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Digital Issues

Second Opinions Discussion Board

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Ophthalmic Laser Paperwork

My facility currently uses the same paperwork for YAG laser capsulotomies and iridotomies as it does for OR cases. But I'm looking to revise the paperwork process. What do other ambulatory facilities use for laser cases, and how is it different from ...


Endoscopy Staffing

Do you think it is acceptable to not have an RN in the endoscopy suite while doing endoscopies with an anesthesia provider using propofol?...


Adding epinephrine to BSS?

Does anyone add epinephrine to the 500ml bottles of BSS for cataract phacoemulsification cases? Alcon doesn't support additions to this solution. Has anyone else stopped this practice based on these directions?...


Flexible Endoscope Reprocessing

The "world of endoscopy" has over many years failed to support scientific research to address the transmission of microorganisms and to set standards for endoscope reprocessing. Today's standards are not fundamentally different than those of 30 years...


Scope cabinet location

Can anyone provide a reference to a guideline, best practice or regulatory agency ruling that states whether scope storage cabinets (used for hanging scopes after high-level disinfection is completed and before they're used in a procedure) can be loc...


Endoscope Reprocessing

Please detail how your upper and lower GI scopes are processed, thank you....


Disputing the new endoscopy safety guideline

After reading ASGE's new guideline for GI endoscopy unit safety, I have to say that it's probably the worst-written guideline I've ever read. It sounds like it's been assembled by gastroenterologists who want a document that supports the way they wan...


Pharmaceutical waste

A question for smaller, stand-alone ambulatory surgery centers: Have you contracted with a waste handling company to separate out your pharmaceutical waste? I think that we are small enough to be exempt from such a requirement, but since it seems to ...


Pediatric Tonsillectomies

Our center does a very low volume of pediatric tonsillectomies. (less than five per year). Our minimum age is currently three years old. What age do you feel is the youngest that can safely undergo tonsillectomy at our center? Do you feel that our ...


Drug security regulations

What are you doing about the implementation of the Drug Supply Chain Security Act on July 1st? Are you letting your wholesalers keep the information for the required 6-year period? Will that meet the requirements?...


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