GI Lab/Endoscopy Skills Checklist

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Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

1 = Never Performed 2 = Limited Experience 3 = Comfortable Performing 4 = Proficient

Procedures 1 2 3 4
Assist with EGD's
Assist with Endoscopic Ultrasound
Assist with Active GI Bleed
Cautery Devices
Assist with Manometry Studies
Assist with Variceal Banding
Asist with Esophageal Dilatations:
- Balloon
- Other types
Assist with Sclerotherapy
Assist with TEE
Assist with Bronchoscopy
Assist with Colonscopy
Assist with Polypectomy
Assist with ERCP's
Assist with PEG placements
Assist with Collection of Hot & Cold Bx's
Specimen Collection & Labeling
Apply External Abdominal Pressure to assist with Scope Movement
Monitoring of Conscious Sedation
Pre/Post Procedure 1 2 3 4
Knowledge of Sedation Reversal Agents
O2 Administration
Pulse Oximetry
Scope Cleaning
Set-up of Scopes & Video Equipment
Obtain IV Access
Pre-procedure Checklist
Pre-procedure Teaching
Monitor EKG
Monitor O2 sats
Monitor VS
Use of Sedation Recovery Scale
Airway Management
Assess GI Statue Post-procedure
Assess for Gag Reflex Post EGD
Perform Post Procedure Teaching
Conscious Sedations Medications
Sedation Reversal Agents
Computer Charting Systems

Age Specific Skills
Check the box under EACH age group that you have experience with and are comfortable with for each skill below.
(0-30 days)
(1 mo-1 yr)
(1-3 yrs)
(4-6 yrs)
School Age
(7-12 yrs)
(13-18 yrs)
Young Adult
(19-39 yrs)
Middle Adults
(40-64 yrs)
Older Adults
(65+ yrs)
Understands the different communication needs for the age group & changes communication methods and terminology accordingly
Understands the different medications, dosages and possible side effects for the age group and administers medications appropriately
Understands the different safety risks for the age group and alters the environment accordingly
Understands the normal growth and development for the age group and adapts care accordingly