11 GI Efficiency-Boosters You Can Implement Today
Sensible solutions to help your endo suites run as safely and as profitably as possible.
Outpatient Surgery Editors
The challenge of running an efficient GI service lies in treating a high volume of patients with safety, efficiency and economy in mind. To assist you in your quest to achieve this rare trifecta, we asked your endoscopy colleagues to share the things that work well in their facilities.
1. Adhere to bowel-cleansing regimen. Inadequate bowel preparation is more than an inconvenience. Poor preps can result in missed lesions, aborted or incomplete procedures, and higher complication rates. At Philadelphia's Endoscopy Center of Pennsylvania Hospital, staff call patients the day before a procedure "right around the time the patient would begin the prep, to answer questions and improve compliance," says Stephanie Diem, BS, RN, the administrative director. "If we find out that the patient is not going to be well prepared, then we know we have to reschedule that colonoscopy."
2. Try split preps. Facilities experimenting with split preps 2 liters of prep the night before colonoscopy and 2 liters on the morning of the procedure are finding more flexibility with scheduling. "The patient can have breakfast the day before," says Diane Southern, RN, administrator at the Endoscopy Center of Ocean County and Toms River, N.J. "This way they don't have to go 2 full days without solid food. They begin fasting around noon the day before; take half their preparation in the evening and the rest the next morning, the day of the procedure." Ms. Southern's centers plan to study which bowel preparation regimens are easiest to follow while providing the best results. She's pretty confident split preps will come out on top. "We are finding patients' bowels are even cleaner than with the all-day fasting method and patients are less reluctant to schedule an afternoon colonoscopy," she says.
3. Make the most of the pre-procedure phone call. These calls can prevent surprises on the day of the procedure. In addition to giving bowel prep instructions and reminding patients about bowel prep compliance, double-check that necessary lab testing is complete, review current medications (such as anticoagulants and anti-diabetic agents), discuss the need for antibiotics and record the patient's sedation history. Be sure to confirm that patients will have drivers to take them home when discharged.
GI efficiency, endoscopy facility, GI procedures... show all keywords
GI efficiency, endoscopy facility, GI procedures
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