IN THIS ISSUE:

REmEmbER AmSTERDAm 2012 – FAcTS AboUT THE 16th ESGENA coNFERENcEREpoRT FRom THE INTERNATIoNAl lIvE ENDoScopy WoRkSHop bUDApEST, SEpTEmbER 2012ESGE-ESGENA WoRkSHop IN DUbAI, mARcH 201312th TEcNA coURSE FoR NURSES ENDoScopy IN bRISTol, Uk, mARcH 2013ESGENA TRAINING cENTRE – NEW cRITERIAbASEl bEcAmE 1st ESGENA TRAINING cENTREFINAl pRoGRAmmE FoR THE 17th ESGENA coNFERENcE 2013 IN bERlIN, GERmANyESGE-ESGENA HANDbook oN WoRkSHop oRGANISATIoN

� � � � � �European Society of Gastroenterologyand Endoscopy Nurses and Associates

ESGENA NEWS2013

17th ESGENA CONFERENCE12-14 October 2013Berlin, GermanyIn Conjunction with the 21st UEG Week

mESSAGE FRom THE pRESIDENT 6Michael Ortmann

REmEmbER AmSTERDAm 2012 – FAcTS AboUT THE 16th ESGENA coNFERENcE 8Jadranka Brljak and Ulrike Beilenhoff

WINNERS oF THE FREE pApER AND poSTER AWARD 10 – 17

REpoRT FRom THE INTERNATIoNAl lIvE ENDoScopy WoRkSHop bUDApEST, 18SEpTEmbER 2012Herta Pomper

REpoRT FRom ESGENA clINIcAl GRANT, SEpTEmbER 2012 19Sólrún Palarsdottir

ESGE-ESGENA WoRkSHop IN DUbAI, mARcH 2013 20Anne Baltzer

12th TEcNA coURSE FoR NURSES ENDoScopy IN bRISTol, Uk, mARcH 2013 20Ružica Ujakovic

ESGENA TRAINING cENTRE – NEW cRITERIA 21Ulrike Beilenhoff

bASEl bEcAmE 1st ESGENA TRAINING cENTRE 23Marjon de Pater and Ulrike Beilenhoff

REpoRT FRom ESGENA SympoSIUm IN bASEl, JUly 2013 26Wendy Waagenes

FINAl pRoGRAmmE FoR THE 17th ESGENA coNFERENcE 2013 IN bERlIN, GERmANy 27•WORDOFWELCOME 28• ESGENAPROGRAMMEOVERVIEW 30–32• ESGENA–DETAILEDPROGRAMMEOCTOBER12-14 34–36

ESGE-ESGENA HANDbook oN WoRkSHop oRGANISATIoN 38Ulrike Beilenhoff

ANNoUNcEmENT oF 18thESGENACONFERENCE2014INVIENNA 41

NEWSFROMThEINDuSTRy 42

ESGENA NEW mEmbERSHIp cATEGoRIES 46

2013

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ESGENA NEWS

coNTENTSSpoNSoRS

We would like to express our gratitude to the major sponsors who continue to provide financial support for ESGENA. Their support has made various activities possible for the Society, in-cluding the European conference, and we are most grateful for their support:

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• BOSTONSCIENTIFIC

• COOkEuROPELTD.

• FujIFILMEuROPEGMBh

•GIVENIMAGINGGMBh

•OLyMPuSEuROPASE&CO.kG

• PENTAxEuROPEGMBh

2013

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ESGENA NEWS

EDIToRIAl oFFIcES

n ESGENA Scientific Secretariat

Ulrike beilenhoffFerdinand-Sauerbruch-Weg 1689075 Ulm, GermanyPhone: +49-731-950 39 45Fax: +49-731-950 39 58E-mail: UK-Beilenhoff@t-online.de

n ESGENA Technical Secretariat

Rietta SchönbergerAm Kastell 285077 Manching, GermanyPhone: +49-84 59-32 39 41Fax: +49-84 59-32 39 42E-mail: info@esgena.org

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ESGENA GovERNING boARD

n president

michael ortmannUniversity Hospital of BasleEndoscopy DepartmentPetersgraben 44031 Basle, SwitzerlandE-mail: michael.ortmann@uhbs.ch

Please contact the Scientific Secretariat for inquiries regarding scientific articles.

Please contact the Technical Secretariat for inquiries regardingadvertisements or association management.

We would like to thank all authors who submitted articles. Their contribution has made this issue of the ESGENA News possible.

Articles published in the ESGENA News do not necessarily reflect the views of ESGENA.

n vice-president

Jayne TillettOutpatients PEC and Endoscopy Manager Emersons Green NHS Treatment Centre,The Brooms, Emersons GreenBristol BS16 7FH, United KingdomE-mail: jayne.tillett@fsmail.net

n General Secretary

Jadranka brljakInternal Clinic Dept. of GastroenterologyKBC Zagreb-Rebro Kišpaticeva 1210000 Zagreb, CroatiaE-mail: jadranka.brljak@zg.t-com.hr

n Treasurer

marjon de pater-GodthelpAcademic Medical Centre AmsterdamDept. of Gastroenterology, EndoscopyMeibergdreef 91105 AZ Amsterdam, The NetherlandsE-mail: marjon@depater.com

n councillors

Enriqueta Hernandez-SotoHealth and University Corporation ofTaulí Park CSUPT-Sabadell HospitalDigestive Department - Endoscopy Unit Parc Taulí s/n08208 Sabadell, Barcelona, SpainE-mail: enheso@hotmail.com

Anita JørgensenCancer Registry of NorwayFritjof Nansensvei 170369 Oslo, NorwayE-mail: anita.jorgensen@kreftregisteret.no

Stanka popovicUniversity Medical CentreDept. of Gastroenterological SurgeryZaloska 71000 Ljubljana, SloveniaE-mail: sm.popovic@siol.net

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ESGENA NEWS

mESSAGE FRom THE pRESIDENT

In continued co-operation with ESGE, ESGENA supported the ESGE workshops in Budapest (November 2012) and Dubai (March 2013) with nurse tutors and special lecture programmes for endoscopy nurses.

Sedation management in gastrointestinal endoscopy varies between European countries according to their different legal frameworks and different healthcare systems. The ESGE-ESGE-NA-European Curriculum on sedation training in GI Endoscopy set standards for the training of non-anaesthesiologists, physi-cians and nurses, who are going to administer sedation during gastrointestinal endoscopy procedures and support the devel-opment of local or national recommendations and curricula.

Around 800 nurses from all over the world attended the ESGENA conference in Amsterdam in 2012. In this issue we recall some of the highlights of last year’s conference and honour the winners of the free papers and poster sessions. My special thanks go to the Dutch board. Their engagement and hard work ensured last year’s conference was a succcess. I would also like to particu-larly thank the speakers, chairmen, tutors, and free paper and poster authors, as their engagement made the congress come alive.

ESGENA decided to publish one issue of the printed ESGENA NEWS per year, to be published prior to the ESGENA confer-ence, as it will be available during the UEG Week and gives ESGENA the opportunity to report on activities that have taken place throughout the year. The on-going communication with the ESGENA membership will be managed through the e-News and mailings.

Finally, I would like to thank the industry for their continued fi-nancial support of both the society and the conferences. Even though financial pressure has increased, these companies con-tinue their support of nurses’ activities. ESGENA’s major spon-sors as well as additional companies will again support the ESGENA conference with their expertise and material.

We hope to see many of you at the 17th ESGENA Conference in October 2013 in Berlin to meet international colleagues and to share your experience and knowledge.

Michael Ortmann, ESGENA President

Dear colleague,In just a few weeks, nurses from all over Europe and overseas will meet in Berlin, Germany. The 17th ESGENA Conference will be taking place on October 12-14, 2013 during the 21st United European Gastroenterology Week.

Following the congresses in 1995 and 2006, this will be the third time that the medical and nursing community of Gastroenterology and Endoscopy meet in Berlin. Like the city of Berlin, ESGENA has changed and grown a lot in recent years. Nowadays ESGENA represents more than 7000 nurses in 44 countries within Europe and overseas. Over the years, ESGENA has developed vari-ous guidelines and technical statements

in close co-operation with the ESGE. The ESGENA Education Working Group has developed a European job profile and a European Core Curriculum for Endoscopy nurses. A handbook about the organisation of different kinds of workshops has been initiated by ESGENA and will be published as a combined guide-book together with the ESGE.

Since 2006, ESGENA has offered clinical grants to registered European nurses who wish to undertake further clinical training in endoscopic techniques or gastroenterological nursing (see report on page 19). It has always been of great importance to ESGENA that specific aims and learning outcomes be defined for each grant and that the visit takes place in a specialised center. Criteria have been used for guest departments as an orientation, but have been quite varied from country to coun-try. Over the years it has become clear that uniform criteria are necessary to create comparable and verifiable conditions. In 2012, the ESGENA Education Working Group (EEWG) developed common quality criteria for guest departments which led to the establishment of ESGENA training centers. The university hospi-tal of Basel is proud to have been accepted as the first ESGENA training centre (see report on page 23).

The partnership grants established in 2011 enhance coopera-tions between different European countries. Jadranka Brljak from Croatia has been very active with her national society to support Russia as well as the Ukraine in establishing national societies for endoscopy nurses.

Michael Ortmann

Heesenstr. 31, 40549 Düsseldorf, Germany Tel.: +49 211-50 89 0, Fax: +49 211-50 89 344 www.fujifilm.eu

FUJIFILM Europe GmbH

UEG Week 2013Satellite Symposium New horizons in GI screening andtherapeutic endoscopy in 2013

www.fujifilm.eu

This programme is not affiliated with UEG Congress.21st United European Gastroenterology Week • October 12-16, 2013 • Berlin, Germany

Greetings from the chairmen:

The speakers and presentations:

Thierry Ponchon, MD Professor Hôpital Edouard Herriot,

Lyon, France

Improved detection of early upper GI neoplasia

Oliver Pech, MD Associate Professor Krankenhaus Barmherzige Brüder, Regensburg, Germany

Modern postoperative ERCP using double balloon enteroscopy

Martin Raithel, MD Professor Universitätsklinikum, Medizinische Klinik I, Erlangen, Germany

Better detection and characterization of colorectal lesions

Raf Bisschops, MD Professor Universitair Ziekenhuis,

Leuven, Belgium

Date: Monday, October 14, 2013 Time: 6:00 – 7:30 p.m.

Venue: ICC Berlin, Hall Oslo

Lars Aabakken, MD Professor Oslo University Hospital Rikshospitalet,

Oslo, Norway

Endoscopic submucosal dissection in the GI Tract – Where are we? Where are we heading to?

Jürgen Hochberger, MD Professor Les Hôpitaux Universitaires de Strasbourg, Strasbourg, France

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ESGENA NEWS

REmEmbER AmSTERDAm 2012 – FAcTS AboUT THE 16th ESGENA coNFERENcE

2013

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REmEmbER AmSTERDAm 2012 – FAcTS AboUT THE 16th ESGENA coNFERENcE

ESGENA held its 16th European conference from 20-22 October 2012 on the occasion of the United European Gastroenterology Week (UEG Week) in Amsterdam, the Netherlands. The confer-ence was hosted by the Dutch Society of Endoscopy and GE Nurses and Assistants (V&VN Maag Darm Lever). ESGENA co-ordinated the overall programme, while the Dutch society was responsible for organizing the nurses’ welcome reception.With 16.168 participants, the UEG Week 2013 was very well at-tended (see Table 1). The majority of conference participants came from European countries. It was interesting to compare the top 10 attending countries from the medical and nurses side (see Table 2 and 3). In addition to European attendees, many medical participants also came from Japan, Russia, Brazil and China, while the majority of nurses attending came from cen-tral European countries (see table 2). Nevertheless the ESGENA conference was also attended by colleagues from Asia, Austra-lia and Africa, as well as North and South American countries.

uEGWdelegatesincl.PGT

ESGENA

Accompanying persons

Exhibitors

Press

Day tickets

Total participants

n Table 1: UEG Week participants over the years

12.086

766

200

2.681

94

341

16.168

Amsterdam2012

9.400

507

245

1.707

84

320

12.263

Stockholm2011

11.024

672

346

1.720

75

1237

15.074

barcelona2010

10.764

772

406

1.883

116

529

14.470

london2009

9.189

481

276

1.646

100

incl.

11.692

vienna2008

8.935

613

357

1.727

105

201

11.938

paris2007

7.526

393

241

1.444

120

100

9.824

berlin2006

The Netherlands 274Belgium 102Denmark 53Germany 30Sweden 26Italy 24Switzerland 22Norway 21Portugal 19

n Table 3: ESGENA participants in Amsterdam 2012, total 766

Ireland 16Spain 16United Kingdom 13Finland 11Israel 11Iceland 10Slovenia 10Greece 9Croatia 9

Canada 7Romania 7USA 7Estonia 6Saudia-Arabia 6Hong Kong 5Austria 4Czech Republic 4Hungary 4

Australia 3Bosnia-Herzegovina 3France 3Jordan 3Luxembourg 3New Zealand 3Turkey 3China 3Brazil 2

Malta 2Mexico 2Russia 2Slovakia 2South Africa 2Sudan 2Bulgaria 1Iraq 1

01.TheNetherlands02.Italy

n Table 2: Top ten participating countries of the UEG Week 2012

03.unitedkingdom04. Germany

05. Spain 06. Japan

07. Russia 08. France

09. Brazil 10. China

The hands-on training on bio simulators was a very attractive event, with experienced tutors from various countries. In addi-tion to bio simulators on pig organs, a new artificial dummy was used for ERCP training.

