iLearning Recorded Webinar
Abdominal Pressure Strategies
to Improve the Culture of Safety in Endoscopy
An estimated 10-20% of colonoscopies are considered difficult. In this one-hour CNE activity, the speaker will review human anatomy, pre and intra endoscopy patient assessment, and abdominal pressure techniques to improve abdominal pressure strategies and decrease potential injuries to patients, providers, and staff. Participants will be able to discuss changes in practice to improve abdominal pressure techniques during endoscopic procedures.
This faculty-directed education activity is intended primarily for RNs with a responsibility for or an interest in ensuring safe patient care in the endoscopy suite. The presentation will also be of interest to allied healthcare personnel and MDs involved in endoscopy.
Upon completion of this presentation, participants will be able to:
1) Identify five anatomical and ergonomic considerations that contribute to a technically difficult endoscopy procedure
2) Describe three patient variables that increase the need for abdominal pressure support
3) Compare four abdominal pressure strategies utilized to reduce or prevent looping/relooping during endoscopic procedures
Participants will complete the recorded webinar learning activity. They will view the presentation, then register to complete the evaluation and take the post-test on the website. They will submit the documentation as directed. A bibliographic reference is included for those wishing additional information.
Upon successful completion of the entire online program and submission of required documentation, participants will be granted 1 contact hour. No partial credit will be granted.
Provider approved by the California Board of Registered Nursing, Provider Number 08747, the District of Columbia Board of Nursing, Provider Number 50-574, the Florida Board of Registered Nursing, Provider Number 50-574 and the Georgia Board of Nursing, Provider Number 50-574.
According to the criteria of the American Board of Certification for Gastroenterology Nurses (ABCGN), contact hours earned in this activity are considered GI Specific for the purpose of recertification through the ABCGN.
- Successful completion: Participants must complete the entire program, register, achieve a score of 80% on the post-test and submit required documentation.
- Conflict of interest: Planners disclose no conflict of interest. The speakers disclose salary or honorarium from the commercial support entity; they have signed a statement agreeing to present material fairly and without bias.
- Commercial company support: Fees are underwritten by education funding provided by COLOWRAP.
- Non-commercial company support: None.
- Alternative/Complementary therapy: None.
- Implicit Bias: Educational Dimensions supports efforts to eliminate health care disparities and implicit bias in medical treatment along the lines of race, ethnicity, gender identity, sexual orientation, age, socioeconomic status other characteristics in CNE activities addressing direct patient care.
Participants successfully completing the activity and submitting required documentation will be permitted to print a certificate of completion. Participants are advised to retain the certificate for eight years following activity completion.
Replacement of misplaced certificate is available from Educational Dimensions. There is a fee for this service. Request a replacement by contacting us.
Guide to Study
The following steps will assist you in your successful completion of this eLearning Activity.
- Read the content or view the recorded presentation. If you want contact hours at the completion of studying the eLearning material, you will be required to register, complete an evaluation and take a post-test prior to printing your Certificate of Completion. We urge you to complete the eLearning activity once you have started. However, if you do need to come back later, you can sign in with your email and eLearning ID.
- First Time Visitors will be asked to register using an email address as your User Name. Make a note which email address you have used. Then you will create an eLearning ID using a combination of at least 6-10 letters or numbers. Please make a note of your eLearning ID and if for some reason you forget, you may request that your eLearning ID be sent to you. The web site is secured by Trustwave.
- Return Visitors: If you have registered already you do not need to register again. Just Sign In using your email and eLearning ID.
- Evaluation Form: Once you have registered or signed in you will be asked to complete an evaluation form and submit it. This is required to obtain the Certificate of Completion.
- Post-test: A post-test, based on the content of the eLearning activity, will need to be taken. A passing score of 80% is required. This is required to obtain the Certificate of Completion.
- Printing Your Certificate of Completion: Once you have successfully passed the post-test you will be able to print your Certificate of Completion. You will be given an opportunity to verify the information that will be printed on your certificate. Please make sure your printer is ready to print. You will not have access to the certificate page on later visits unless you contact us. Once you choose to print the Certificate of Completion, it will not be possible to make corrections. To obtain a corrected certificate you will need to contact Educational Dimensions. Fees may apply.
- If you encounter any technical problems during this eLearning activity, please contact us.
Recorded Webinar video
Colowrap. (n.d.). Force Study. Ergonomic risk of manual pressure. https://www.colowrap.com/hubfs/ColoWrap%20Force%20Study.pdf
Crockett, S. D., Cirri, H. O., Kelapure, R., Galanko, J. A., Martin, C. F., & Dellon, E. S. (2016). Use of an abdominal compression device in colonoscopy: A randomized, sham-controlled trial. Clinical Gastroenterology and Hepatology, 14(6), 850-857.e3. https://doi:10.1016/j.cgh.2015.12.039
Crockett, S. D., Dellon, E. S., Biggers, L., & Ernst, D. (2021). Use of patient abdominal compression device reduces staff musculoskeletal pain associated withs supporting colonoscopy. Gastroenterology Nursing, 0(0), 1-10.
Fetzer, S. J. (2020). Application of a positioning wedge during colonoscopy of obese patients to mitigate nurse pain. Workplace Health & Safety, 68(7), 320-324. https://doi.org/10.1177/2165079920904743
Fu, L., Dai, M., Liu, J., Shi, H., Pan, J., Lan, Y., Shen, M., Shao, A., & Ye, B. (2019). Study on the influence of assistant experience on the quality of colonoscopy: A pilot single-center study. Medicine, 98(45), e17747. https://doi:10.1097/MD.0000000000017747
Ofori, E., Ramai, D., John, F., Reddy, M., & Ghevariya, V. (2018). Occupation-associated health hazards for the gastroenterologist/endoscopist. Annals of Gastroenterology, 31(4), 448-455. https://doi.org/10.20524/aog.2018.0265
Prechel, J. A., & Hucke, R. (2009). Safe and effective abdominal pressure during colonoscopy: Forearm versus open hand technique. Gastroenterology Nursing, 32(1), 27-30. https://doi:10.1097/SGA.0b013e3181972c03content/uploads/2020/01/HNC-REPORT-FINAL-Spread2.pdf
Prechel, J. A., Sedlack, R. E., Harreld, F. A., & Sederquest, M. M. (2015). Looping and abdominal pressure: A visual guide to a successful colonoscopy. Gastroenterology Nursing, 38(4), 289-294. https://doi:10.1097/SGA.0000000000000125
Society of Gastroenterology Nurses and Associates. (2014). Position Statement. Ergonomics in the Gastroenterology Setting. https://www.sgna.org/Portals/0/Education/PDF/Position-Statements/SGNA_PositionStatement_Ergonomics_2014.pdf
Yu, S., & Roh, Y. S. (2018). Needs assessment survey for simulation‐based training for gastrointestinal endoscopy nurses. Nursing & Health Sciences, 20(2), 247-254. https://doi.org/10.1111/nhs.12412