COVID-19 Measures in Endoscopy Unıts and the Nurse’s Role

Öz

In the COVID-19 pandemic, which affects the whole world, planned endoscopic interventions, except for emergencies, but nowadays they have become obsolete and elective endoscopic interventions have begun to be performed. It is necessary to take precautions for infection control in terms of patient and employee safety during pandemic periods. The endoscopy nurse, who is an important member of the team, is responsible for taking and applying all necessary precautions from the patient's admission to the endoscopy unit until discharge. Today, when the pandemic has lost its effectiveness, there are differences in the practices of how the process will be carried out in endoscopy units. The aim of this review is to examine the precautions to be taken before, during and after the endoscopic diagnosis and treatment of COVID-19 patients in the light of the literature.

Anahtar Kelimeler

• Covid-19
• endoscopy
• nursing
• pandemic
• precautions

Endoskopi Ünitelerinde COVID-19 Önlemleri ve Hemşirenin Rolü

Öz

Tüm dünyayı etkileyen COVID-19 pandemisinde başlangıçta acil durumlar hariç, planlı endoskopik girişimler durma noktasında iken, günümüzde tekrar eski haline gelmiş ve elektif endoskopik uygulamalar yapılmaya başlanmıştır. Pandemi dönemlerinde hasta ve çalışan güvenliği açısından enfeksiyon kontrolüne yönelik önlemlerin alınması gereklidir. Ekibin önemli bir üyesi olan endoskopi hemşiresi, hastanın endoskopi ünitesine kabulünden taburculuğuna kadar olan dönemde gerekli tüm önlemleri almak ve uygulamaktan sorumludur. Pandeminin etkinliğini kaybettiği günümüzde endoskopi ünitelerinde sürecin nasıl yürütüleceğine dair uygulamalarda farklılıklar bulunmaktadır. Bu derlemede amaç, COVID-19 hastalarının endoskopik tanı ve tedavi uygulamaları öncesi, sırası ve sonrası dönemde alınması gereken önlemleri literatür ışığında irdelemektir.

Anahtar Kelimeler

• Covid-19
• endoskopi
• hemşirelik
• önlemler
• pandemi

Kaynakça

1. 1. Çelik B, Yasak K, Turhan Damar H, Çakır Umar D, Öğce F. COVID-19 salgınında ameliyathane ve vaka yönetimi. J Anatolia Nurs Heal Sci. 2020; 23(2): 331-342. doi: 10.17049/ataunihem.728544.
2. 2. Karaca AS, Özmen MM, Uçar AD, Yasti AÇ, Demirer S. General surgery operating room practice in patients with COVID-19. Turkish Journal of Surgery-Bilimsel Tip Yayınevi. 2020; 36(1): I–V. doi: 10.5578/TURKJSURG.202001.
3. 3. Gök AFK, Eryılmaz M, Özmen MM, Alimoğlu O, Ertekin C, Kurtoğlu MH. Recommendations for trauma and emergency general surgery practice during COVID-19 pandemic. Turkish Association of Trauma and Emergency Surgery. 2020; 26: 335–342. doi: 10.14744/tjtes.2020.79954.
4. 4. de Caro F, Hirschmann TM, Verdonk P. Returning to orthopaedic business as usual after COVID-19: strategies and options. Knee Surgery, Sport Traumatol Arthrosc. 2020. doi: 10.1007/s00167-020-06031-3.
5. 5. Ortega R, Gonzalez M, Nozari A, Canelli R. Personal protective equipment and COVID-19. N Engl J Med. 2020; 382(26): e105-e105. doi: 10.1056/NEJMvcm2014809.
6. 6. Karadağ M. Cerrahi hemşireliği. Karadağ M, Bulut H Editör (ler). Kavram haritası ve akış şemalı cerrahi hemşireliği. Ankara: Vize Yayıncılık; 2019. s. 451-464.
7. 7. Coimbra R, Edwards S, Kurihara H, Bass GA, Balogh ZJ, Tilsed J, et al. European society of trauma and emergency surgery (ESTES) recommendations for trauma and emergency surgery preparation during times of COVID-19 infection. Eur J Trauma Emerg Surg. 2020; 46(3): 505–510. doi: 10.1007/s00068-020-01364-7.
8. 8. Elmunzer BJ, Spitzer RL, Foster LD, Merchant AA, Howard EF, Patel VA et al. Digestive manifestations in patient hospitalized with COVID-19. Clinical Gastroenterology and Hepatology 2020; in press.

