Open Forum

We are planning to implement Fibroscan (echosans) in our GI/Liver clinic. I would like some current insights as to how other ambulatory clinics are managing this non-invasive procedure. A few questions: 

1. Who is performing the exam? In CA, the BRN states that this is outside the RN scope of practice, so we are creating a standardized procedure along with vendor competency validation. Has anyone created a SP for RNs to perform this examination? 
2. Is anyone willing to share a competency validation tool or checklist with us? 
3. Any practice pearls that you can share with our team as we plan? 

Thank you, 

Jana Evenhouse MSN RN AMB-BC

Director, Clinical Education

Ambulatory Care

Keck Medicine of USC  

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Jana Evenhouse
Los Angeles
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Good morning,

Eschosen provides training and the trainees must demonstrate competency by the company of at least 4 volunteers. The company does provide objects of what the trainees need to know for competency. 

RNs can perform fibroscan, but not interpret the results. My chief interprets and co-signs the results

NPs can perform fibroscan and interpret result with training for competency.

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Irene Lee MSN RN PHN
Dept of Veterans Affair
W Sacramento CA
(916) 366-5343
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