The ESGENA Welcome Reception following the first conference day was a great opportunity to meet friends and colleagues in a relaxed atmosphere. In former days, the “Rode Hoed” was used as a church and a hut factory. This historical background gave a special atmosphere to this interesting location. The Dutch col-leagues were an inspiration with their warm hospitality and of-fered a relaxed evening for everyone to enjoy.

Sunday Traditionally, the scientific programme on Sunday featured eight parallel sessions in two halls. The main topics were • Emergencymanagement• Bronchoscopy• Qualityassurance• Hottopicsinendoscopy• GEdiseasesand• Education

The bio simulator workshops continued on Sunday – again made possible by the highly motivated training teams.

The three lunch sessions focusing on hygiene, new techniques and bronchoscopy were very well attended.

Two free paper sessions provided 11 delegates the opportunity to share their experience and present their research projects. The poster session was another attractive aspect of the confer-ence, with 23 posters from all over the world.

The best three free papers 2012 were:1. Developments in endoscopy nursing in New Zealand – A vital component of a whole service quality improvement program Jennifer masters, National Endoscopy Service Improvement Lead; Capital and Coast District Health Board & Ministry of Health, Wellington, New Zealand2. Establishing nurse endoscopist training in Australia Dianne Jones, Elizabeth Shepherd, Logan Hospital, Queen- land, Australia3. Results of a regional, nurse led Inflammatory Bowel Disease (IBD) telephone helpline audit patterson Deborah, Houston Yasmine, Rawle Maxine, Rook Lisa for Yorkshire/Humber IBD Nurse Network, UK

The best three poster 2012 were 1. The right hand for the right press: Abdominal press during co- lonoscopy, experience of a colorectal cancer screening team

The 3-day programme combined • state-of-the-artlectures• freepapersandposters• lunchsessions• severalworkshopswithhands-ontrainingand round table discussions • live-transmissions

Saturday Workshops on Saturday dealt with a wide range of topics in en-doscopy and gastroenterology. • Subjects offered in conjunction with the medical industry were hygiene and management of GI Bleeding • ESGENAorganisedtwoworkshopsoneducationalaspectsof GI function tests and creation of scientific posters • TheDutchsocietyofferedthreeworkshopsonIBD, liver cirrhosis and nutrition via PEG

Samuele Gallo, C. Magro1, S.Sorti1, V. Kopczynska1, C. Lucchini1, O. Canova1, S. Cocchio2, V. Baldo2, D. Caroli3, E. Rosa-Rizzotto1, F. De Lazzari1. 1) Dept. of Medicine, Gastroenterology Unit, St. Antonio Hospi-, tal Padua; 2) Dept. of Molecular Medicine, Laboratory of Public Health and Popultion Studies, University of Padua; 3) Dept. of Me- dicine, Chioggia Hos- pital, Venice, Italy2. Sharing nursing expe- rience in Hepatology Rikke lænsø baltzer, RN; Department of Hepatology and Gas- troenterology V, Aarhus University Hospital, Denmark3. Split dose intervals is more effective than single dose pre- paration for to a morning colonoscopy: A literature review Jennifer Hewson, University Hospital Limerick, Ireland

The papers and posters of the 6 winners are presented on the following pages (see page 10-17)

mondayThe plenary Session on Monday morning gave an update on new techniques and developments, and the announcement of the best free paper and poster awards was made. The abstracts and posters of the 2012 winners can be found published in this issue (see page 10-17).

Di Campbell was awarded ESGENA honorary membership.She was a founding member of ESGENA and very active over the years, especially in the ESGENA Education Working Group (EEWG).

The meeting closed with an invitation to the next ESGENA con-ference in 2013.

ESGENA delegates also had an opportunity to visit the exhibi-tion, which opened on Monday morning, and the UEGW con-ference offered further opportunities to catch up on the latest developments.

The 2012 ESGENA conference was very well attended and a successful event at which nurses exchanged their experiences in gastroenterology and endoscopy, made useful contacts with colleagues internationally and expanded the fascination of our profession.

Jadranka Brljak, ESGENA General SecretaryUlrike Beilenhoff, ESGENA Scientific Secretariat

Free poster session

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ESGENA NEWS

WINNERS oF THE FREE pApER AND poSTER AWARD WINNERS oF THE FREE pApER AND poSTER AWARD

2013

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n First place free paper award

Developments in endoscopy nursing in New Zealand – A vital component of a whole service quality improvement program

Jennifer masters, National Endoscopy Service Improvement Lead; Capital and Coast District Health Board & Ministry of Health, Wellington, New Zealand

background:In 2010 the New Zealand (NZ) Ministry of Health (MoH) cre-ated the role of National Endoscopy Service Improvement Lead (NESIL). This sector based, MoH funded nursing position is to investigate, develop and centrally drive a quality improvement programme(QIP)inendoscopyservicesinNZ.Thisworkisbe-ing conducted in conjunction with the National Clinical Lead GI Endoscopy (NCL), a medical appointment. NESIL is a unique role within nursing, endoscopy and the wider health services in NZ. After visiting every endoscopy unit nationwide these two leads produced a baseline “DHB Endoscopy Services Summary Report” in July 2011. The report highlighted the wide variation in the way endoscopy services are structured and delivered. In particular the report recognised the quality of endoscopy nurs-ing varied greatly across the country including poor recognition of endoscopy nursing as a specialty, few refined endoscopy-based competencies for endoscopy and ad hoc development of senior nursing roles (MoH, 2011).

Aim:The aim is to have every unit in NZ providing a high-quality, patient-focused service after the report suggested a planned approach to improving the quality of endoscopy services in NZ. As well as addressing issues at a Unit level, the plan included optimising the performance of individual staff, both medical and nursing, and refining training and assessment.

method:A development trial of a validated quality assurance system known as the Global Rating Scale (GRS) was recommended. The UK GRS standards were adapted to meet the NZ environment by an expert NZ working group. A twelve month development trial of the NZ GRS began in four trial sites in August 2011. The sites underwent an initial baseline self-assessment against the GRS standards and completed a six month assessment in April 2011.

These results were up loaded onto the NZ GRS website by each site and followed by a visit from the two national leads to dis-

cuss and plan further quality improvement. On-going support has been given to each site to assist with service improvement throughout the trial. One of the domains of the GRS (Workforce) looks primarily at the nursing staff and is the focus of this pres-entation.

Results:At the six month census there have been improvements in four of the five measures in the Workforce domain: ‘Skill mix’, ‘Orienta-tion and Training’, ‘Staff are cared for’ and ‘staff are listened to’. The only measure that has remained unchanged is ‘Assessment and Appraisal’. This can be attributed to the lack of agreed na-tional competencies specific to endoscopy nursing in NZ. Other resultsoftheQIPincludeidentifyingnurseleadersaroundNZ,developing communication and sharing of knowledge between hospitals and between public and private and raising the profile of endoscopy nursing within hospitals and nationally.Nursing Council of New Zealand (2009) describe competence as the combination of knowledge and skills, attitudes, values and abilities that underpin the performance of a nurse. With this understanding the NESIL sucessfully negotiated with the MoH Health Workforce NZ to fund the development of a endos-copy nursing knowledge and skill framework (EKSF) for NZ . This work was lead by an experienced nurse with significant engagement from the wider public and private endoscopy nurs-ing workforce.

conclusions:The trial continues until August 2012 were the sites will complete another GRS assessment. The EKSF will be incoporated into the quality improvement work being undertaken by the NESIL and implementednationallyalongsidethewiderQIP(includingGRS)program in 2013 - 2014.

learning outcomes: Understand the drivers, processes and pathway for collabora-tively developing the EKSF in NZUnderstand of how nursing fits into and is vital to a wider patient focusedQIP.

References:Ministry of Health. (2011). DHB endoscopy services summary report. Ministry of Health. Wellington, New ZealandNursing Council of New Zealand. (2009). Competencies for Reg-istered Nurses. Nursing Council New Zealand

n Second place free paper award

Establishing Nurse Endoscopist Training in Australia

Dianne Jones,ElizabethShepherd,LoganHospital,Queensland,Australia

Introduction:The expansion of nursing roles to encompass performance of endoscopy procedures has occurred in several countries over the past 2 decades. Impetus for that role expansion has largely been due to workforce shortages or the availability of medical endoscopists. The role is well established in the United King-dom and is supported by a well-defined training program in that country. Australian healthcare is undergoing workforce reform in an endeavour to meet the health care needs of the ageing population whilst in a period of workforce shortage. The intro-duction of an advanced nursing role to assist with the workload of endoscopic procedures is proposed within the reform agenda and is being funded as a pilot program with a view to national implementation.

Aims and objectives:The Logan Hospital developed a proposal to submit for funding to develop the training program. That bid was accepted. The overarching theme of the training program being developed is that any program for training of nurse endoscopists will be suc-cessful in production of competent and safe endoscopists and will also prepare the nurse for the independent practice role of a nurse practitioner.

method:Funding from the federal government is being provided to de-velop a structured training program. The Logan Hospital propos-al incorporates initial training at the Queensland Health SkillsDevelopment Centre as a preparatory stage for endoscopists. The enhancement of learning to the competence level that has been obtained from this simulation training will be separately re-searched. Initial training will be measured by validated metrics and ongoing procedure skills acquisition recorded on Direct Ob-servation of Procedure Skills (DOPS) documentation. Theoretical components include validated modules from tertiary education centres. An online e-portfolio and log book will be used to record all procedures performed by the trainee and will allow evalua-tion of training progress by the Project Lead / Trainers. Evalua-tion will be ongoing and includes measurement of Key Perform-ance indicators (KPI’s), Patient surveys and trainer feedback.

Implementation:The training program as developed will be suitable for applica-tion across disciplines. For universities offering nurse practi-tioner programs, it is hoped that this course will constitute the requirements of the NP internship.

conclusion:Expansion of nursing roles in gastroenterology is a strategy to address the current long waiting lists for endoscopic proce-dures. It is expected that this advanced nursing practice role will be assimilated into our public healthcare system and be-come a valuable member of the team.

receive consistent, high-quality care throughout the UK. They state that all patients should have access to a dedicated tel-ephone service with a response by end of next working day.2010 The National Audit was repeated and completed by 90% of UK trusts and of those over 90% now have IBD Telephone Helplines.2011 The Royal College of Nursing undertook a national audit of IBD Nurses (Mason et al 2011), which explored the roles, re-sponsibilities and activity of advanced roles in this specialty and one of their findings was that the nurses who participated spent an average of 18% of their time on helpline calls.

The IBD Nurses in the Network recognised that the helpline was a huge part of their role and felt it would be useful to try and increase their understanding of what it was being used for and its significance to their workload.

Results:9 Hospitals took part, filling in a proforma for each call to the helplines during February 2012. The proforma included specific disease information as well as descriptions of the type of topics discussed and their outcome.A total of 1187 calls ranging from 72 – 289 per site were audited.This table shows the calls broken down by Diagnosis/gender and age.

The majority of calls were from people with Crohns Disease, more females than male and the age group most likely to call were between 26 and 35. 144 had been diagnosed for less than a year – it was anticipated that this might have been higher - and only 19 had communication difficulties such as language bar-riers, again we thought this might be higher as there are quite large ethnic populations in our area whose first language is not english. Unfortunately this might mean that these patients are just not using the helplines which is a concern.

Reasons for Helpline call:Most calls, as you would expect, were for disease manage-ment and then medication advice. 16% however were purely administration and probably did not need any specialist input, this included things like sending out blood forms, and rearrang-ing appointments. However, it could be argued that some know-

ledge of the patient’s condition is important when rearranging appointments. 10% were phoning for results and the remaining

8% covered a wide range of things, some of which were rather unusual including a call from a patient on holiday in Australia asking if he was ok to do a bungee jump!

Action Taken:A third of calls were given advice on different aspects of man-aging their condition or medication. Once again, a significant proportion - 15% required some degree of administrative input. 8% were given an urgent appointment, 7% had their medication changed which might be increasing or reducing doses of an ex-isting medication or prescribing a new treatment and another 8% simply required repeat prescriptions. 7% were given test re-sults which may relieve anxiety and/or ensure timely treatment

change, 6% of calls resulted in tests being requested, another 6% were referred to another health care professional, their GP in the majority of cases for non IBD queries, and 2% were admitted to hospital. The remaining 8% categorised as ‘other’ includes things like requests for letters for benefits agencies, schools, employers etc.

The majority of calls were managed by the IBD Nurse without having to consult medical staff.

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ESGENA NEWS

WINNERS oF THE FREE pApER AND poSTER AWARD WINNERS oF THE FREE pApER AND poSTER AWARD

2013

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n Third place free paper award

Results of a regional, nurse led Inflammatory bowel Disease (IbD) telephone helpline audit

patterson Deborah, Houston Yasmine, Rawle Maxine, Rook Lisa for Yorkshire/Humber IBD Nurse Network, UKContact: deborah.patterson@bthft.nhs.uk

Introduction:This article describes an audit of IBD Telephone Helplines which was carried out by the Yorkshire and Humber IBD Network.

The Network is made up of IBD Nurses and Gastroenterologists from hospitals in the

north east of England who aim to promote high quality care for patients with IBD through sharing best practice, and encourag-ing regional research and audit.IBD is a chronic condition that is characterised by periods of relapse and remission. It is therefore important that patients are able to access expert, timely advice in between out patient appointments and in the UK, this service is commonly provided via a Telephone Helpline. Anyone who manages a telephone helpline will know that they can be unpredictable and time con-suming, but they are also very important to patients who can see them as ‘a lifeline’.

