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Digital Issues

Second Opinions Discussion Board

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Scope cabinet location

Can anyone provide a reference to a guideline, best practice or regulatory agency ruling that states whether scope storage cabinets (used for hanging scopes after high-level disinfection is completed and before they're used in a procedure) can be loc...


Endoscopy Staffing

Do you think it is acceptable to not have an RN in the endoscopy suite while doing endoscopies with an anesthesia provider using propofol?...


Accessing ports for anesthesia

Do you routinely access patient ports (port-a-cath, etc) for anesthesia? I'm referring to mostly ASA 3 or less and for protocol. Are your nurses allowed to initiate access to start IV fluids? Or just your anesthesia providers?...


Patient Hospital Rooms

In re-designing patient rooms for a small hospital, what would be your most desired updates?...


Flexible Endoscope Reprocessing

The "world of endoscopy" has over many years failed to support scientific research to address the transmission of microorganisms and to set standards for endoscope reprocessing. Today's standards are not fundamentally different than those of 30 years...


Ophthalmic Laser Paperwork

My facility currently uses the same paperwork for YAG laser capsulotomies and iridotomies as it does for OR cases. But I'm looking to revise the paperwork process. What do other ambulatory facilities use for laser cases, and how is it different from ...


Adding epinephrine to BSS?

Does anyone add epinephrine to the 500ml bottles of BSS for cataract phacoemulsification cases? Alcon doesn't support additions to this solution. Has anyone else stopped this practice based on these directions?...


Endoscope Reprocessing

Please detail how your upper and lower GI scopes are processed, thank you....


Disputing the new endoscopy safety guideline

After reading ASGE's new guideline for GI endoscopy unit safety, I have to say that it's probably the worst-written guideline I've ever read. It sounds like it's been assembled by gastroenterologists who want a document that supports the way they wan...


Pharmaceutical waste

A question for smaller, stand-alone ambulatory surgery centers: Have you contracted with a waste handling company to separate out your pharmaceutical waste? I think that we are small enough to be exempt from such a requirement, but since it seems to ...


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