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Second Opinions Discussion Board

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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?...

23

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...

3

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...

2

Endoscope Reprocessing

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

2

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...

12

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 ...

6

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 ...

4

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?...

6

What is adequate anesthesia staffing?

I'm looking for viewpoints on what constitutes adequate anesthesia staffing, particularly in terms of covering the OB department in addition to running ORs. In my hospital, we have 3 CRNAs and a director of anesthesia. We run 3 ORs daily, with the an...

13

IV start orders

In our ASC, IV start orders are signed by the anesthesiologist. Who normally writes IV start orders at your facility, anesthesia or the surgeon? What's the guideline or thinking for this?...

9

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