Paramedical Personnel

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David F. Ransohoff - One of the best experts on this subject based on the ideXlab platform.

  • Licensure, use, and training of Paramedical Personnel to perform screening flexible sigmoidoscopy
    Gastrointestinal endoscopy, 1999
    Co-Authors: Brooks D Cash, Philip Schoenfeld, David F. Ransohoff
    Abstract:

    Abstract Background: The purpose of this study was to assess the state board of nursing guidelines about the performance of flexible sigmoidoscopy by nurses and to determine the current use and training of Paramedical Personnel in flexible sigmoidoscopy at gastroenterology fellowship programs in the United States. Methods: Separate one-page questionnaires were sent to state boards of nursing and directors of endoscopy at gastroenterology fellowship programs in the United States. Results: Twenty percent (10 of 50) of state boards of nursing explicitly approve the performance of sigmoidoscopy by registered nurses, and 50% (25 of 50) explicitly approve the practice by nurse practitioners. Forty-six percent (23 of 50) of state boards of nursing have no written policy but allow nurses to use a "decision making model" to determine whether the performance of sigmoidoscopy is allowed. Fifteen percent (24 of 164) of gastroenterology fellowship programs in the United States use Paramedical Personnel to perform flexible sigmoidoscopy. Sixty-three percent (15 of 24) of these programs started since 1995, and 67% (16 of 24) require that the Paramedical Personnel perform 50 or more supervised sigmoidoscopies during their training. Forty-five percent (5 of 11) of programs with physician assistants/nurse practitioners use these Personnel to perform colonoscopy or endoscopy. Conclusions: Nurses are allowed to perform flexible sigmoidoscopy in most states based on current state board of nursing guidelines. The use of Paramedical Personnel to perform endoscopic procedures is increasing rapidly. (Gastrointest Endosc 1999;49:163-9.)

Martin B Walker - One of the best experts on this subject based on the ideXlab platform.

Brooks D Cash - One of the best experts on this subject based on the ideXlab platform.

  • Licensure, use, and training of Paramedical Personnel to perform screening flexible sigmoidoscopy
    Gastrointestinal endoscopy, 1999
    Co-Authors: Brooks D Cash, Philip Schoenfeld, David F. Ransohoff
    Abstract:

    Abstract Background: The purpose of this study was to assess the state board of nursing guidelines about the performance of flexible sigmoidoscopy by nurses and to determine the current use and training of Paramedical Personnel in flexible sigmoidoscopy at gastroenterology fellowship programs in the United States. Methods: Separate one-page questionnaires were sent to state boards of nursing and directors of endoscopy at gastroenterology fellowship programs in the United States. Results: Twenty percent (10 of 50) of state boards of nursing explicitly approve the performance of sigmoidoscopy by registered nurses, and 50% (25 of 50) explicitly approve the practice by nurse practitioners. Forty-six percent (23 of 50) of state boards of nursing have no written policy but allow nurses to use a "decision making model" to determine whether the performance of sigmoidoscopy is allowed. Fifteen percent (24 of 164) of gastroenterology fellowship programs in the United States use Paramedical Personnel to perform flexible sigmoidoscopy. Sixty-three percent (15 of 24) of these programs started since 1995, and 67% (16 of 24) require that the Paramedical Personnel perform 50 or more supervised sigmoidoscopies during their training. Forty-five percent (5 of 11) of programs with physician assistants/nurse practitioners use these Personnel to perform colonoscopy or endoscopy. Conclusions: Nurses are allowed to perform flexible sigmoidoscopy in most states based on current state board of nursing guidelines. The use of Paramedical Personnel to perform endoscopic procedures is increasing rapidly. (Gastrointest Endosc 1999;49:163-9.)

John H Pennant - One of the best experts on this subject based on the ideXlab platform.

Philip Schoenfeld - One of the best experts on this subject based on the ideXlab platform.

  • Licensure, use, and training of Paramedical Personnel to perform screening flexible sigmoidoscopy
    Gastrointestinal endoscopy, 1999
    Co-Authors: Brooks D Cash, Philip Schoenfeld, David F. Ransohoff
    Abstract:

    Abstract Background: The purpose of this study was to assess the state board of nursing guidelines about the performance of flexible sigmoidoscopy by nurses and to determine the current use and training of Paramedical Personnel in flexible sigmoidoscopy at gastroenterology fellowship programs in the United States. Methods: Separate one-page questionnaires were sent to state boards of nursing and directors of endoscopy at gastroenterology fellowship programs in the United States. Results: Twenty percent (10 of 50) of state boards of nursing explicitly approve the performance of sigmoidoscopy by registered nurses, and 50% (25 of 50) explicitly approve the practice by nurse practitioners. Forty-six percent (23 of 50) of state boards of nursing have no written policy but allow nurses to use a "decision making model" to determine whether the performance of sigmoidoscopy is allowed. Fifteen percent (24 of 164) of gastroenterology fellowship programs in the United States use Paramedical Personnel to perform flexible sigmoidoscopy. Sixty-three percent (15 of 24) of these programs started since 1995, and 67% (16 of 24) require that the Paramedical Personnel perform 50 or more supervised sigmoidoscopies during their training. Forty-five percent (5 of 11) of programs with physician assistants/nurse practitioners use these Personnel to perform colonoscopy or endoscopy. Conclusions: Nurses are allowed to perform flexible sigmoidoscopy in most states based on current state board of nursing guidelines. The use of Paramedical Personnel to perform endoscopic procedures is increasing rapidly. (Gastrointest Endosc 1999;49:163-9.)

  • Flexible sigmoidoscopy by Paramedical Personnel.
    Journal of clinical gastroenterology, 1999
    Co-Authors: Philip Schoenfeld
    Abstract:

    Screening sigmoidoscopy is associated with a 45% to 80% reduction in colorectal cancer mortality. Although less than 50% of eligible Americans have been screened with flexible sigmoidoscopy (FS), the use of this procedure is rising rapidly. By the year 2000, as many as 10 million screening FS per year could be performed. To accommodate the increased demand, many medical centers have trained Paramedical Personnel (i.e. physician assistants, nurses, and gastroenterology technicians) to perform FS. However, as a result of the paucity of research about this practice, only physicians receive a professional fee for performing screening FS. Many state Boards of Nursing explicitly prohibit registered nurses (RNs) from performing this procedure. This review outlines research about the effectiveness of Paramedical endoscopists, medico-legal and reimbursement issues, and outlines a training program in FS for Paramedical Personnel.