9. 9. Holshue ML, DeBolt C, Lindquist S, Lofy KH, Wiesman J, Bruce H, et al. First case of 2019 novel coronavirus in the United States. N Engl J Med. 2020; 382: 929–936.
10. 10. Pan L, Mu M, Yan P, Sun Y, Wang R, Yan J, et al. Clinical characteristics of COVID-19 patients with digestive symptoms in Hubei, China: a descriptive, cross-sectional multicenter study. Am J Gastroenterol. 2020; 115: 766–773.
11. 11. Carvalho A, Alqusairi R, Adams A, Paul M, Kothari N, Peters S, et al. SARS-CoV-2 Gastrointestinal infection causing hemorrhagic colitis: implications for detection and transmission of COVID-19 disease. Am J Gastroenterol. 2020; 115: 942–946.
12. 12. Lin L, Jiang X, Zhang Z, Huang S, Zhang Z, Fang Z, et al. Gastrointestinal symptoms of 95 cases with SARS-CoV-2 infection. Gut. 2020; 69(6): 997–1001.
13. 13. Blackett JW, Kumta NA, Dixon RE, Davis Y, Nagula S, DiMaio CJ, et al. Characteristics and outcomes of patients undergoing endoscopy during the COVID-19 pandemic: A multicenter study from New York City. Dig Dis Sci. 2020; 66(8): 2545-2554.
14. 14. Massironi S, Vigano C, Dioscoridi L, Filippi E, Pagliarulo M, Manfredi G, et al. Endoscopic findings in patients infected with 2019 novel coronavirus in lombardy. Italy Clinical Gastroenterol and Hepatol. 2020; 18(10): 2375–2377.
15. 15. Martin TA, Wan DW, Hajifathalian K, Tewani S, Shah SL, Mehta A, et al. Gastrointestinal bleeding in patients with coronavirus disease 2019: a matched case-control study. Am J Gastroenterol. 2020. https://doi.org/10.14309/ajg.0000000000000805.
16. 16. Kuftinec G, Elmunzer BJ, Amin S. The role of endoscopy and findings in COVID-19 patients, an early North American Cohort. BMC gastroenterology. 2021; 21(1): 1-7.
17. 17. Hennessy B, Vicari J, Bernstein B, Chapman F, Khaykis I, Littenberg G, et.al. Guidance for resuming GI endoscopy and practice operations after the COVID-19 pandemic. Gastrointestinal Endoscopy. 2020; 92(3): 743-747.
18. 18. Kongkam P, Tiankanon K, Ratanalert S, Janthakun V, Kitiyakara T, Angsuwatcharakon P. et.al. The practice of endoscopy during the COVID-19 pandemic: recommendations from the Thai association for gastrointestinal endoscopy (TAGE) in collaboration with the endoscopy nurse society (Thailand). Siriraj Medical Journal. 2020; 72(4): 283-286.
19. 19. Feuerstein JD, Levy N, Zucco L, Levy LA, Sawhney M, Ramachandran SK. Management of a COVID-19 patient in the endoscopy suite. VideoGIE. 2020; 5(8): 327-330.
20. 20. Furfaro F, Vuitton L, Fiorino G, Koch S, Allocca M, Gilardi D, et.al. SFED recommendations for IBD endoscopy during COVID-19 pandemic: Italian and French experience. Nature Reviews Gastroenterology & Hepatology. 2020; 17(8): 507-516.
21. 21. T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü, güncel dönemde COVID-19 ilişkili izolasyon ve karantina uygulamaları. 14 Ocak 2022, (Erişim: 18.03.2022). Erişim adresi: https://covid19.saglik.gov.tr/Eklenti/42333/0/covid-19gunceldonemdecovid19iliskiliizolasyonvekarintinauygulamalari-2pdf.pdf Ankara
22. 22. T.C. Sağlık Bakanlığı Bilimsel Danışma Kurulu Çalışması, COVID-19 pandemisinde sağlık kurumlarında çalışma rehberi ve enfeksiyon kontrol önlemleri. 9 Mart 2021, (Erişim: 18.03.2022). Erişim adresi: https://covid19.saglik.gov.tr/Eklenti/40282/0/covid19-saglikkurumlarindacalismarehberiveenfeksiyonkontrolonlemleripdf.pdf