Aims:The aims of the Helpline audit were to quantify Helpline Activity by auditing• whocallsandwhy,• howmuchtimewerespentondealingwiththecalls,• thecostbenefitsofahelplineand• whatmighthappenifthehelplinedidnotexist.

background:IBD Telephone helplines in the UK developed alongside the IBD Specialist Nurse role which first appeared in the1990s and is now fairly well established across the UK. These pioneering Nurses realised from the beginning that the chronic, relapsing nature of IBD, meant that access to support via a telephone helpline was crucial.2004 The role was endorsed by the British Society of Gastro-enterologists and their Guidelines commented that patients saw helplines as a ‘central part of the IBD Service’ (Carter et al 2004).2006 A review of the effectiveness of IBD Nurse Specialists (Woods et al 2006) found that Helplines reduced Out Patient Appointments and length of stay and played a significant role in enabling patients to self manage their condition.2008 A national Audit of IBD services took place, including avai- lability of a helpline thus ensuring that it was included in the…2009 National IBD Standards. The aim of these Standards is to

ensure that IBD patients

Time spent on Helpline calls:Most calls took less than 5 minutes but time spent on the help-line is not always just the actual time speaking on the phone. Follow up can be quite time consuming as it might involve get-ting hold of notes, speaking to medical staff, writing to other Health Care Professionals etc. The majority however took less than 15 minutes to sort out with a small minority taking more than 45 minutes. Not surprisingly, the busiest day for calls was Monday - after the weekend, when helplines are not manned.

The amount of time taken up on helpline calls in the hospitals audited equated to between 11-40% of 1 full time IBD nurse’s hours. As mentioned earlier, a national UK IBD Nurse audit (Ma-son et al 2011) found that 18% of IBD Nurse hours were spent on helpline activities. The average for this audit was higher but the numbers of calls received by each hospital did vary quite significantly. It was interesting that some hospitals received a lot more calls than others (72 vs 289).

Of course, the numbers of calls vary from day to day, week to week and the unpredictability of helpline use can make them difficult to manage. Participants were asked whether they felt their helplines were manageable and majority said yes ‘most of the time’ but they all had periods when this was not the case, when they felt quite overwhelmed with the work it generated. It is therefore clear that they can take up a significant amount of time which needs to be taken into account when planning new posts and job planning existing roles.

Financial Implications:In the UK, there is a tariff of £23 for non face to face outpatient attendances and telephone helpline calls can be included in this. However this has to be agreed with the local funding authority which is not always straightforward and therefore not all cen-tres charge for their calls. In addition, some seem to charge for more calls than others, it can be quite difficult to decide which calls should be charged for and which shouldn’t. In the audit:• 6/9trustscurrentlycharged• 25%-75%callschargedforbyindividualTrusts• 38%ofcallschargeable• £23percall=£10,419(£1012-£1932perTrust)• 3xtrustsnotchargingmayeachhavelostupto£28,000peryear

consequences of not having a helpline:Finally, patients were asked what they would do if they had no helpline to ring, it was putting them on the spot a bit but the majority said they would ring their GP, next was do nothing (which could mean their symptoms worsening and becoming more difficult to treat) 180 would have requested an early out-patient appointment, 141 rung the Consultant Secretary and 26 would have gone to A&E, 45 didn’t know what they would have done or this was not completed.

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ESGENA NEWS

Summary:Women were slightly more likely to call the helpline than men.There were more people with Crohns Disease calling than Ulcer-ative Colitis (UC). Perhaps UC is more straightforward in many cases and patients have more choices with regards to self man-agement when symptoms flare than those with Crohns Disease.

With regards to the age of the callers, 26-35 year olds called the most – a quick look at the IBD patient database in Bradford showed that this age group is in the majority but not by a huge amount so the reasons for this are not clear. Maybe they have been brought up to ask questions and don’t put up with things like older patients sometimes do. Also helplines were not around when some of the older patients were diagnosed, so they got used to managing without them and it is not as natural to them to call as it is with more recently diagnosed patients.

78% of calls were managed independently by the IBD Nurses without discussing with medical staff and this demonstrates how autonomous and independent nurses carrying out this role are. It also demonstrates the importance of education to support the role. Most of the calls were about disease management and medication and 40% would have gone to their GP if the helpline was not available.

limitations:Limitations include user interpretation of the proforma, interpre-tation of what constitutes a chargeable call and variations in the way calls are managed - (ie one Trust has Admin Clerk who triages calls for example so their results are heavy on chargeable calls and low on admin. There was also some incomplete data.

conclusion:To conclude, IBD Nurse helplines are a very well used resource! They provide patients with rapid access to expert advice and treatment. They generate income which can be quite consider-able and could potentially help fund an IBD Nurse post. They also save money against GP and Out patient Appointments. In the UK, budgets for the Trust are driven by the GPs and it is in their best interests to agree to pay for these calls as without the helplines, their workload would increase and it is a useful re-source for them too. All of this can create a significant workload which must be taken into account when creating new posts or organising existing roles. The audit does highlight the potential to filter out admin calls, maybe with an automatic caller direct system. Finally the success of the helpline depends completely upon the knowledge and experience of the person answering it. It is essential that IBD Nurses receive support and education to be able to provide this service and ideally this would include non medical prescribing.

References:IBDStandardsGroup(2009)QualityCareServiceStandardsforhealthcare of people who have IBD: www.ibdstandards.org.uk

MCarter et al (2004) Guidelines for the management of IBD in adults, Gut 2004;53.

MWoods et al (2006). A systematic review of the effectiveness of IBD Specialist Nurses:www.lsbu.ac.uk/hsc/downloads/reviewboweldisease.pdf”

Mason et al (2011). Results of and audit exploring the roles, respon-sibilities and activity of nurses with specialist/advanced roles: www.rcn.org.uk/__data/assets/pdf_file/0008/433736/004197.pdf

WINNERS oF THE FREE pApER AND poSTER AWARD

� � � � � �European Society of Gastroenterologyand Endoscopy Nurses and Associates

THE RIGHT HAND FOR THE RIGHT PRESS: ABDOMINAL PRESS DURING COLONOSCOPY.

EXPERIENCE OF A COLORECTAL CANCER SCREENING TEAM. Samuele GALLO1, Cristina MAGRO1, Silvano SORTI1, Violetta KOPCZYNSKA1, Corrado LUCCHINI1, Orfeo CANOVA1,

Silvia COCCHIO2, Vincenzo BALDO2, Diego CAROLI1, Erik ROSA-RIZZOTTO1and Franca DE LAZZARI1 .

1Dpt of Medicine, Gastroenterology Unit, St Anthony Hospital, Padua; 2Dpt of Environmental Medicine and Public Health, Institute of Hygiene, University of Padua, Italy

BACKGROUND: The adequacy of a colorectal cancer screening is strictly related to the successful caecal intubation rate and the time re-quired to reach it. The positive outcome of the procedure could be increased by applying abdominal pressure in a due sequence throughout the colonoscopy, as reported in preliminary works1,2.

AIMS: To find the best abdominal compression procedure to reduce the duration time of colonoscopy, increase the percentage of caecal intu-bation and reduce the patient discomfort. METHODS: 100 (46 F and 54 M) consecutive patients gone for screening colonoscopy were enrolled in the study, mean age 60.7 yr (range 49-69). All colonoscopies were conducted under conscious sedation. Pentax HD instruments were used. Clinic and anthropometric data were col-lected. All nurses in our service were instructed to perform the abdominal compression sequence (APS) necessary to accomplish the endoscopy. This sequence requires two operators: one at the shoulders of the patient who cares for the advancement of the instrument and the other, posi-tioned in front of the patient, who performs the sequence of abdominal compression. The patient is positioned on the left lateral side.

1. First 15-20 cm: squeeze with left hand in right iliac fossa ex-erting pressure from outside to the contralateral side (limiting space, it avoids the flagging of the sigma).

2. From 25 to 50 cm: keeping the position n. 1, with the right hand make a compression from the epigastrium downwards, about 4 fingers above the navel, (to prevent the ascent of the in-strument to the stomach).

3. From 50 cm up to the splenic flexure: compress slightly the right upper quadrant and epigastrium with the outer edge of the left hand while the right hand makes a compression from the outside inward in left hypochondrium (prevents the formation of the alfa loop in left iliac fossa).

4. At the transverse: if patient is placed supine, to compress the epigastrium with the right hand while the left hand compress be-low (to direct the instrument towards the hepatic flexure).

5. At the hepatic flexure: exert compression on the right upper quadrant with the right hand (to prevent the formation of the loop in hepatic flexure and thus facilitate the achievement of full caecal intubation).

CONCLUSIONS: This preliminary study demonstrates that our abdominal press sequence is associated with optimal caecal intubation, re-quires short time and it is not influenced by physical features of the patient. We confirm that women have longer caecal intubation time. Further studies with control groups will be necessary but our positive experience shows that trained nurses in this procedure could contribute to achieve the highest colonoscopy success rate in short time.

RESULT: caecal intubation rate was 99%. Av-erage caecal intubation time (CIT) was 4 min and 49 sec. (range 1 min. 30 sec. – 13 min.). In 86 patients the APS has been successfull as such, producing a lower CIT while in 14 patients ad-ditional improvised abdominal compressions were required (4 min. 4 sec. vs 7 min. 16 sec., p<0,0001). At the univariate analysis, BMI, ab-dominal circumference, sex, age, weight, past abdominal surgery, colon cleanliness, didn’t in-fluence our APS (p=ns).

At the multivariate analysis CIT is correlated with sex (F 5 min. 4 sec. vs M 4min., p<0,05)and age (higher in female over 60 yr, p<0,05).

REFERENCES: 1. Prechel J.A. et al. Gastroenterology Nursing 2009;32(1):27-30. 2. Cotton P.B., Williams C.B. Practical Gaastrointestinal Endoscopy.

HEAD FEET

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n First place free poster award

WINNERS oF THE FREE pApER AND poSTER AWARD

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WINNERS oF THE FREE pApER AND poSTER AWARD

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WINNERS oF THE FREE pApER AND poSTER AWARD

THE GRASS IS ALWAYS

GREENER..?

ConclusionA structured cooperation and a knowledgesharing culture are advantageous to both patients and staff, increasing regimentation and insuring higher nursing standard.

The exchange of nurses between highlyspecialised wards is an effective way to add onto existing knowledge. Furthermore it breaks down barriers of distance and different cultures, and contributes to a more versatile knowledgeof hepatic nursing

IntroductionAdvanced hepatology is, in Denmark, centralised at the Clinic of Hepatology at Rigshospitalet in Copenhagen and Department of Hepatology and Gastroenterology in Aarhus.

Doctors from these departments have traditionally shared knowledgeand experience to deliver qualified and evidens based treatments.

Nurses from the two departments have never established a similarstructured cooperation.

A group of nurses from both departments were interested in investigating how knowledge-sharing could be organised and structured, in to order increase the awareness of new developmentpotentials and regimentation in hepatic nursing.

AimsThe aim was to establish a structured cooperation and knowledgesharing culture between the nurses from the two hepatologydepartments in Denmark, and to create a national network for nurses in hepatology.

MethodsTo launch the cooperation, an exchange of nurses between the twodepartments was arranged. A peer group of experienced nurses wasestablished. Documentation tools and nursing guidelines from the twodepartments were exchanged and compared.

Nurses were interviewed about different nursing procedures used in the two departments, working organisation and potential barriers for development linked to the different cultures.

E-mail: Rikke Baltzer: rikkbalt@rm.dk

ResultsAn annual conference focusing on advancedhepatology nursing is well established. Nurse-led studies and projects from both departmentshas been presented and disscussed.

A peer group with members off experiencednurses from both Aarhus and Copenhagen has been established.

Annual exchange of nursing staff betweenAarhus and Copenhagen is well established.

A Danish network organisation of nurses in hepatology is on its way.

Until now nurses in hepatology has beenorganised as a small subgroup, incorporated in the organisation for nurses in gastroenterology.

- Sharing nursing experience in hepatology

Baltzer R

Department of Hepatology and Gastroenterology V, Aarhus University Hospital, Denmark

Keywords:•Hepatology

•Knowledge sharing

•Networking

•Cooperation

n Second place free poster award n Third place free poster award

moviprep® taken at split dose intervals is more effective than single dose preparation for to a morning colonoscopy: A liter-ature review

Jennifer Hewson, University Hospital Limerick, Ireland

Introduction:Moviprep® taken at split dose (AM/PM) intervals gives supe-rior bowel cleansing than Moviprep® taken as single dose only (Matro et al, 2010). However, for some patients the early morning regime may not be tolerated (Lichtenstein, 2009)

Aim:To perform a literature review for articles accessing adequacy, tolerability and compliance of AM/PM bowel preparation (prep) for early colonoscopy appointment.

method:A literature review of CINAHL (Cumulative Index to Nursing and Allied Health Literature) was conducted for full text articles using phrases ‘bowel cleansing’ (138) ’colonoscopy prep’ (6) and ‘advances in colonoscopy preparation’ (23). 6 articles were spe- cific to split dose bowel prep. Data on patient tolerability, com-pliance and adequacy for AM/PM bowel prep was analyzed and reviewed.

Findings:Linking the final dose of AM/PM bowel prep to 4-6 hours pre colonoscopy, increases adequacy of prep (Matro et al, 2010). Dietary restrictions on the day prior to colonoscopy ranged from low residue diet for breakfast and clear fluids versus thick liquid diet for lunch followed by fluids only and bowel prep was recorded as adequate (very good and good) in 72.5-95% of patients. Patient compliance ranged from 85-96%. Although patients are required to get up at 4am and recorded some sleep disturbance (25%) it is not statistically different to other preps. However, there is a statistical difference in patient’s pain/dis-

comfort p0.035 as split dose experience less discomfort but the incidence of nausea/vomiting and distension is insignificant. One study, Park et al (2010) found that 93% of respondents would be willing to repeat the same bowel prep again.

