P19 The ERCP nurse specialist role
Betancor Jimenez, Veronica Sinha, Ashish Brooklyn, Trevor
Betancor Jimenez, Veronica
Sinha, Ashish
Brooklyn, Trevor
Glos Author
Date
2024-07-01
Journal Title
Type
Conference Abstract
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Abstract
Introduction In August 2023 NHSE published the ERCP Network and Service Recommendations. These advise that all patients undergo preassessment and a two-stage consent process. Care should be tailored to each specific patient.
Method In Gloucestershire we undertake 350 ERCP procedures per year, but were not meeting these recommendations.
• There was no formal process for the pre-assessment of day case patients.
• There was difficulty managing day case patients with disordered clotting results.
• Patients were consented on the day of their test.
• Inpatients were poorly informed prior to their procedure.
Change was needed to comply with the recommendations, so we developed a 2-year fixed term band 6 ERCP nurse specialist (ERCPNS) post to
• Undertake preadmission clinics.
• Take stage 1 consent.
• Pre-assess inpatients.
• Manage co-morbidity.
• Train staff.
• Assist in audit.
Results The ERCPNS has been in post for ten months:
• Over 300 patients have been pre-assessed in outpatient clinic and on the wards.
• Documentation has been developed that provides a standardised record.
• Stage 1 consent taken.
• PGD for administering Vitamin K.
• Post procedure phone call the following day.
Conclusions The ERCPNS has revolutionised our service:
• There is patient centred care tailored to the individual with in-depth preprocedural information and two stage consent.
• The service is safer with patients’ co-morbidity and clotting addressed, plus the safety net of postprocedural telephone follow-up.
• Funding has been secured to make the post permanent.
Citation
Jimenez, V. B., Sinha, A., & Brooklyn, T. P. (2024). The ERCP nurse specialist role. Gut, 73(Suppl 1), A60. https://doi.org/10.1136/gutjnl-2024-BSG.101