Hey all, I've been combing threads all day and thanks to the contributers who've answered questions I won't list here. All the information has led to a new question: Is endoscopy nursing vastly different in a hospital setting vs. an office or clinic?
I've worked "a year and change" in a large hospital on a med/surg floor (mostly GI, ha!) and a position in Endo is open. I'm interested in applying to transfer and the info I've picked up here seems encouraging.
ps-what do you think the odds are I get to spend some time downstairs somewhere in the application, and hopefully interview process?
Apr 28, '12
MDs grade their patients Level 1 through 4 depending on the co-morbidities and risk. Generally Level 1 and 2 are seen in free-standing ambulatory centers. These are relatively healthy people with no or 1-2 co-morbidities. They are considered stable enough for the ambulatory center. Levels 3-4 are high-risk patients with multiple co-morbidities. Most free standing ambulances do not have vents or the type of supplemental equipment that the hospital endo suites carry (which are always prepped for an emergency surgery, vents, cpap/bipap, intubation anesthesia vs. MAC). One of the major differences I noticed was how quickly hospital patients could desat to like 40% and the anesthesiologist didn't even flinch, whereas in the outpatient facility it's a huge event because it happens so rarely. In the outpatient we almost never saw any bleeders, it was mostly screening colonoscopy, GERD, abdominal pain, whereas in the hospital bleeders were very common. Also the amount of patients seen in the hospital and the recovery rate is very different in the ambulatory. Prepare to see 40-60 patients a day in the ambulatory vs 10-20 in the hospital ( these numbers obviously vary depending on where you are). Recovery takes 30-40 min in the ambulatory vs. min of 1 hour in the hospital
Last edit by milliemm35 on Apr 28, '12
: Reason: spelling