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endomarge

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  1. I have worked in and endo department for 20 years and the hours were flexible...The first two nurses one hour before the procedure as we admitted and recovered the patients. 3o minutes before the procedure two more came to set up the room and etc. Aways two nurses at each procedure....one for CS and to turn the room around the other to assist the doc and wah the scope.........yes we washed our scopes too
  2. There is no average dose for any conscious sedation..... In our Endoscopy unit our doctors are very well educated in the conscious sedation protocal. The doctor orders versed and Fentanyl...depending on the age of the patient, procedure,and vital signs before the procedure, and during the procedure. If the doctor is rough, and is a hurry he may order more medication than is needed....we have the right to refuse depending on the vital signs.....we have one doctor that is so gentle his patients usually are medicated with fentanly 50 mcg and 1 mg of Versed!!!!!!!!!!!!!!:) WE have one doctor that is extremely rough and his patients for an EGD someitmes if vital sign are stable will order 100 mcg of Fentanly to 6 mg of Versed:eek: In our Endoscopy unit a RN gives all the meds and the other RN or tech assists the physician:o Our Endoscopy record covers all aspects: pre procedure, during the procedure and post procedure. re@ patient LOC, discomfort during the procedure....The patient is recovered in the endo dept and discharged to an adult with discharge instructions:)

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