Category:OR: Difference between revisions

From Guide to YKHC Medical Practices

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===Endoscopy===
===Endoscopy===
Only screening and diagnostic procedures are performed. Patients needing therapeutic procedures, whether routine or urgent, require referral to a higher level of care.
Endoscopy is only performed for low-risk patients.  Therefore patients must meet the YKHC endoscopy criteria.
The lower age cutoff for endoscopy is variable and dependent upon the patient's anticipated anatomy as well as the endoscopist's comfort level. Most endoscopists are comfortable performing procedures on teens who have essentially adult anatomy, regardless of chronological age.
'''Outpatients'''
Screening, surveillance, and diagnostic procedures are offered for outpatients.  Patients should be referred after their comorbidities are well controlled and meet the YKHC endoscopy criteria.
'''Inpatients'''
Only diagnostic procedures are offered for inpatients. There should be sound rationale for why the procedure should not be postponed until the patient has been discharged and has returned to their normal baseline state.
Screening procedures are only provided for outpatients whose health status is optimized.  The risk/benefit ratio for screening procedures does not justify performing procedures when patients are below their baseline health status (which is almost certainly the case for any inpatient).
'''EGD'''
Screening EGD's are controversial and should be discussed with an endoscopist prior to referral.  If ordered, the referral should specify that the patient be scheduled with the endoscopist who has agreed to do the case.
'''Colonoscopy'''
Diagnostic, screening, and surveillance colonoscopies are offered.
'''Urgent Cases'''
Endoscopy can be performed Monday through Friday. Urgent ''diagnostic'' cases, from either the ER or inpatient, can frequently be added for later in the day or the next morning.  This is initiated by contacting the endoscopist. If unknown, the endoscopist availability and contact information can be found by paging the OR charge nurse.

Revision as of 00:01, 11 October 2017

Surgery Department

Anesthesia Services

Endoscopy

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