Guidelines for performing fiberoptic flexible nasal endoscopy and nasopharyngolaryngoscopy on adults.

This article presents guidelines for performing two diagnostic skilled examinations; adult fiberoptic flexible nasal endoscopy and nasopharyngolaryngoscopy. These guidelines help to address the paucity of nursing literature on this subject. These procedures previously have been the unique purview of otolaryngologists, but now are being performed by nurse practitioners in otolaryngology specialty practice, as well as by other healthcare providers. All healthcare providers are accountable for seeking appropriate learning resources and clinical supervision in acquiring new procedural skills after graduation and licensure. This article guides learners in acquiring upper airway endoscopy skills, and describes one nurse practitioner's path to gaining institutional sanction for expanding her scope of practice.