Summary:Split dose bowel prep achieves adequate bowel cleansing and is tolerated well by patients who are required to take AM dose early on the morning of their colonoscopy.

conclusion:Split dose prep has been demonstrated to be adequate for bowel cleansing and tolerable for patients. Statistically signifi- cant reduction in pain/discomfort is recorded. However, no study discusses rural centers and travel time from home to hospital and this may have an impact on patient’s tolerability to split dose morning prep.

learning outcomes:Split dose bowel prep has been demonstrated to be an effective alternative to single dose bowel prep and patients experience a statistical significant reduction in pain/discomfort.

References:- Lichtenstein, G. (2009) Bowel Preparation for Colonoscopy: A Review, Am J. Health-Syst Pharm 66 pp.27-37- Park, S., Sinn, D., Kim, Y., Lim, Y., Sun, Y., Lee., Kim, J., Chang, D., Son, H., Rhee, P., Rhee, J. and Kim, J. (2010) Efficacy and Tolerability of Split Dose Magnesium Citrate: Low Volume (2 litres) Polyethylene Glycol vs. Single or Split-Dose Polyethy- lene Glycol Bowel Preparation for Morning Colonoscopy, The American Journal of Gastroenterology 105 pp.1319 1326- Matro, R., Shnitser, A., Spodik, M., Daskalakis, C., Katz, L., Murtha, A. and Kastenberg, D. (2010) Efficacy of Morning-Only Compared With Split-Dose Polyethylene Glycol Electrolyte Solution for Afternoon Colonoscopy: A Randomized Controlled Single-Blind Study, The American Journal of Gastroenterology 105 pp.1944-1961

My name is Sólrún and I am an endoscopic nurse at the National Hospital of Iceland. Last September I was given the wonderful opportunity to visit the University Hospital in Basle, Switzerland. The one week visit was organised as an ESGENA Clinical Grant. I was given the chance to see and feel the work of endoscopic nurses in another country.

The main focus of my stay was bronchoscopy. I wasn’t there just to watch and observe, I was also there to work and learn. On average, I assisted five to six bronchoscopies a day for five days in a row, and it was a great experience. I got to do things I’m used to doing at home, and I got to do things I’d only heard about before but never seen. I was especially interested to see and do TBNA (transbronchial needle aspiration) with EBUS (endo bron-chial ultra sound), mainly because my hospital has been given its first EBUS scope and we will start using it at the beginning of the year 2013. Therefore, it gives me a great advantage to have this experience.

I arrived at the hospital on a Monday morning and received a very warm welcome not only from Michael Ortmann, who was to guide and teach me throughout the week, but from the en-tire staff of the endoscopic unit. This made the rest of my week so much easier and my experience all the better. The first day I was shown around the department and introduced to each member of staff. Then I was handed a block of blank paper and a pen so I could write down everything I was to experience during my stay.

For the next five days, the bronchoscopy room was my second home, so to say. I started on the first day by watching Michael assist in the first bronchoscopy and from then on I assisted in all the bronchoscopies, step by step, for the rest of the week. There were bronchoscopies with BAL, with laser, x-ray assisted and EBUS. I also got to see thoracoscopies and thoracic punctures. I am used doing bronchoscopies, but doing so many a day, for so many days in a row, was great practice and made me more fluent in what I was doing. And again, there were new experi-ences, like the laser, EBUS and thoracoscopies. As mentioned before, the EBUS was of special interest to me, and I was glad to be able to assist in three bronchoscopies with EBUS.

REpoRT FRom ESGENA clINIcAl GRANT SEpTEmbER 2012

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REpoRT FRom THE INTERNATIoNAl lIvE ENDoScopy WoRkSHop bUDApEST,SEpTEmbER 2012

A total of 35 examinations were carried out with no patient complications. Sim-ple procedures like EGD with biopsies were shown as well as complex inter-ventions like EUS with FNA, complex EMR’s, ERCPs, Zen-ker diverticulotomy and POEM.

Of the 400 participants, 100 nurses were registered for the work-shop.

After the live-sessions, separate lecture programmes were given for endoscopists and nurses. The following lectures were provided for nurses:• SedationforGastrointestinalEndoscopy(HertaPomper)• EmergencyERCP(MártaMolnár)• Foreignbodyremoval(SylviaLahey)• Methodsandorganisationquestionsofendoscopicdisinfec-tion (Mariann Kokas)Translations of the lectures given by the ESGENA nurses were provided as hand outs in Hungarian.

This was a very successful and smoothly running event, where teams were built and friendships were formed. The team spirit was felt by everyone involved in this workshop. It never ceases to amaze me that it is possible to work together with colleagues from abroad to create something so serious and professional.

Herta Pomper, ESGENA General Secretary (2012),ESGENA Co-director/Budapest

The ESGE-ESGENA Live Endoscopy Workshop took place in the Military Hospital in Budapest with transmission to Stefa-

nia Palace and Cultural Centre.

The medical side of the workshop was or- ganisedbyProf.IstvánRacz (from Györ, Hunga-ry) as the ESGE Course Director and Dr. Tibor Gyökeres (from Buda-pest, Hungary). Close

co-operation was established with me as the ESGENA Co-Di-rector. The ESGENA-team was completed by Marjon de Pater and Sylvia Lahey from the Netherlands and Wendy Waagenes from Denmark.

The workshop was marked by the strong cooperation between endoscopists and nurses, with nurse involvement in the case discussions for patient selection.

The local team, nurses and endoscopists, were prepared to work with the European guests as a team. Together with the representatives of Olympus, it was a perfect cooperation. Dis-cussions were always possible and opinions accepted.

An important feature of the workshop was that procedures per-formed by Hungarian endoscopists were assisted by Hungarian nurses as they are used to working as teams in their daily rou-tine, fulfilling European standards.

Although the majority of my time was spent in the bronchoscopy room, I also managed to have a sneak peak in the gastrosco-py room and see how the cleaning procedures for the scopes are done. I also got to watch a bronchoscopy done in the ICU outside the endoscopic department. Once the bronchoscopy was finished, the doc- tor walked out of the room, and as he passed me, he looked at me and said, “Not so interest-ing”. I have to disagree with him. You can learn from everything and, though the bronchos-copy in itself wasn’t different from anything I have seen, the surroundings and communication were, there-fore making the bronchoscopy in the ICU interesting.

The week passed by very quickly and I learned a lot in those five days. The question is: How I can implement what I learned in my own department? Definately not by walking around saying that in Basel they do this and in Basel they do that. I can accomplish more by informing my colleagues about my experience in Basel and changing my own way of working in order to set a good example for my colleagues to hopefully follow.

Experiencing work in another country gives you a different per-spective. I came to Basel ready to see new things and learn new techniques, maybe even with the illusion that everything was perfect over there, and kind of relieved that it wasn’t. Of course things are done differently in different places and in some ways they are better and in some ways they are not. I left Basel full of knowledge and expereince in new techniques which I hope I will be able to use to the benefit of my patients and colleagues. This trip was on all accounts an excellent learning experience for me. And if, after my visit, at least one thing will change for the better in my endoscopic department, then this great invitation was definately worth it.

Sólrún Palarsdottir, Iceland

Impression from Basle

The ESGENA-Team

Endoscopy team with tutors - Budapest

Since 2006, ESGENA has offered clinical grants to registered European nurses who wish to undertake further clinical train-ing in • endoscopictechniques• endoscopynursingincludingsedationandmonitoring• GIfunctiontests• hygieneandinfectioncontrol• managementofendoscopyunit• gastroenterologicalnursingincludingcareofspecific patient groups (e.g. IBD)

It has always been of great importance to ESGENA that• specificaimsandlearningoutcomesaredefinedforeachgrant• thevisitstakeplaceinspecialisedcentres• eachgranteehasadedicatedtutorduringthevisit

These broad criteria have been used as an orientation for guest departments.

Although the feedback from grant recipients has been very posi-tive, the situation for grantees has varied greatly from country to country, and it has become clear that uniform criteria are neces-sary to create comparable and verifiable conditions. In 2012, the ESGENA Education Working Group (EEWG), in which 25 ESGENA membership countries are represented by national delegates, developed common quality criteria for guest depart-ments. These unified criteria led to the establishment of dedi-cated ESGENA training centres.

The following quality criteria have been defined for ESGENA training centres:

n Range of interventionsESGENA training centres should offer a wide range of endo-scopic procedures. This can also include specialties other than gastroenterology, e.g. thoracic medicine, urology or ENT. Diver-sity and number of interventions per year serve as indicators for a wide range of technical expertise and experience.

n Nursing careMany grantees are interested in advanced nurses’ roles. They are often tasked with extending the role of nurses in their home country or enhancing or supervising new workspaces in their departments. For example:• Sedation-“NAPSnurses”• Specializationinindividualareas,forexampleNutrition& PEG IBD patients• Hygiene&infectioncontrol• Functiontestsperformedbynurses• Capsuleendoscopy• Nurseendoscopists• Managementofdepartments

n legal restrictionsDue to legal restrictions, hands-on training is not available in many countries, because the grantees are not registered as nurses in the respective country. In these cases, guest nurses may still participate in clinical work as observers, learning from their colleagues.

n connections to ESGENAIt is very important to the ESGENA governing board that a train-ing centre works together closely with the European society and that European guidelines and standards are followed. ESGENA should be known in the department. Therefore, it is essential that at least one team member is active within ESGENA, e.g. as • MemberoftheESGENAgoverningboard• MemberoftheESGENAEducationWorkingGroup(EEWG)• TutoratESGEESGENAhands-ontrainingcoursesduring conferences• TutoratESGE-ESGENAworkshopswithlivedemonstrations• SpeakerorchairatESGENAconferences

Each training centre must have a dedicated contact person, who acts as coordinator for both ESGENA and the individual grantee.

n Qualifications of the tutorsIn many countries a formal qualification for tutors is available. The supervising tutor should have experience in teaching and expertise in Endoscopy.

n Defined aims and learning outcomesIt is very important to ESGENA that individual aims and learning outcomes are defined for each grantee. A combination of theory and practice supports the achievement of these objectives.

n Access to learning facilitiesIn order to enable self-directed learning, access to a library and internet is desirable. The availability of literature supports the learning process. During the stay, the guest nurse can independ-ently complete and extend her/his background knowledge.

Training centres usually have separate classrooms with appro-priate technical equipment for theoretical instruction. In bigger hospitals classrooms are often used across disciplines.

Practical training requires extensive endoscopy specific equip-ment including light sources, endoscopes and a wide range of endoscopic accessories. Larger training centres usually have appropriate training facilities, possibly with commercial or home-built training models. Videos and interactive learning mod-els such as dummies support the teaching of practical content.

Separate training rooms are helpful to avoid occupancy of en-doscopy rooms used in daily routine.

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ESGENA NEWS

ESGE-ESGENA WoRkSHop IN DUbAI, mARcH 2013 ESGENA TRAINING cENTRE – NEW cRITERIA

2013

12th TEcNA coURSE FoR NURSES ENDoScopy IN bRISTol, Uk, mARcH 2013

copy and was also followed by hands-on-training on various advanced techniques.

I found it is very useful to be shown by trained personnel to the correct use of material that we already use of might use in the near future. Attending the course provides a level of security and confidence in assisting in a team. The course is of benefit to nurses who have experience in endoscopy as well as young nurses acquiring new knowledge and skills.

I would like to take this opportunity to thank Jadranka Brljak, the President of the Association of Nurses and Technicians of Gas-troenterology and Endoscopy in Croatia, who made me aware of the possibility of attending the course and of its importance. I would also like to thank Michael Ortmann, ESGENA President, and the other members of the executive committee of ESGENA for giving me the opportunity to attend the course.And finally, many thanks to Dr. Ramasamy Saravanan for an ex-tremely well organized course and, in particular, for the warm hospitality and kindness.

Ružica Ujakovic, RN, KBC Split-Križine, Croatia

The course was attended by 50 nurses, the majority of whom were from the UK, with further participants from Ireland, Spain and Croatia.As endoscopy and endoscopic techniques are continuously advancing, it is essential that nurses and technicians improve their skills and knowledge and become acquainted with the en-doscopic material necessary to perform procedures.For this reason, I believe that participation in these courses is of great benefit for endoscopy personnel. The course combined lectures and hands-on workshops.

The first portion of the workshop consisted of lectures related to the application of thermal therapies, polypectomy, clipping, endoloops and chromoendoscopy. Lectures were held in a sim-ple and affordable format to explain use, purpose of use, the situation in practice and possible complications. The first set of lectures was followed by a practical presentation of the en-doscopic accessories that were discussed in the lectures. Par-ticipants were divided into groups in order to offer an effective hands-on-training on all endoscopic equipment presented.The second set of lectures included ERCP, endoscopic dilata-tion, foreign body removal and emergency situations in endos-

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ter and got involved by asking relevant questions throughout the seminar.On Saturday we arrived at the Rashid Hospital at 7.30 a.m. It was a little confusing at first, but turned out well in the end. At 9 a.m. we were ready to go live. We were spread out in three different rooms each with two live sessions in the morning and two in the afternoon. We performed EUS, ERCP, HALO, Colonoscopy and different types of treatment. Saturday evening all participants were invited to attend a dinner party at Mina Salem Hotel.The following morning the live sessions started at 9 a.m. at Rashid Hospital. Nurses circulated to experience the different procedures. At five in the afternoon we were done and everyone was a little tired. In the evening a bus tour was arranged for an exciting city tour.

I had a great time. The conference was very well executed and the contents very relevant to my profession. My friendly colleagues Marjon, Jayne and Jadranka also contributed to making my first workshop a great and memorable experience. They instantly wel-comed me and made me feel at home in their group, even though they had all traveled together before. I appreciate the whole experience and I sincerely look forward to going again.

