs, and relationships between individuals and carers
24. the services and assistance that the individual and their carers should be entitled to
25. the type of information that is most useful to individuals and their carers, their rights to obtain it, and how they can access it
26. how individuals and carers respond to endoscopic procedures
27. national and local policies and guidelines relating to the management and effective use of endoscopy resources
28. organisational management structures, roles, and responsibilities
29. the procedures, protocols, and pathways for liaising with individuals, carers, practitioners, departments, and agencies
30. record keeping systems and policies
31. how to provide feedback on services
32. the equipment and safe moving techniques used for positioning and supporting individuals
33. the position of individuals required during different stages of specific endoscopic procedures
34. the procedures and methods relating to the coordination of inter-disciplinary and multi-disciplinary teams within and across services
35. the role of different types of practitioners and agencies in providing an endoscopy service
36. the services provided by relevant national, local, and voluntary social and health care agencies

Performance Criteria

You must be able to do the following:

1. respect the individual’s rights and wishes relating to their consent, privacy, beliefs, and dignity
2. provide support to the individual, and the carers they specify, to enable them to make informed choices throughout positioning procedures
3. ensure health and safety measures are implemented at all times when positioning the individual
4. prepare the environment and resources ready for positioning, and remove all obstructions
5. coordinate positioning with other practitioners involved
6. position the individual according to the requirements of the endoscopic procedure and the endoscopy equipment that will be used
7. position the individual in a dignified way which minimises any discomfort or pain
8. use appropriate padding, support, and covers to prevent injury to the individual and excessive heat loss
9. identify any unexpected change in the individual’s condition during positioning, and report it promptly to the appropriate member of the care team
10. ensure positioning equipment is returned to the correct place after use

Additional Information

This National Occupational Standard was developed by Skills for Health.This standard links with the following dimension within the NHS Knowledge and Skills Framework (October 2004): Dimension: HWB7 Interventions and treatments