The Journey to Office Cystoscopy Privileging

Christy B. Krieg, MSN, FNP, CUNP


Urol Nurs. 2020;40(2):99-103. 

In This Article

Abstract and Introduction


I had been a urologic nurse practitioner for 9 years before I finally had the opportunity to take the cystoscopy course in the autumn of 2016, during the Society of Urologic Nurses and Associates (SUNA) Annual Conference. While I was the first adult nurse practitioner (NP) in our urology group when I was hired in 2007, historically, I have been a late bloomer. Late to lose my first tooth, late to marry, late to adopt the newest medications into my practice.

Frankly, I was intimidated and anxious about cystoscopy. I had a worry that I would cause harm by missing something important. Yet I knew satisfaction and continuity of care suffered when my new patients with hematuria (122 of them in 2016) were referred to a physician colleague for a 2-minute future cystoscopy appointment, then back to me for follow up.

This was problematic. Sometimes I was not copied on the cystoscopy reports. Sometimes the CT scan was ordered under the physician's name, and I did not see it until the 6-month follow up. Patients described their dissatisfaction directly to me. And I really abhor when patients are dissatisfied. I wanted to fix this problem.