Anne Baltzer, Copenhagen, Denmark

In January I was asked to participate in the workshop in Dubai. It sounded interesting, so I said yes, even though I was not sure at the time what I had agreed to.

In February I received more information about the workshop and the people I was going to work with. Among the other par-ticipants were three nurses from the ESGENA Board, Marjon de Pater (The Netherlands), Jadranka Brljak (Croatia) and Jayne Tillett (UK).

On March 21st I left Copenhagen and made the six and a half hour flight to Dubai.Friday morning I met my colleagues for the first time and I very quickly felt part of the group. First we had to register at the con-ference center to see the location where the nurses’ meeting was to take place later in the afternoon. Around 40 nurses from throughout the UAE attended. It was the first time they had the opportunity to meet nurses from other hospitals both in the UAE and Europe. During the conference sessions, participants learned about education for endoscopy nurses and sedation in gastrointestinal endoscopy. We also received an update on decontamination as well as hands on training and troubleshooting with equipment from Pentax and Cook. The participants were very interested in the subject mat-

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bASEl bEcAmE 1st ESGENA TRAINING cENTRE

Marjon de Pater, Eric Pflimlin, Michael Ortmann andUlrike Beilenhoff

In the last five years, the endoscopy department of the Univer-sity Hospital Basel has often been selected for grants. Fifteen of 35 formally conducted ESGENA grants were completed in Basel.

The University Hos-pital meets the new criteria as defined for ESGENA training centres.

The endoscopy de-partment in Basel combines Gastroen-terology and Tho-racic Medicine with a wide range of ex-

aminations. As a pioneer in the establishment of non-anesthe-siologist administration of propofol (NAAP), the team in Basel was trained during the first studies on this topic and has gained many years of experience. Therefore, many grantees come with the specific desire to expand their experience in dealing with sedation and patient monitoring. Further specializations of the department are hygiene and management of endoscopy units

connections to ESGENAFor 14 years, Basel has had strong connections and co-oper-ations with ESGENA through Eric Pflimlin, Nurse Manager of the Endoscopy Unit, Michael Ortmann, Leader of Continued and Advanced Education, and other team members.Michael Ortmann has been an ESGENA board member since 2003 and is the current ESGENA President. As the national del-egate, he represented Switzerland in the ESGENA Education Working Group (EEWG). Since spring 2013, Evi Baumann, from the same department, has had this position.In 2002, Michael Ortmann and Eric Pflimlin initiated the hands-on training on bio-simulators made with pig organs. They have since organised and chaired this hands-on training at the ESGENA conferences and UEG Week. Both Michael and Eric have marked the high quality of this hands-on training with their training skills and endoscopic experience. Over the years many of the nurses from the Basel team have worked as tutors.

Michael Ortmann and Eric Pflimlin have worked as tutors at ESGE-ESGENA Workshops with live demonstrations in a number of Eastern European countries. Based on their initiative, ESGENA established the co-operation grants which support co-operation between two countries.

Aims&learningoutcomesIn Basel, a goal-oriented learning concept with theory and prac-tice has been established for many years. ESGENA grantees have rated this structured learning as particularly effective.

Access to learning facilitiesAs a creative thinker, Michael Ortmann has developed home-made dummies - simple and cost effective - on which endoscopic techniques can be practiced. The department has appropriate training facilities which enable an interactive learning situation.

Team supportThe team support by physicians and the hospital management has given nurses the opportunity to take a pioneer role within ESGENA. This support is evident in the mutual recognition of the work of other professional groups.

Symposium with the official awardOn 27 June 2013, the official recognition as an ESGENA training centre was announced at a special symposium in Basel. The symposium was very well attended with more than 100 parti-cipants.

The ESGENA was represented by Marjon de Pater, Amsterdam, Treasurer ESGENA, and Ulrike Beilenhoff, Ulm, Scientific Secre-tary of ESGENA.

The ESGE was represented by Prof. Thierry Ponchon from Lyon, who underlined the close cooperation between ESGE and ESGENA in congresses, workshops and guideline development. ESGE also runs various training centres located throughout Europe.

Marjon de Pater and Ulrike Beilenhoff

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n Team supportA key issue for a training centre is the support of the manage-ment and the various teams involved:• Theapprovalofthehospitalmanagementandthedirectorof

nursing are essential because a training centre binds human and financial resources. Costs for staff and equipment should be factored in to the budget. The legal situation should be clarified in general and individually for each grantee (what is the status of the grantee – observer or part of a team; where are limits and possibilities to learn?)

• The support of the multi-disciplinary endoscopy team is es-sential, as a guest always causes a certain amount of stress and workload, which should be borne by the team. The aim is that the grantee feels comfortable and can learn.

• Supportforthemedicalmanagementisnecessarytocoordi-nate patient and procedure related aspects. In addition, physi-cians naturally teach during interventions.

• Optimally,theteachingandhands-ontrainingisscheduledinthe endoscopy lists. ESGENA is aware that the implementation is more difficult in times of staff shortage

n AccommodationFinally, the grantee needs support in finding accommodation. Language courses can be combined with the grant, but their costs cannot be covered by ESGENA

n ApplicationDepartments are asked to apply in writing for recognition as training centres. The ESGENA governing board shall decide whether the defined quality criteria are met. The application form assesses structural requirements and the overall organi-zation. The application forms must be completed with the signa-tures of the management.

Ulrike BeilenhoffESGENA Scientific Secretariat

The Olympus single-use snare line-up includes:

· Choice of different wire feature to achieve the required effect for your clinical need· Crescent snares – their pliable braided wire fi ts easily into the EMR cap while their thin sheath

enables effective suction. Compatible also with 2 mm biopsy channels – for enteroscopy and paediatric applications.

· Integrated ergonomic handle for comfortable immediate use· Sensitive handling for better snaring results· Less danger of cold cut

OLYMPUS SINGLE-USE POLYPECTOMY SNARES: MORE VARIETY AND CHOICE FOR EVERY CLINICAL NEED

Postbox 10 49 08, 20034 Hamburg, Germany | Tel. +49 40 23773-0 | www.olympus-europa.com

SD-210 series: Thick-braided wires for maximum coagulation

and control in polypectomy.

SD-221 series: Soft, thin and pliable braided wire. Ideal for

cap-assisted EMR.

SnareMaster-Feature_AD_20130715.indd 3 15.07.13 11:48

· Standard oval-shaped snares with excellent opening features and in different sizes: large, medium, small – for optimal manoeuvrability even in small lumen

SD-210 series: 25, 15, 10 mmSD-240 series: 25, 15, 10 mmSD-990 series: 25, 15 mm

SD-990 series: Monofilament snare with very high cutting speed and strong grip –ideal for flat colorectal polyps where little coagulation is required.

More variety, more choiceThe SnareMaster range lets you choose the ideal device for polypectomy, mucosectomy and EMR.

For more information, please contact your local Olympus representative or visit our website for more information about our complete line-up of snares and other fantastic EndoTherapy products: www.olympus-europa.com/medical

SD-230U-20: Hard snare with spiral wire for strong grip and good coagulation. Ideal for flat colorectal polyps when high coagulation is desired to avoid bleeding.

SD-240 series: Soft, thin-braided wires for easy manoeuvring and improved coagulation.

SnareMaster-Feature_AD_20130715.indd 4 15.07.13 11:48

26

ESGENA NEWS

REpoRT FRom ESGENA SympoSIUm IN bASEl, JUly 20131st EURopEAN TRAINING cENTER FoR ENDoScopy pERSoNAl IN bASEl

1515

IN coNJUNcTIoN WITH:

17th ESGENA CONFERENCE 12-14 OCT 2013

21st UEG WEEk, ocTobER 12-16, 2013, bERlIN, GERmANyAT THE ‘INTERNATIoNAlES coNGRESS cENTRUm bERlIN’ (Icc)

HoSTED byTHE GERmAN SocIETy oF ENDoScopy NURSES AND ASSocIATES (DEGEA) ANDTHE GERmAN NURSING ASSocIATIoN (Dbfk)

FurtherInformation:www.ueg.eu/week/esgena

� � � � � �European Society of Gastroenterologyand Endoscopy Nurses and Associates

27

Therapeutic possibilities, due to the rapidly developing tech-niques within endoscopy, where procedures become more and more advanced, demands qualified personal to assist in these procedures.

The assisting personal in endoscopy creates a bridge between the high demands of modern advanced techniques with seda-tion and close patient contact and observation during the pa-tient’s entire stay in the endoscopic department.

There is a need for training centers where assisting personal can recieve qualified training in the many facets and specialized functions within endoscopy. This is very important, as the endo-scopic assistent’s roll has developed into a very comprehensive and decisive one in the outcome of the procedure.

Therefore, the Board of ESGENA and the endoscopic depart-ment in Basel at Universitätsspital presented this afternoon Symposium to launch the first European training center for en-doscopy personal.

There were several international guest speakers, as well as local speakers, invited to contribute to the symposium. Eric Pflimlin, Manager of the Endoscopy Department in Basel, spoke about the management of an endoscopy department. There are many competing demands that must be kept in balance in order to have a successful endoscopy department. It is a field in rapid development, so education is very important in order for per-sonal to be properly qualified for the challenges that they are presented with on a daily basis within the department. One must also juggle the constant demands of keeping costs as low as possible while keeping efficiency as high as possible.

Prof. Dr. Thierry Ponchon, ESGE General Secretary, from Lyon, spoke about ESGE training centers and how they present the opportunity to train on new endoscopic techniques. The more advanced the endoscopic techniques become, the more impor-tant it is to have forums where doctors and nurses can train; first on dummies or pig-models, and then under the guidance of experts in designated centers. ESGE is very active in supporting various educational possiblities.

Marjon de Pater, ESGENA Treasurer, from AMC, Amsterdam, Holland, and Ulrike Beilenhoff, ESGENA´s Scientific Secretary, from Ulm, Germany, spoke about the changes in the endoscopy

nursing profession, citing the nurse endoscopist as an example. The nurse endoscopist is a growing profession that is here to stay. It should be supported in order to meet the growing de-mands for endoscopic procedures as a part of cancer screen-ing. It is widespread in England and growing in Northern Europe. There is much work to be done to support the need of the nurse endoscopist and nurse endoscopist’s role in the development of endoscopy.

Uwe Weber, Manager of the Institute for Nurse Education in Bern, spoke about endoscopy training in the educational land-scape that is found in Switzerland. He compared the educational systems in Switzerland with those in Germany, pointing out the many differences.

Dr. Ramasamy Saravanan, TECNA Course Director/Organiser, UK, spoke of the experiences of the TECNA Training Program in England. England has been a forerunner as far as the nurse endoscopist is concerned. TECNA provides therapeutic endos-copy courses for endoscopy nurse assistants and nurse endo-scopists. In the near future, there will be a course in endoscopic lesion recognition and imaging. This is a very important aspect of endoscopy - recognizing what one is seeing! Dr. Saravanan has established a vast library of pictures of lesions found during endoscopic procedures. This provides the basis for a course in the recognition of a wide range of lesions in the gastrointensti-nal tract.

Dr. Thorsten Luedke, Gerneral Manager of European Training and Education, Olympus Europa SE & Co. KG, Hamburg and Dr. Ulrike W. Denzer, Gastroenterologist, University Hospital Ham-burg-Eppendorf, spoke about ENDO CLUB Acadamy Hambug and the importance that industry plays in furthering the educa-tion of doctors and nurses in the endoscopic field.

Ulrike Beilenhoff, ESGENA Scientific Secretary, Ulm, spoke about the criteria of ESGENA Training Centers. Together with Marjon de Pater, ESGENA Treasurer, AMC, Amsterdam, she awarded the ESGENA Endoscopy Training Center Certificate to the Endoscopic Department at Universitätsspital Basel.

All in all, it was a very informative afternoon, filled with interest-ing and inspiring lectures.

Wendy Waagenes, Denmark

GENERAl INFoRmATIoN

28

ESGENA CONFERENCE

WoRD oF WElcomE

n ESGENA Scientific Secretariat

Ulrike beilenhoffFerdinand-Sauerbruch-Weg 1689075 Ulm, GermanyPhone: +49-731-950 39 45Fax: +49-731-950 39 58E-mail: UK-Beilenhoff@t-online.de

n ESGENA Technical Secretariat

Rietta SchönbergerAm Kastell 285077 Manching, GermanyPhone: +49-84 59-32 39 41Fax: +49-84 59-32 39 42E-mail: info@esgena.org

n ESGENA Annual General meeting

TheESGENAAnnualGeneralMeetingwillbeheldonSaturday,12October,2013from11.00-12.30Access for ESGENA members only

n Social Event

TheWelcomeReception&OpeningofESGENAconferenceonSaturdayEvening,12October2013 • Evening:WelcomeReceptionatthe‘RotesRathaus’&OpeningofESGENAconference• AllESGENAdelegateswillreceivethe‘ESGENAprogramme&AbstractBook’attheconferenceregistrationtogetherwiththe conference bags and all other material• AttendanceattheWelcomeReceptionisincludedintheregistration.Ticket:AccessonlywithbadgesofESGENAConference

n Further Information

You may also visit the followingwebsite:ESGENA: www.esgena.orgDEGEA: www.degea.de Dbfk: www.dbfk.de

Dear colleague,On behalf of ESGENA, the German Society for Endoscopy Nurs-es and Assistants (DEGEA) and the German Nursing Association (DBfK), it is our great pleasure to invite you the 17th ESGENA Con-ference, which will be held during the 21st United European Gas-troenterology Week from October 12-14, 2013 in Berlin, Germany.

