During preprocedural assessment: properly identify patient with use of name, DOB, unique identification number, data collection of medical history, history of cardiac pacemaker, cardiac defibrillator, current medications which can affect the conduct of procedure, allergies to medication, latex and foods, fasting status, weight, level of comfort, history of alcohol tobacco, substance abuse, history of prior endoscopic or sedation procedure, response to bowel prep, physical appliances (hearing aids, glasses, dentures), women with childbearing age are queried about pregnancy with pregnancy test or document with sufficient "yes" or "no" response.
- Responsible for completion of informed consents, provide discussion of treatment choices including a right to refuse treatment. During sedation, responsible for monitoring patient's depth of sedation (minimal, moderate, deep), patients who were sedated of propofol, midazolam, fentanyl, ketamine.
- Confirm that all monitoring devices and resuscitation equipment are functional. (mask ventilation, tracheal intubation equipments, pharmacologic antagonists like naloxone, flumazenil or both). Baseline functional physiological values of heart rate, arterial oxygen saturation, blood pressure are recorded and monitored during procedure.
- On discharge, use of Aldrete scoring system, provide patients with verbal and written structure with outlined diet, activity (not to drive or operate machinery), teaching of pathology result follow up or prior testing. Making sure patients sign and understood written discharge sheet. A telephone number or contact number to call is given to patients to call for complication related to endoscopic procedure. On discharge, makes sure a responsible individual should accompanies patient home.