iLearning Recorded Webinar
Achieving Hemostasis in Endoscopy
Endoscopy procedures in which a patient presents with a gastrointestinal bleed can be moments of high stress for everyone involved. Achieving hemostasis, or stopping the bleed, is the main goal. And oftentimes, clinicians aim to achieve this as quickly as possible. This one-hour learner-paced independent study CNE activity delves into the signs and symptoms of GI bleeding, different causes of GI bleeds and the endoscopic treatment modalities for GI bleeding. It is expected that participants will be better prepared for encounters with gastrointestinal bleeds in their endoscopy unit.
This faculty-directed, learner-paced education activity is intended primarily for RNs with a responsibility for or an interest in ensuring patient safety during endoscopic procedures. 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 signs and symptoms of GI bleeding which may be encountered in the GI Suite
2) Discuss the different causes of GI bleeding
3) Identify available treatment options for GI bleeding
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, achieving a score of 80% on the post-test 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 Cook Medical.
- 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 lines of race, ethnicity, gender identity, sexual orientation, age, socioeconomic status, or 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
Achieving Hemostasis in Endoscopy
1- Bendersky, V, Brandt C, Cox M, et al., Gastrointestinal Hemorrhage. American College of Surgeons Division of Education; 2018.
2 - Kim BS, Li BT, Engel A, et al. Diagnosis of gastrointestinal bleeding: A practical guide for clinicians. World J Gastrointest Pathophysiol. 2014 Nov 15;5(4):467-78.
3 - Scottish Intercollegiate Guidelines Network, Management of acute upper and lower gastrointestinal bleeding, 2008 September.
4 – Adler, D. The Little GI Book. 2nd ed. Thorofare, NJ: Slack Incorporated; 2020.
5 - Laine L, Jensen DM. Management of patients with ulcer bleeding. American Journal of Gastroenterology. 2012; 107: 345-360.
6 – Regula J, Wronska E, Pachlewski J. Vascular lesions of the gastrointestinal tract. Best Practice & Research Clinical Gastroenterology. 2008; 22(2):313-328.
7 – Aleem A, Shah H. Gastric Varices. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2022.
8 – Salah W, Faulx A. Approach to suspected lower gastrointestinal bleeding. In: Wong Kee Song L, Gorospe E, and Baron T, eds. GI Endoscopic Emergencies. New York, NY : Springer, 2016.
9 – Parsi MA, Schulman AR, Aslanian HR, et al. Devices for endoscopic hemostasis of nonvariceal GI bleeding (with videos). Gastrointestinal Endoscopy. 2019; 4(7): 285-299.
10 – Hwang JH, Fisher DA, Ben-Menachem T, et al. The role of endoscopy in the management of acute non-variceal upper GI bleeding. Gastrointestinal Endoscopy. 2012; 75(6): 1132-1138.
11 – Hwang JH, Shergill AK, Acosta RD, et al. The role of endoscopy in the management of variceal hemorrhage. Gastrointestinal Endoscopy. 2014; 80(2): 221-227.
12 – Lau JYW, Pittayanon R, Kwek A, et al. Comparison of a Hemostatic Powder and Standard Treatment in the Control of Active Bleeding From Upper Nonvariceal Lesions. Annals of Internal Medicine. 2022; 175(2): 171-178.
Image and video credits
J Andy Tau, MD Images 3, 6, 9, 18, 19 and videos 5, 6, 7, 8, 13
Shou Jiang Tang, MD Images 1, 2, 4, 8, 10, 12, 13, 16 and videos 1, 2, 3, 4, 9, 10, 11, 12
Girish Mishra, MD Image 5
Cook Medical Images 7, 11, 14, 15, 17, 20, 21