Following conferences in 1995 and 2006, this will be the third time that the medical and nursing community of Gastroenter-ology and Endoscopy meet in Berlin. This year the Governing Mayor of Berlin, Klaus Wowereit, takes over the patronage of the ESGENA Congress.

Like the city of Berlin, both UEG and ESGENA have changed sig-nificantly by increasing their activities and hosting one of the premier meetings within the field. The ESGENA conference is not only an opportunity to meet colleagues from throughout Eu-rope, but also from North and South America, Africa, Asia and Australia. The exchange with nurses from all over the world

combined with the opportunity to attend the medical programme of UEG Week makes the ESGENA conference an exceptional educational event.

The three day ESGENA conference will include state-of-the-art lectures, free papers & posters, lunch sessions, several work-shops with hands-on training and live transmissions covering current topics in gastroenterology and endoscopy. The German hosts, DBfK and DEGEA, both members of ESGENA, combine the political work of a nursing association with specialised activi-ties in endoscopy, and this interesting combination will also be reflected in the programme.

We hope to welcome you to the 17th ESGENA Conference in October 2013 in Berlin, Germany.

Michael Ortmann, President of ESGENA,Ulrike Beilenhoff, President of DEGEA andProf. Christel Bienstein, President of DBfK

www.g iven imag ing .com

To register or for more information, please visit www.ueg.eu/week/esgena

ESGENA Workshop ����.Functional diagnostic tests for GERD patients.

Speakers:PD Dr. Jutta KellerGI Nurse Sven Scherzberg

Israelitisches KrankenhausHamburg, Germany

Date: Saturday, October 12, 2013Time: 14:00 - 15:30Room: Saal 6UEGW 2013Berlin, GermanyInternational Congress Center Berlin

The role of a nurse in GI functional diagnostic tests:• Tests available for patients suspected of having GERD• Demonstrations: High Resolution Manometry (HRM) Ambulatory reflux monitoring: - pH-impedance catheters - Bravo® capsule-based

• Instruction and cooperation with the patient

5-200-174 ESGENA Nurses Congress Advert CL10 07 2013.indd 1 15.07.2013 11:31:33

Hall 6

language: English

14:00 - 15:30

WoRkSHop 3

Functionaldiagnostic tests forGERD patients

organised byGiven Imaging

Details:Page34

PROGRAMME OVERVIEW SUNDAY, 13 OCT 2013

30

PROGRAMME OVERVIEW SATURDAY, 12 OCT 2013

31

UEG Week – pG Training programme and ESGE live Endoscopy – Saturday, 12 october 2013 Sunday, 13 october 2013

13:30 - 15:00

lUNcHSESSIoN 1

Newtechniques& developments

Details: page 35

13:30 - 15:00

lUNcHSESSIoN 2

hygiene&infection control

Details: page 35

13:30 - 15:00

lUNcHSESSIoN 3

bronchoscopy

Details: page 35

12:30 - 14:30

poSTERRoUND I

Details: page 36

poster Area

language: English

ESGElearning Area

language: English

Hall 7

Transl.:Engl./German

09:00 - 10:30

SESSIoN 1

Free papersession I

Details: page 35

Roof Garden

Transl.:Engl./German

09:00 - 10:30

SESSIoN 2

complicationmanagement

Details: page 35

Salon11/12

language: English

coffee break 10:30 - 11:00

11:00 - 12:30

SESSIoN 3

Free papersession II

Details: page 35

11:00 - 12:30

SESSION4

bronchoscopy

Details: page 35

11:00 - 12:30

WoRkSHop 11

Hands-on training on bio simulators Upper GI Bleeding, ERCP

Lunch13:00-14:00

15:00 - 16:30

SESSIoN 5

Updates inGastroenterology

Details: page 35

15:00 - 16:30

SESSIoN 6

Education

Details: page 35

16:30 - 17:00

poSTERRoUND II

Details: page 36

coffee break 16:30 - 17:00

17:00 - 18:30

SESSIoN 7

management

Details: page 35

17:00 - 18:30

SESSIoN 8

Quality assurance

Details: page 35

14:00 - 15:30

WoRkSHop 12

Hands-on training on bio simulators ERCP,Colonoscopy

ESGElearning Area

language: English

14:00 - 15:30

WoRkSHop 5

Hands-on trainingon bio simulators Upper GI Bleeding, ERCP, Colonoscopy

organised byESGENA

Details:Page34

ESGENA Welcome Reception 19:30 - 22:30

coffee break 15:30 - 16:00

Salon11/12

language: German

14:00 - 15:30

WORkShOP4

Management&qualityimprovements

organised byGerman societies

Details:Page34

16:00 - 17:30

WoRkSHop 9

patient care in endoscopy

organised byGerman societies

Details:Page34

Roof Garden

language: English

14:00 - 15:30

WoRkSHop 1

Samplesize&quality (Biopsy&FNA)

organised byBoston Scientific

Details:Page34

16:00 - 17:30

WoRkSHop 6

Surveying thecolon:Advances indiminutive polyp removal

organised byUS Endoscopy

Details:Page34

Hall 7

language: English

14:00 - 15:30

WoRkSHop 2

challenges ofGI bleeding

organised byOlympus Europa

Details:Page34

16:00 - 17:30

WoRkSHop 7

Endoscopehygiene - theimportance ofcleaning

organised byOlympus Europa

Details:Page34

16:00 - 17:30

WoRkSHop 10

Hands-on trainingon bio simulators Upper GI Bleeding, ERCP, Colonoscopy

organised byESGENA

Details:Page34

16:00 - 17:30

WoRkSHop 8

New developmentin EUS guided FNA

organised byFUJIFILM Europe

Details:Page34

ESGENA GENERAl ASSEmbly(members only)

Hall 711:00 - 12:30

32

PROGRAMME OVERVIEW MONDAY, 14 OCT 2013

Monday,14October2013

Hall 3

language: English

08:30 - 10:30

SESSIoN 9

New techniques and developments in Endoscopypresentation by major sponsors

Scientific lectures

best free paper and best poster award

Invitation to the next conferences

Details: page 36

coffee break 10:30 - 11:00

visit of exhibition, ESGE learning area, UEG Week sessions

lunch 12:30 - 14:00

visit of exhibition, ESGE learning area, UEG Week sessions

coffee break 15:30 - 16:00

visit of exhibition, ESGE learning area, UEG Week sessions

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• Full i-scan Management Individually tailored i-scan settings to meet your current and future needs for enhanced detection and complete pattern characterisation.

• Twin Mode Supports the detection and demarcation of lesions, all details may be seen at once. Teach your fellows on how to interpret clinical images.

• HD+ Video Recording Easy,fastandefficient.IntegratedHD+recorderandfreezescantocollect andsharethelatestclinicalfindingsasexperiencedintheendoscopyroom.

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34

DETAILED PROGRAMME

35

pRoGRAmmE oN SUNDAy 13 ocTobER 2013

n complication management • Endoscopic complications in OGD and Colonoscopy – what can we learn from it?• Endoscopicclosureofgastrointestinalholesandleaks• HowcanweminimisetheriskofERCP• HowcanwedecreasetheoversightofneoplasieandGIleasion

n bronchoscopy• COPDillnessandBronchoscopy• BronchialThermoplastie–anewtreatmentforasthmapatients• ComplicationsandEmergencysituationsinBronchoscopy• Applicationofoxygeninpatientswithpulmonarydisease

n Updates in gastroenterology• Psychologicaleatingdisorders:anorexia,bulimianervosa• Diverticulitis-diagnosisandtherapy• Feacaltransplantation• Probiotcsforintestinaldiseases

n Education• Developingframeworks inEndoscopyandGastroenterology: The good, the bad and the useful• Teamtimeout–oneyearexperience• Modulardesignfornurseeducation• ImplementationoftheEuropeancurriculuminsedationinGI Endoscopy

n management in endoscopy• FreedomofmovementintheEU:Theopportunitiesandchal- lenges of working and living in another EU country• Intelligentlight–relaxedatmosphereinEndoscopy• EndoscopytraininginAfrica–areport• CO2-Insufflation–whereisitofbenefit?

n Quality assurance• Goodsolutionsforstoneextraction• Improvingqualityincolonoscopy• UnsualfindingsduringEndosocpy• Reprocessingproblemswithbiospyvalves

n Free paper• Reducingtotalturnaroundtimeofrecoveryprocessinanen- doscopy unit: A lean management strategy • RiskmanagementinEndoscopyUnit–thenursingcontributions• PathwayprogramfornewlyhirednursesinGastroenterology and digestive Endoscopy• Stopthe line-presenceofmycobacteria infinalendoscope rinse water• Monitoringtheeffectivenessofcleaninginflexiblegastroin- testinal endoscopes using the methodology of detection of ATP through bioluminescence

• Preventionofundernurishmentinelderlypatientswithenteral feeding• OralcareinHepatologynursing:nurses’knowledgeandedu- cation• The management of psychiatric patients in the endoscopy unit• Danishnationallycertifiednurseendoscopistsarequalifiedto undertake colonoscopy at specialist level• Nurseledreviewofcolonoscopysurveillancereferrals,right patient - right time• Colonoscopy:Lookingforthebestinsertiontechnique

n lunch SessionsNewtechniques&developments• ESD-makeiteasy?AnewKS-Instrumentforendoscopicsub- mucosa dissection (Karl Storz GmbH)• FuseTM - Full Spectrum Endoscope (endochoice) • TreatmentofBarrett’sesophaguspatientswithRadiofrequen- cy Ablation (Covidien)• Latest update on Olympus EndoTherapy devices: Bits and pieces that make your life easier (Olympus Europa SE & Co. KG)• OlympusEndocapsule-systemoverviewandpatientprepa- ration (Olympus Europa SE & Co. KG)• EndoClot-Newtherapeuticsolutions forgastrointestinalEn- doscopy (MIRO-TECH Europe)

hygiene&infectioncontrol• Detergents–theunderestimatedpartoftheprocesschemis- try in endoscope processing (Chemische Fabrik Dr. Weigert GmbH & Co. KG)• Automatedendoscopedryingandstoragecabinets-whatare the benefits for me? (STEELCO S.p.A)• Benefitofstoragecabinetforheatsensitiveendoscopesina chemical setting (Soluscope S.A.S)• Valves-thesinglestory(Medivators)

bronchoscopyInterventional Pulmonology, diagnostic and therapeutic pro-cedures in bronchoscopy - a hands-on session with 4 training stations: • BAL,brushingandbiopsyinaventilatedpiglungmodel• ClassicalTBNAforcytologyandhistologysamplesonanato- mical and functional models • Peripheral sampling with the guide sheath technique in an anatomical, functional model • Foreignbodyremovalwithdifferentforcepsandobjectswith anatomical models.

Poster please see next page.

WoRkSHopS oN SATURDAy 12 ocTobER 2013

n Workshop1:Samplesize&quality(FNA&biopsy): Endoscopy and pathology perspectiveAims&Content: The clinical workshop aims to educate nurses on the importance of sample size and quality in EUS FNA and biopsy procedures and the impact on clinical diagnoses and pa-tient treatment algorithms. Nurses will increase their knowledge on the different sample preparation techniques and the stages of sample processing in the pathology lab. Description:• Presentationfromphysician’sperspective• Presentationfrompathologist’sperspective• Hands-ontrainingsession

n Workshop 2: challenges of GI bleedingAims&Content: Being both confident and knowledgeable dur-ing a GI bleed is crucial. Good training is also a key factor to safely manage the bleeding. This workshop aims to increase your knowledge of the different types of GI bleeding, as well as provide hands-on training.• Presentation on various GI bleeds, the realities and how to cope with them (30 mins)• Hands-on training covering injection, clipping, ligation and thermal therapy (60mins)• Two language areas for the hands-on training (German and English)

n Workshop 3: Functional diagnostic tests for GERD patients Aims&Content: This session will focus on the role of a nurse in GI functional diagnostic tests and will:• giveanoverviewoftestsavailableforpatientssuspectedof GERD• demonstratehow toperforma technicallygoodesophageal High Resolution Manometry (HRM) procedure• demonstrateambulatoryrefluxmonitoringwithpH-impedance catheters and wireless BRAVO capsule• showimportanceofinstructingandcooperatingwiththepa- tient for useful results

n Workshop4:Management&qualityimprovementAims&Content:The Workshop combines lectures and discus-sions: • PatientsafetyinEndoscopy• Teammeetingswithdebriefing–aninstrumentofqualityim- provement • PerspectivesforstaffworkinginEndoscopy

n Workshop 5: Hands-on training on bio simulatorsAims&Content: Hands-on training on bio simulators (pig models) under the supervision of highly experienced tutors. Participants will have the opportunity to perform endoscopic techniques on the following topics:

• OGDwithInjectiontechniques,ligation,clipping,APC• ColonoscopywithPolypectomy,EMRandAPC• ERCPwithstoneextractionandstenting

n Workshop 6: Surveying the colon: Advances in diminutive polyp removalAims&Content: Colorectal cancer is the second leading cause of death in men and women worldwide. Proper screening and removal of diminutive polyps is critical. It is important to under-stand the prevalence of diminutive polyps during colonoscopy, the importance of detecting and removing these growths early, and the various polypectomy techniques.This presentation will briefly introduce you to the following topics:• Backgroundandtypesofpolyps• Colorectalcancer• Polypectomyandpolyp resection techniques, includingcold snaring • Submucosalinjectiontherapy• Polypremoval• Bleedmanagement

n Workshop 7: Endoscope hygiene - the importance of cleaningAims&Content:This workshop will give:• aviewintostudydataaboutmanualpre-cleaningaspects• show importance of cleaning and cleaning efficacy during automated endoscope reprocessing• practicalviewaboutpre-cleaningandcleaningintheendos- copy department.Today endoscope reprocessing is focussing on automated cleaning and disinfection procedures. However, the pre-clean-ing right after use of endoscopes is still an essential step within the workflow of endoscopes from patient to patient.

