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staffing a freestanding endoscopy unit

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by givikki givikki (New) New

We are expanding our ambulatory surgery center to include a separate GI wing instead of incorporating it into the surgical areas as we do now. It will have 3 outfitted procedure rooms with the potential for 3 additional rooms.We plan to start with 30-45 cases per day. The patient will be admitted to a room that will serve as their pre and post procedure room. There will be 11 of these. We won't be doing ERCP, motility or pH studies. We will be doing colonoscopy, EGD with therapeutic intervention. We will do paracentesis rarely. Our state allows an RN and a tech in the room for procedures. We currently had 2 RN's because we were following AORN guidelines. We will be switching to SGNA in this area. We are a for profit facility. We use conscious sedation for procedures. Any input on safe yet cost efficient staffing? Pre/Post areas are what I'm having some difficulty with. Anyone using PCA's or associates in these areas? How many RN's to patient ratio?

I currently staff my unit with enough nurses to take 5-7 patients per day. We use all RNs. They are responsible for prepping and admission paperwork, the return and post procedure paper work, and discharge of the patient. We have approx. 14 beds dedicated to 20-30 patients. The turnover time is approx. one and a half hours of patient care on our part, and 45 minutes in the procedure and endo recovery area. Our physician spends approx 11 minutes with each patient inclusive of pre and post procedure discussion. The procedure itself takes approx. 2-3 minutes. The patient spends approx 15 minutes in the procedure room and 15-30 minutes in the endo recovery area before returning to the pre/post area. I'm interested in knowing how this works in other institutions. We are part of the Outpatient Department of a 200 bed hospital.

I currently staff my unit with enough nurses to take 5-7 patients per day. We use all RNs. They are responsible for prepping and admission paperwork, the return and post procedure paper work, and discharge of the patient. We have approx. 14 beds dedicated to 20-30 patients. The turnover time is approx. one and a half hours of patient care on our part, and 45 minutes in the procedure and endo recovery area. Our physician spends approx 11 minutes with each patient inclusive of pre and post procedure discussion. The procedure itself takes approx. 2-3 minutes. The patient spends approx 15 minutes in the procedure room and 15-30 minutes in the endo recovery area before returning to the pre/post area. I'm interested in knowing how this works in other institutions. We are part of the Outpatient Department of a 200 bed hospital.

How many procedure rooms are there?

I currently staff my unit with enough nurses to take 5-7 patients per day. We use all RNs. They are responsible for prepping and admission paperwork, the return and post procedure paper work, and discharge of the patient. We have approx. 14 beds dedicated to 20-30 patients. The turnover time is approx. one and a half hours of patient care on our part, and 45 minutes in the procedure and endo recovery area. Our physician spends approx 11 minutes with each patient inclusive of pre and post procedure discussion. The procedure itself takes approx. 2-3 minutes. The patient spends approx 15 minutes in the procedure room and 15-30 minutes in the endo recovery area before returning to the pre/post area. I'm interested in knowing how this works in other institutions. We are part of the Outpatient Department of a 200 bed hospital.

How many procedure rooms are there?

How many procedure rooms to you use? How many doctors are working at one time?

How many procedure rooms to you use? How many doctors are working at one time?

Marie_LPN, RN, LPN, RN

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

We have 4 procedure areas in our Endo unit. One RN, one LPN, and one tech per room.

Marie_LPN, RN, LPN, RN

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

We have 4 procedure areas in our Endo unit. One RN, one LPN, and one tech per room.

How many procedure rooms are there?

We have one doc using 3 rooms 5 days a week. Those are essentially "his" rooms. A couple of days of week, one or two other docs share the other 2 rooms. They're good for anywhere from 3-10 additional cases on the days they are there.

How many procedure rooms are there?

We have one doc using 3 rooms 5 days a week. Those are essentially "his" rooms. A couple of days of week, one or two other docs share the other 2 rooms. They're good for anywhere from 3-10 additional cases on the days they are there.

Our GI lab is in the hospital but has designated staff. We have 2 rooms and average 15-20 cases per day. We staff endo rooms with 1 RN and 1 LPN per room. The pre and post area is staffed with 4-5 RN's with staggered start times and 1 LPN to allow for break and lunch relief. We also have a secretary for computer/paper work. We work 5 days a week but cover call during off hours.

There sure a variety of staffing patterns! Does anyone work in an independent endoscopy center? Maybe even one in connection with a physician's group of gastroenterologists?

Well I'm not a nurse but I am however an endoscopy tech. Hope ya don't mind the intrusion. I work at a free standing endoscopy unit and we have 1 doc and he does his cases with propofol given by an anesthesiologist. There is the doc, the anesthesiologist and a tech in the room. The RN works the preop and recovery area, with the other tech. He does about 15 cases a day.

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