First Year Fellows Endoscopy Course (August 4-5)

13_Ergonomics

Pdf Summary

This document provides information on the topic of ergonomics in endoscopy, specifically focusing on the application of ergonomics interventions to minimize injuries during endoscopic procedures. The document starts by highlighting the prevalence of endoscopy-related injuries among GI fellows and the lack of formal ergonomic education or training they receive. It also emphasizes the importance of ergonomics during pregnancy to prevent complications.<br /><br />The document suggests various interventions that can be implemented at different stages of endoscopy, including pre-endoscopy, intra-endoscopy, and post-endoscopy. Pre-endoscopy interventions involve education, setting ergonomic goals, open communication among team members, scheduling breaks, and conducting ergonomic time-outs. The ergonomic time-out checklist includes guidelines for maintaining proper posture, positioning of equipment, and communication.<br /><br />During intra-endoscopy, positioning of the tower, monitor, bed, and individuals involved in the procedure plays a crucial role. The document provides instructions on how to adjust the monitor dynamically throughout the procedure and emphasizes the importance of proper technique and teamwork. It also suggests micro-breaks, compression stockings, anti-fatigue mats, and two-piece lead aprons as risk mitigation strategies.<br /><br />Post-endoscopy interventions focus on recovery and feedback, including hydration support devices, compression stockings, radiation safety measures, and personal and fetal dosimeters. The document also provides tips for minimizing injury risk during pregnancy, including appropriate positioning and use of protective equipment.<br /><br />The document encourages GI fellows to become advocates for ergonomics by seeking feedback, speaking up about poor ergonomics, participating in curriculum development, collaborating with physiotherapy colleagues, conducting research on interventions' impact, and appealing to industry for better-designed scopes.<br /><br />Overall, this document provides a comprehensive overview of ergonomics in endoscopy and offers practical recommendations for promoting safety and minimizing injuries during endoscopic procedures.

Keywords

ergonomics

endoscopy

ergonomic interventions

injuries

GI fellows

ergonomic education

pregnancy complications

pre-endoscopy interventions

intra-endoscopy interventions

post-endoscopy interventions