n Workshop 8: New development in EUS guided FNAAims&Content: Hands-on training using bio simulator (pig mod-el) - basic techniques in FNA. Furthermore, the participants will learn the concept of using multiple needles to reduce procedure time during FNA.A new concept of exchanging different needles in one patient without losing the position of endoscope and nee-dle will be explored.

n Workshop 9: patient care in EndoscopyAims&Content: The Workshop combines lectures and practical demonstrations:• Externalabdominalpressure• Thermoregulation–whatcanwelearnfromotherspecialities• Patientpositioningpreventscomplications

n Workshop 10: Hands-on training on bio simulatorsAims&Content:see programme above, Workshop 5

PROGRAMMEONMONDAy14OCTOBER2013

36

DETAILED PROGRAMME

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pRoGRAmmE oN SUNDAy 13 ocTobER 2013

n posterpatient preparation • Qualityassessmentofbowelpreparations• Efficacyoftwolow-volumecoloncleansingregimens:arand- omized controlled trial• Insearchofthebestpreparation:polyethyleneglycolvs.so- dium picosulphate for a successful colonoscopy • Apilotstudyevaluatinganewlow-volumecleansingproce- dure for capsule enteroscopy• Effects of chewing gum on abdominal discomfort, nausea, vomiting and drug compliance for the patients taking poly- ethylene glycol solutions in the preparation of undergoing colonoscopy

During endoscopy procedures• Propofol administration during colonoscopy: give it to the nurse!• Thermoregulationandpreventionofhypothermia–anissuein routine Endoscopy? • Preoperativeendoscopicmarking:tattooingwiththebloodof the patient for laparoscopic surgery• Particularities of periprocedural care and reprocessing of high-end confocal laser endomicroscopic imaging systems• Newdiagnostic tools indigestiveendoscopyandanewpa- tient care approach: probe confocal laser endomicroscopy (PCLE)• IntraductalAspiration(IDA):Apromisingnewtissuesampling technique for diagnosis of suspected malignant pancreato- biliary strictures

patient care in Gastroenterology• Proposaltopreventtheriskofinfectioninpatientswithagas- trostomy• Homecareinstructionsandcomplicationsafterplacementof a percutaneous gastrostomy tube• Quality of life in patients fed via peg-tubes and the role of the nurse• Translationandvalidationofafatiguescaleforpeopleintreat- ment of Hepatitis C.• EffectsofsmokinginpatientswithCrohn’sdisease(CD): A retrospective study

management• Professional burnout syndrome of registered nurses at de- partments of endoscopy.• Patient safety in endoscopy: An audit among endoscopy students • Observations of care in Endoscopy: A European study from the Netherlands, Spain, Russia, United Kingdom and Croatia• UnitedKingdomnationalbowelcancerawarenessprogramme 2012: More pain, no gain?• Empoweringeducationofcolorectalcancersurvivors:Asys- tematic literature review

Hygiene • Survey on the implementation of guidelines for reprocess- ing endoscopes in the endoscopic centers of the Friuli-Ve- nezia Giulia, North Italy• Anewmethod forstorageand transportationofflexibleen- doscopes

n New techniques and developments in Endoscopy• LatestnewsonETD4,Endocapsule,EU-ME2andEndoTherapy instruments (Olympus Europa SE & Co. KG)• Benefitsof‘Evolving’toControlled-ReleaseStents (Cook Medical)• Advances in Hemoclipping: Clinical perspectives and best practices (Boston Scientific Europe)

• PENTAXEuropeGmbH• DevelopmentsinnurseeducationinEurope• Shallweprotectourliverwithacupofcoffee?• Bestfreepaperandbestposteraward (sponsoredbyPENTAX)• InvitationtothenextESGENAConference2014in Vienna, Austria

38

ESGENA NEWS 2013

39

new staff, because they already have key competencies in en-doscopy. Therefore a tutor: student ratio of 1:5 – 10 per dummy may be sufficient.

A mix of experience should be avoided on one dummy. Begin-ners, experts, new staff and students should be split into dif-ferent groups, if possible.

n live demonstrationsLive demonstration is defined as any teaching event which in-volve as patient as the “observer” is a person not directly in-volved in the procedure and patient care. This includes events such as• In-house departmental training of member(s) of staff: - Teaching a new member of staff or a visiting nurse/doctor in the procedure room, - Clinical teaching demonstration of new equipment by an industry representative with additional staff attending and live demonstration element - Demonstrations in the clinical room•Localevents Endoscopic procedures transmitted into a local seminar room during a course or workshop • bigger events on national or international level - Live demonstration transmitted into a big lecture hall - As stand-alone or during a conference, like ESGE Workshops

• computerized systems simulate complex body functions in order to train whole endoscopic procedure rather than single techniques. Computerized systems combine routine diagnos- tic procedures with related advanced therapeutic techniques.• live animal models, mostly pigs, are only used for training of complex techniques, e.g. Natural Orifice Transluminal En- doscopic Surgery (NOTES) or Endoscopic Submucosal Dis- section (ESD). These trainings are performed in dedicated training centres.

Dummy workshops are helpful tools to train new staff and to train specific techniques. If new staff members are to be trained, dum-

mies can be used as the second level of a structured pro-gramme, after be- coming familiar with the equipment itself. It is recommended that new staff re-ceive intensive trai-ning (tutor: student ratio=1:1).

Advanced staff who is trained on new equipment or who is re-ceiving updates, do not need the same intensive attention as

Over the last 30 years, endoscopy has become an essential tool in diagnosis and therapy for digestive diseases. Technical devel-opments and complex procedures require continuous education on a regular basis. In addition to lectures, seminars and confer-ences, workshops are very popular for continuous training in endoscopy as workshops give the opportunity to connect spe-cialized knowledge with practical training. Although it is recog-nized that full competence requires practice with patients in a clinical setting, workshops provide good learning environments to start the process of training technical skills.

In response to requests from several European countries, the ESGENA Education Working Group (EEWG) and the ESGE Edu-cation committee have developed a handbook for organising different kinds of workshops which aims:• toprovideaframeworkforplanning,deliveringandevaluating different kind of workshops for teaching digestive endoscopy, namely equipment skills workshops, dummy workshops and live demonstrations• to support national nursing societies, educational institutes and individual departments within Europe in optimising struc- tured practical training for both nurses and physicians work- ing in gastroenterology and endoscopy.

Definition: A workshop is a training session which may cover some minutes to several days in length. It emphasizes prob-lem-solving, practical demonstration, hands-on training and requires the involvement of the participants. Workshops in endoscopy are helpful tools for teaching new staff or updating staff in new equipment and techniques.

n content of handbookThe organization of any teaching event has uniform organiza-tional steps covering planning, preparation, delivery, assess-ment and evaluation of the event. Each step needs to be clarified and performed in chronological order. Essential points are• theclarificationofaimsandexpectedlearningoutcomesfora dedicated target group, • adetailedplanningand• astructuredteachingplan.The assessment of participants and the evaluation of the event are essential tools of quality assurance and the basis for im-provements.

Three different groups of workshops were identified:

n Equipment skills workshopsEquipment skills workshops are mainly focused on technical aspects of endoscopic procedures. They also cover aspects patient care relevant for the respective technique, health and safety issues for patient and staff (e.g. for diathermia, handling of sharp instruments, personnel protection measures) and hy-

giene aspects (e.g. disposal, reprocessing). Equipment skills workshops are often used the first level training.

n Dummy workshopsDummy workshops include any kind of dummies for practical training. Dummy workshops offer practical training of technical skills on any type of dummy. Dummy training enables the training of technical skills, which combines handling of equipment and assistance during procedures. The use of special equipment can be trained under realistic simulations. The effect of endos-copic techniques becomes transparent. Single procedures or scenarios can be simulated. Dummy workshops are aimed at familiarizing staff with safe use of equipment and to provide basic and advanced practical training.

1.home-madedummiesSimple home-made dummies can combine meat, vegeta-bles (e.g. pepper), fruits (e.g. oranges, strawberries, grapes), sweets (e.g. wine gum), foreign bodies (e.g. coins, marbles, stones, nuts), plas-tic (e.g. tubes), pa- per (e.g. boxes or parcels) or medi-cal equipment (e.g. bowls). Their use is described in Table1.

Michael Ortmann from the University Hospital in Basle, Switzerland, devel-oped effective and simple dummies.Their construction is described in the handbook (see pic-ture 1 und 2).

2.CommercialdummiesCommercial dummies are simple and advanced dummies that are commercially available. Manufacturers produce plastic dolls to demonstrate the easy and effective use of their equipment or to train endoscopists and nurses in the use of equipment. Arti-ficial and computerized dummies are available as plastic dolls or single organs. Endoscopists and surgeons have developed examples of biological and artificial dummies. • biological dummies are bio simulators that combine plastic dolls with organic material and organs (see picture 3).• Artificial dummies combine plastic dolls with artificial material that simulate organs:

ESGE-ESGENA HANDbook oN WoRkSHop oRGANISATIoN ESGE-ESGENA HANDbook oN WoRkSHop oRGANISATIoN

n Table 1: choice of dummies

Hot biopsy

biopsy, brushing

Injection

Haemostasis (clipping, APC, ligation, loops, bicap, etc.)

polypectomy, EmR, ESD

Endoloop, ligation

Dilation, stenting

pEG

Foreign body removal

FNA, fine-needle biopsy

ERcp

procedure to be trained

Meat, biological dummies

Meat (with lumen), wine gums, tubes, biological dummies

Orange, white wine gums, meat with lumen, biological dummies

Meat, biological dummies, wine gums

Meat and biological dummies (to train in cutting),Wine gums (to test the closing of the snare) and mushrooms

Meat, wine gum, biological dummies, mushrooms

Plastic models, tubes, biological dummies

Simple plastic model, dolls, biological dummies,artificial dummies

Pepper, plastic tubes and boxes filled with wine gums,marbles, stones, coins, etc.

Orange with thick skin

Biological dummies, plastic models from industry andhome made dummies

choice of dummy

Pict. 3: ESGE-ESGENA Hands-on Training,Michael Ortmann and Michael Manz fromSwitzerland as tutors

Pict. 1: Preparation of Ortmann Dummy

Pict. 2: insite the Ortmann Dummy

18-20 OCTOBER 2014 VIENNA, AUSTRIA

18th ESGENA CONFERENCE

HoSTED by:THE AUSTRIAN SocIETy oF ENDoScopy AND GE NURSES AND ASSISTANTS (IvEpA)

FURTHER INFoRmATIoN:www.ueg.eu/week/esgenawww.esgena.organdwww.ivepa.at

IN coNJUNcTIoN WITH:22nd UEG WEEk, vIENNA

� � � � � �European Society of Gastroenterologyand Endoscopy Nurses and Associates

40

ESGENA NEWS ANNOUNCEMENTS

41

During ESGE-ESGENA workshop in Sofia 2013

Quality in Endoscopy Obesity & nutritionApril 4 - 5, 2014 – Prague, Czech Republic

Registration, Abstract and Case presentation submission now possible!

The combination of highly communicative teaching with a strong, suppor-tive faculty is the key to success for “Quality in Endoscopy” symposia.In cooperation with the European Society for Clinical Nutrition and Metabo-lism (ESPEN), ESGE is pleased to announce that our series of Quality in Endoscopy symposia continues and that the next meeting with the topic “Obesity & nutrition” in spring 2014 in Prague is now online.

Important deadlines:

Abstract submission deadline: January 5, 2014€ 500 travel grants plus waived registration fees for top accepted abstracts.

Case submission deadline: January 5, 2014One author per selected case presentation will receive a reduced regis-tration fee.

Early registration fee deadline: January 26, 2014ESGE Individual Members, ESPEN Members and ESGENA Members are eligible to receive a substantial registration fee reduction.

Online registration deadline: March 30, 2014

More information regarding the programme, faculty, abstract and case sub-mission may be found at www.quality-in-endoscopy.org or contact:info@quality-in-endoscopy.org.

ESGE and ESPEN would like to encourage you to take part in this interac-tive, innovative meeting. We look forward making this a memorable event and to welcoming you in Prague!

ESGE-ESGENA HANDbook oN WoRkSHop oRGANISATIoN

Live demonstrations are aimed at introducing participants to endoscopic procedures, the use of relevant equipment and

the appropriate patient care during these pro-cedures.

If new staff members are to be trained dur-ing a procedure, the trainee needs inten-sive hands-on training (tutor: student ratio =1:1). Teaching a new

member of staff during a routine endoscopy should not pose any additional problems as teaching occurs during a routine proce-dure booked on that day.

However, where patients are specifically chosen for live dem-onstrations, additional organization, expenses, and considera-tions are involved; and, above all, serious consideration must be given to the ethical aspects of live demonstration. Patient rights and safety are crucial points when organising especially bigger

events. Live demonstration in the own department are easier to organise as local infrastructure, staff and equipment can be used. Bigger events require a complex organisation; costs, risks and benefit for patient should be taken into account.

All live demonstrations are skills focused because the “ob- server” is not involved in the procedure. Therefore live demos do not teach competence. Consequently they should be part of a larger skills training programme.

n conclusionThe Handbook gives an overview about the organisation of dif-ferent kind of workshops. Detailed tables, forms and templates provide helpful information and tools for organising smaller and bigger teaching events in form of workshops.

The handbook will be available in electronic format in October 2013 on the website of ESGE and ESGENA.

