Talk to me about cysto

springchick1, ADN, RN · Jun 14, 2013

I think most of these questions will have to be answered by your facility.

Editorial Team / Admin · Jun 14, 2013

Each facility is going to be different. You would find the answer by talking to either the urology supervisor if there is one, the nurse manager, or a charge nurse.

canesdukegirl, BSN, RN · Jun 15, 2013

Its been a while since I have done cysto.
How many do you do in a day?
It depends on the facility. When I worked at a private hospital, we did roughly 5 in a day with one cysto suite. In a teaching institution, the number increased to about 10 a day using 3 suites.
How many nurses in the room?
One nurse, one tech, and an anesthesia provider
Mostly done under local? If not, do you have an anesthetist? RNs wouldn't do any sedation as they sometimes do in endoscopy units, correct?
Again, it depends on the facility.
How long are patients monitored after? Do they go straight back to day surgery?
Do they have IV's?

They should ALWAYS have an IV.

ajaxgirl · Jun 17, 2013

I think most of these questions will have to be answered by your facility.

I was wondering how OTHER facilities do it. Of course it varies by facility.

ajaxgirl · Jun 17, 2013

Of course each facility is different. I wanted to see how OTHERS do it and how it varies.

ajaxgirl · Jun 17, 2013

They should ALWAYS have an IV.

Thanks.

krwrnbsn · Jun 17, 2013

We do not start IVs on cysto patients.

meandragonbrett · Jun 18, 2013

Its been a while since I have done cysto.
How many do you do in a day?
How many nurses in the room?
Mostly done under local? If not, do you have an anesthetist? RNs wouldn't do any sedation as they sometimes do in endoscopy units, correct?
How long are patients monitored after? Do they go straight back to day surgery?
Do they have IV's?

Ours receive general anesthesia for the most part

springchick1, ADN, RN · Jun 21, 2013

Of course each facility is different. I wanted to see how OTHERS do it and how it varies.

You never specified that you wanted to I ow how other facilities do it. You just said you had been away for a while.

Editorial Team / Admin · Jun 21, 2013

Its been a while since I have done cysto.
How many do you do in a day?

Varies extremely. We seem to have one heavy uro day per week, sometimes two, but usually do cases every day.

How many nurses in the room?

1 nurse who circulates, 1 surg tech or nurse to set up the table, if using laser one surg tech or nurse to run it

Mostly done under local? If not, do you have an anesthetist? RNs wouldn't do any sedation as they sometimes do in endoscopy units, correct?

Rarely done under local unless someone's insurance company won't pay for procedure done in office. If in house patient needs local cysto, traveling cart used by doc and floor nurse except in unusual circumstances. CRNA either does MAC, spinal, or general.

How long are patients monitored after? Do they go straight back to day surgery?

Standard PACU stay if asleep, directly back to floor if unusual circumstances require local in OR. Directly to post-op unit if local from home until able to void then discharged.

Do they have IV's?

Pretty much every single patient has an IV.