Published Dec 31, 2004
endodave
3 Posts
hi what is everyones average room turn over time for procedures in the GI lab
JEEMA
25 Posts
15 minutes, esp if we are running out of schedule and anxious to go home:)
TZT
GInurse4U
12 Posts
On the average taking into account what doc I'm with, give or take 15 minutes and some drs are chomping at the bit wanting to move faster. I figure by the time I take my pt to recovery, give report, review my next chart, get my narcotics, hook the pt up and chart... sometimes it can feel a little rushed. It takes learning what works for you...a safe system. I never bring a new pt into a room until the tech is completely out of the room with the previous scope and make sure the previous pt's photos and names have been finalized from the video monitor. This topic of "time" brings up and interesting tidbit I heard in the natl' news today about disinfecting of scopes on an auxillary channel not being cleaned and having potentially exposed nearly 200 pts to hepatitis and HIV. Are all your techs performing leak tests after each test, ours do and as well cleaning that extra channel?..What a dangerous practice in a time sensitive area where in the end we don't suffer, but our pt's do.
Chuckie
168 Posts
We are able to turn over a room in less than 5 minutes in our outpatient endo unit. We have 30 minutes to admit 30 minute procedures and 30 minute recovery. We are usually able to meet this. One nurse admits one sedates one assists one recovers. We have a scope tech. We can't have any slackers that is for sure. I work in an endo unit in a hospital also and the turnover there is anywhere from 30 minutes to 2 hours between patients. The problem is no transportation no help admitting and no recovery nurses. Just RN, Tech and Dr. Techs do nothing but take care of scope. The RN transfers from room to cart, transports, admits, sedates, recovers transports and return transfer to bed.
Endo Diva
9 Posts
Hi all! Turnover time ..................so much to do, so little time. I would say that realistic turnover time in a lab with 3 RN's 2 techs, can be 5 minutes if all you are counting is the techs job of removing dirty scope, cleaning cart, replacing scope for next procedure.
For RN, transport to recovery, different floor, yes, 8th to 5th usually takes 15 minutes, then upon return, you hook up the next patient to monitors, take assessment, verify npo, allergies, and the doc is in the room wanting to start sedation. Turnover for RNs doing their job properly 35-40 minutes and that might even be pushing it.
I'd like to hear feedback/suggestions, can the techs possibly do a little more?
MQ Edna
1 Article; 1,741 Posts
Is there someone in pre (op) that can do the assessment and get the NPO status? We have 3 RN's and 1 tech. ! RN does the pre assessment, vitals, NPO and allergies. That RN will become the procedure RN. The tech can hook up the monitor to the pt, set the procedure cart up. RN charts, does drugs and monitors the pt. The tech does does the procedure part of the procedure, cleans the scope. RN will take the pt to recovery, become the recovery RN while the next RN will bring her pt into the procedure room, set up. Usually takes about 10 -15 mins turn around time
SuperSGirl
53 Posts
about 10 minutes.
We don't transport patient's to the floorimmediately post procedure. All patients except ICU patient's go to the recovery area first. All our tech/lpn does is clean scopes, set up.
Hi all! Turnover time ..................so much to do, so little time. I would say that realistic turnover time in a lab with 3 RN's 2 techs, can be 5 minutes if all you are counting is the techs job of removing dirty scope, cleaning cart, replacing scope for next procedure.For RN, transport to recovery, different floor, yes, 8th to 5th usually takes 15 minutes, then upon return, you hook up the next patient to monitors, take assessment, verify npo, allergies, and the doc is in the room wanting to start sedation. Turnover for RNs doing their job properly 35-40 minutes and that might even be pushing it. I'd like to hear feedback/suggestions, can the techs possibly do a little more?