Further information: www.esgena.org and www.esge.org

Ulrike Beilenhoff, Ulm, Germany

41

Contact:

ESGE SecretariatMs Diana Drewsc/o Hamilton Services GmbH

Mauerkircher Str. 2981679 MunichGermany

T +49 89 907 7936 13F +49 89 907 7936 20

E dd@hamilton-services.de

42

NEWS FROM THE INDUSTRY

The recent launch of the Evolution® Controlled-Release Biliary Stent Systems reflects Cook Medical’s continued commitment to pioneering important innovations in stent delivery and perform-ance that can impact the quality of patient care. This addition has completed the Cook Medical line of innovative Controlled-Release G.I. stent devices.

The Evolution stent system was created specifically for clini-cians confronting strictures in the biliary tract, duodenum, colon or esophagus. Providing excellent control and maneuverability, Evolution allows clinicians to precisely deliver a stent that pro-vides better wall apposition, fully conforms to the natural curves of the anatomy and potentially reduces post-placement risks.

What makes Evolution completely unique is the fact that it is the first and only stent delivery system to offer full control. This gives the clinician three important capabilities: the ability to de-ploy, recapture and/or reposition the stent. Its development is a major step forward in stenting, offering an innovative alternative to traditional deployment systems.

With each squeeze of the stent’s trigger-based introducer, a proportional length of the stent is deployed or recaptured. Stent-placement progress is directly monitored throughout the proce-dure with the “point-of-no-return” indicator, which alerts the operator when recapture is no longer available. A directional

button allows the clinician to seamlessly alternate between de-ployment and recapture modes.

Thanks to Evolution’s precise control and maneuverability, the ability to place the stent precisely the very first time is enhanced, potentially reducing the need for repeat procedures.

In addition to its Metal Stent offerings, Cook Medical’s Endos-copy division is renowned for its full range of products to serve all GI specialties, including such recognised brands as Fusion® Dual Platform ERCP, Echotip® Ultra HD Endoscopic Ultrasound Needles, Hercules® 3 Stage Dilation Balloons and HemosprayTM Endoscopic Hemostat. All Cook devices and technologies are designed and manufactured with an uncompromising approach that ensures reliable performance.

About cook medicalSince 1963, Cook Medical has worked with physicians to develop technologies that eliminate the need for open surgery. Today we offer medical devices, biologic materials and cellular therapies to deliver better patient outcomes more efficiently. We remain family-owned so that we can focus on what we care about: pa-tients, our employees and our communities.

For more information on Cook’s full line of clinical solutions, please visit: www.cookmedical.com

commITmENT To INNovATIoNBoston Scientifi c recently launched the new TWISTER™ PLUS Rotatable Retrieval Device, which comes with a short throw handle designed for nurse and technician comfort.

This three dimensional net is fully rotatable and designed to facilitate retrieval of polyps, EMR/ESD fragments, food bolus and foreign bodies. It is available in two loop diameters, 22mm and 26mm.

The device’s 360º rotation – 1:1 ratio to both directions – is designed to facilitate and shorten the procedure with minimal scope manipulation.

New Rotatable Retrieval Device

1 According to ASTM F2503 in a static magnetic fi eld of 1.5 and 3 Tesla. For a complete list of conditions consult the Directions for Use.

© 2013 Boston Scientifi c Corporation or its affi liates. All rights reserved. Data on fi le – Boston Scientifi c. The law restricts these devices to sale by or on the order of a physician. Indications, contraindictions, warning and instructions for use can be found in the product labeling supplied with each device.

ENDO-179101-AA Aug 2013

Our Continuous Commitment to Education Boston Scientifi c is supporting the 17th ESGENA Conference at the 2013 UEG Weekin Berlin. Our clinical workshop aims to educate nurses on the importance of sample size and quality in EUS FNA and Biopsy procedures and the impact on clinical diagnoses and patient treatment algorithms. Nurses will increase their knowledge of the different sample preparation techniques and the stages of sample processing in the pathology lab.

Workshop titleSample Size & Quality (FNA & Biopsy): Endoscopy and Pathology Perspective

SpeakersDr. Laurent Palazzo, Gastroenterology Dept., Clinique du Trocadéro, Paris, France

Dr. Monique Fabre, Medical Bio-Pathology Dept., Institut de Cancérologie Gustave Roussy, Villejuif, France

Time and location Saturday October 12, 2013 14.00-15.30 in Hall Roof Garden

Description• Presentation from the Physician’s perspective

• Presentation from the Pathologist’s perspective

• Hands-on training session

New Training Programme for Endoscopy NursesBoston Scientifi c recently launched, in Europe, its Professional Development Programme (PDP), a platform of training modules designed to further advance the clinical and technical knowledge of endoscopy nurses and technicians. To date 2,500 nurses and technicians have participated in over 300 sessions in more than 12 European countries. Training sessions have also been conducted at both a country and regional level in the United States, Asia Pacifi c and South America. The Programme is endorsed by the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA).

What’s New?

Visit www.youtube.com/BostonScientifi cEndo to watch procedural videos

New radiopaque markers and new packaging for CRE™ Balloon DilatorBoston Scientifi c recently introduced new packaging for the family of CRE™ Balloon Dilators, and added radiopaque markers to the current CRE™ Wireguided Balloons.

This improvement demonstrates Boston Scientifi c’s commitment to answer the needs of clinical staff and enhance the performance of our existing products and technologies to ultimately help improve patient outcomes.

Resolution Clip™ has MR conditional claim

In December 2012 Boston Scientifi c received a U.S. 510(k) clearance from the Food and Drug Administration and in the European Union was CE Marked for a Magnetic Resonance (MR) conditional claim.

With this new conditional claim, physicians can use Resolution Clip knowing that a patient could undergo an MRI with the clip still in place. Before the claim, patients had to undergo an additional screening to ensure the clip had passed prior to having an MRI. This is a time saving benefi t for the patient, as well as a hospital cost saving.(1)

1755 BSC Esgena advertorial_aw.indd 1 15/08/2013 14:57

44

NEWS FROM THE INDUSTRY

In order to better understand the needs of our customers in the reprocessing of flexible endoscopes, PENTAX Medical heldcustomer workshops in the US, Canada and Germany, during which a total of 20 nurses and reprocessing technicians, seven administrative staff members/biotechnicians, and four doctors were questioned. The workshops focused on addressing, in small groups, the sub-ject of endoscope reprocessing as well as the other daily proce-dures in the endoscopic practice. As a teaser for the workshops,

PENTAXMedicalshowedafilmwhichreflectedvariousevery-day situations in endoscopy units in a number of hospitals.

After the film, different questioning techniques were used to find out what the individual groups’ biggest challenges and needs were in their daily tasks. In the process, people with diverse functions within the hospital sat down together at one table and had in-depth discussions about their daily experiences on the

job, each professional group gaining insights into the others’ perspectives.

One of the most frequently mentioned problems was faulting reprocessing personnel for an endoscope being unavailable or breaking during an examination. Participants expressed their desire for reprocessing support and an automated documenta-tion process.

The participants considered the following steps during reproc-essing to be the most difficult and/or the most time-consuming:

• Leaktestandtracking• Leaktestandbrushing

PENTAXMedical’sobjectiveistoapplytheresultsfromthecus-tomer workshops to the design of our products. This will enable us to develop customer-oriented products that meet our cus-tomers’ reprocessing requirements and support them in their daily work.

cUSTomER-oRIENTED pRoDUcTS FoR ENDoScopE REpRocESSING

Suggestions for improvement were developed using a reprocessingcycle representation

Movie reflecting the daily situation in the reprocessing room

MEDIVATORS is a subsidiary of Cantel Medical Corporati on, founded in 1974, has its headquarters and major manufacturing operati ons in Minneapolis (USA). MEDIVATORS assists healthcare professionals in minimizing endoscopy-related nosocomial infecti ons through the design, manufacture, and marketi ng of a comprehensive range of endoscope reprocessing equipment, high-level disinfectants, detergent, fl ushing aids, neutralizers, leak and fl uid detecti ons systems, and accessories.

Valves, the single storyEndoscope valves are vital, sophisti cated devices that require regular meti culous cleaning procedures. There are over 30 steps to proper manual cleaning and reprocessing of Biopsy, Air/Water and Sucti on valves, which can make the cleaning process diffi cult, if not impossible.

The DEFENDO™ Single Use Valve Family is designated as a sterile, single use alternati ve to reusable valves. The use of disposable valves off er the ability to eliminate the meti culous, ti me consuming steps required to reprocess these parts correctly and ulti mately reduces the risk to pati ent safety.

- Eliminate manual cleaning and reprocessing of reusable biopsy valves

- Help create consistent practi ces- Reduce the potenti al for errors

New introduced to this broad array of products are the innovati ve MEDIVATORS Endoscopy Procedure Products. All products are disposable infecti on control products and intended to replace the necessity of sterilizing and reusing numerous components in gastrointesti nal endoscopy procedures.

Escherichia coliEscherichia coli

Pseudomonas species

Cladosporium species

Bacillus species

Corynebacterium species

Staphylococcus aureus

MEDIVATORS™ and DEFENDO™ are trademarks of MEDIVATORS INC.

For more informati on please visit our booth in the UEG Week exhibiti on area or alternati vely send us an email at: csnl@medivators.com.

Study results** indicate that a signifi cant number of reprocessed valves were not reprocessed according to recommended practi ces for high level disinfecti on. Additi onally, study results show that a signifi cant number of reprocessed and pati ent-ready valves were not according to the guidelines and procedures published by Olympus, Fujinon and Pentax.

Conclusion: Test results demonstrate that the majority of pati ent-ready, reusable endoscope air/water and sucti on valves do not meet the high-level disinfecti on criteria for semi-criti cal medical devices.

**Pearce, P.J. (2011). Nova Biologicals, Inc., A Report on the Widespread Inadequate Reprocessing of Endoscope Air/Water and Sucti on Valves by Healthcare Faciliti es.

PN 50098-295 Rev. A

disposable biopsy valves

™

™

46

ESGENA ESGENA

47

plEASE SEND THIS REply SlIp To:ESGENA Technical Secretariat: Rietta Schönberger, Am Kastell 2, 85077 Manching, Germany, Fax: +49-84 59-32 39 42ESGENA mEmbERSHIp

n Active group membership

National societies, groups or federations which represent the interests of gastroenterology and endoscopy nurses and endoscopy as-sociates based in a geographic European country. To prevent undue dominance of countries with several national groups, each internationally recognised European country has the right to cast one vote, regardless of the number of group memberships a European country possesses.members: < 50 51 - 100 101 - 250 251 - 500 501 - 750 751 - 1000 > 1000Fee: 30 EUR 55 EUR 105 EUR 205 EUR 405 EUR 605 EUR 755 EUR

n passive group membership

National societies, groups or federations which represent the interests of gastroenterology and endoscopy nurses and endoscopy as-sociates based in a Non-European country.These groups have no right to vote and cannot nominate one of their members to hold office.members: < 50 51 - 100 101 - 250 251 - 500 501 - 750 751 - 1000 > 1000Fee: 20 EUR 35 EUR 75 EUR 155 EUR 355 EUR 555 EUR 705 EUR

n Individual membership

Persons practising, managing, teaching or researching in gastroenterology and endoscopy nursing. Individual members have no right to vote, to prevent undue dominance of countries with a large number of individual members. Individual members have the right to stand for office if they are based in a European country.membership fee 15 EUR

n passive membership

Persons who used to practise, manage, teach or research in gastroenterology and endoscopy nursing and who have maintained an interest in this field. Passive members may not vote or hold office.membership fee 10 EUR

n Affiliated membership

Members from the industry may join the society but may not vote or hold office.membership fee 55 EUR

n membership Application

I would like to receive information about ESGENA membership, including the constitution of the Society, membership applica-tionformsandinformationregardingpaymentoffees.

Name (Person/Group)

Hospital

Postcode

Telephone

Department

City

Fax

Street

Country

E-Mail

Address details:

Tick the desired membership level: Aktive Group Membership Individual Membership Passive Group Membership Passive Membership Affiliated Membership

To oRDER ADDITIoNAl copIES oF ESGENA NEWSPleasecontact:info@esgena.org

n ESGENA NEWS

Copies of ESGENA NEWS to ESGENA members and non-members.

For subscription costs: For ESGENA Members 15 EUR per copy (please add your membership number) Reduced rate for orders > 100 10 EUR per copy For Non-Members 20 EUR per copy

Enhancing patient outcomes. Delivering total value. is an unregistered trademarkof Boston Scientifi c Corporation or its affi liates.

©2013 Boston Scientifi c Corporation or its affi liates. All rights reserved.ENDO-179001-AA August 2013*Data on fi le

Achieving positive patient outcomes through ProceduralExcellence requires a confi dent and well-trained clinical team.

At Boston Scientifi c, we provide best in class training and education to thousands of nurses and techniciansthroughout the world as well as provide sponsorshipsupport to GI nurse societies.

We recently launched the Professional Development Programme (PDP), a series of in-service training courses designed to further advance the clinical and technical knowledge of endoscopy nurses and technicians. To date, 2,500 people have participated in that programme in more than 12 countries throughout Europe.*

To learn more about our training and education programmes and othervalue-added services, contact your local representative or visitwww.bostonscientifi c.com/endo-nursepub.

Breakthrough Innovations

Wide Product Range

Culture of Quality

Unsurpassed Service

Operational Effi ciencies

Environmental Responsibility

And at the core of our commitment: Procedural Excellence

Enhancing patient outcomes. Delivering total value.™

Because it matters to you,it’s what defi nes us.

1755 BSC Esgena Nurse ad_aw.indd 1 15/08/2013 15:00