The role of the bronchoscopy nurse

Ahead of the bronchoscopy procedure, the nurse’s role involves providing information on what to expect and what to avoid, helping relieve anxiety. The patient must be given a full explanation of the procedure, including risks, benefits and alternatives, as well as the preparation required.² Other important tasks for nurses before the procedure include the following:¹

• Ensuring informed consent has been signed.
• Collecting medical history, noting any known allergies.
• Checking NPO status to reduce risk of aspiration.
• Monitoring vital signs, including heart rate, blood pressure, respiratory rate and oxygen saturation.
• Instructing on oral hygiene and remove dentures if appropriate.
• Administering pre-operative medications as prescribed.
• Preparing equipment required for the procedure, as well as emergency equipment that might be necessary.

For an hour after the procedure, the patient’s vital signs must be monitored regularly according to their general condition. Changes in breathing pattern, chest pain or oxygen saturation levels should be reported.² Other important tasks include:¹

• Noticing any haemorrhage, observing the patient’s sputum and report for any excessive bleeding. 
• Assessing respiratory status. Watching for signs of bronchial spasm or bronchial perforation such as facial crepitus, hypoxemia, haemorrhage, and chest tightness.
• Monitoring vital signs, including heart rate, respiratory rate, blood pressure and oxygen saturation.
• Positioning the patient assuring safety and comfort; reassuring them that a hoarse voice, loss of voice and sore throat may occur temporarily. 

In conclusion, bronchoscopy is an invasive procedure that requires adequate patient preparation and cooperation. Nurse bronchoscopists play an important role before, during and after procedures to ensure patient safety.

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