Assisting with gastrointestinal endoscopy 1. Wash hands 2. Check and obtain all the equipments a. Blood pressure b.

Pulse oximeter c. IV set d. suction machine e. emergency equipment f. iv medications g. oxygen h. endoscope i. gloves 3. prepare for possible biopsies, polyp removal , and photos 4. check that emergency equipment and medications 5. verify client identification 6. perform brief nursing assessment 7. check for drug allergies 8. verify client readiness for the procedure 9. secure the consent 10. Start an IV line 11. Connect the ECG, blood pressure and pulse oximeter 12. Check baseline vital signs , heart rhythm, respiratory rate, O2 saturation and level of consciousness 13. Start oxygen via nasal cannula, or tracheostomy collar 14. Wear appropriate protective measures 15. Position client on left side with head of the bed as flat as tolerated 16. Ensure clients privacy 17. After the procedure ensure clients safety by keeping side rails up until sedation has worn off , monitor airway and assess gag reflex 18. Assess for signs of bleeding and perforation, unusual abdominal pain, guarding tenderness, rectal or oral bleeding or hypovolemic shock 19. Document all medications given and all the findings