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| | Nurses | Endoscopists | Technicians |
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| Most significant change experienced by staff over the years of operation of the endoscopy unit | Increased volume, complexity | Increased volume, complexity | Increased volume, different equipment, dedicated work space |
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| Preferred format | (i) 2 endoscopists to 3 rooms
(ii) Full-day endoscopist assignment | (i) 2 endoscopists to 3 rooms | (i) 2 endoscopists to 3 rooms |
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| Preprocedure room/recovery issues | (i) Staff shortage in preparation room
(ii) Interruptions from visitors/family
(iii) Equipment limited
(iv) Limited beds taken up by nonendoscopic procedures (e.g., paracentesis and intravenous infliximab infusions)
(v) Transportation | | (i) Staff shortage
(ii) Preparation room nursing staff variable efficiency (e.g., slower)
(iii) Patient arrival time |
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| Endoscopy room issues | (i) Procedures taking longer than scheduled
(ii) Total number of cases booked per day
(iii) Endoscopist arrival delay
(iv) Nursing-related paperwork
(v) Running out of supplies
(vi) Incomplete endoscopy reporting by endoscopist
(vii) Resident teaching
(viii) Variable endoscopist efficiency (e.g., speed) | (i) Procedures taking longer than scheduled time
(ii) Total number of cases booked per day
(iii) Suboptimal staffing
(iv) Turnover (waiting for patients from preparation room or to get them to recovery)
(v) Resident teaching
(vi) Endoscopist arrival delay
(vii) Equipment issues
(viii) Inconsistent supply stocking
(ix) Patient-related delays, cancellations | (i) Procedures taking longer than scheduled time
(ii) Total number of cases booked per day
(iii) Endoscopist arrival delay
(iv) Equipment malfunction
(v) Variable endoscopist efficiency (e.g., speed)
(vi) Variable endoscopy nurse efficiency |
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| Key attributes | (i) Team work
(ii) Communication | | (i) Team work
(ii) Collaboration |
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| Suggested solutions | (i) Addition of a floating nursing staff for coverage between 11:00 and 14:00
(ii) Break time coverage for the CSR technician
(iii) Formalize ambiguous duties, for example, stocking supplies
(iv) Porter
(v) Move nonendoscopic procedures out of endoscopy space (e.g., paracentesis and intravenous infliximab infusion)
(vi) Continuity of endoscopist for full day
(vii) Schedule procedures as per endoscopist proficiency | (i) Extra endoscopy room all day
(ii) Adequate staffing | (i) Break time coverage for the CSR technician
(ii) Formalize ambiguous duties, for example, stocking supplies
(iii) Addition of a floating nursing staff for coverage
(iv) Scheduling template, for example, avoiding double procedures during lunch hour, too many EGDs in the morning
(v) Clarify job description |
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