Implementation of an Endoscopy Nurse Training Program to Increase Clinical Competency Compliance.

The endoscopy center is a fast-paced environment where nurses are accountable for patient safety throughout complex, high-risk procedures. Fully competent endoscopy nurses (ENs) have the potential to prevent procedural complications, decrease patient wait times and procedure duration, decrease cost, and help detect colon cancer. Unfortunately, there are many barriers to effective and comprehensive training. ENs are often expected to be competent in working with new equipment or procedures without adequate training. EN training is complicated by high staff turnover and frequent advances in endoscopy tools and procedures. Nursing staff in the endoscopy center have over 30 requirements for initial and ongoing competencies. Due to these challenges, EN competency skill compliance rates dropped to 49% in one practice setting, leading to staffing shortages, risk to patient safety, and restriction of patient access to care. This QI project sought to address this gap in efficient and comprehensive EN training through the implementation of an innovative EN training program encompassing all competency topics and utilizing best practice modalities. Evidence demonstrates effective curriculum for ENs incorporates didactic lessons, structure, and simulation modalities. Simulation-based learning engages cognitive, social, and interprofessional skills in a safe environment with timely feedback.