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- Sep 23, 2007
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Just trying to get a feel for what your experiences are like in the bronch suite...
For instance: at my training program, we get 3 slots for bronchs per day in our only bronch room, 1 anesthesia slot 2 days a week. GI does about 20-30 cases a day, about 1/2 with general anesthesia. Of course, our anesthesia slot is after all the GI anesthesia cases are done on those days, so it's delayed to the point of cancellation about 1/3 of the time.
Our only bronch nurse leaves at a certain time every day and will not stay late for our important cases, leaving her duties to a rotating nurse who will either mismanage our specimens, or fail to get the proper equipment we need for the case, or both.
For the non-anesthesia slots, we the fellows do the laryngeal prep - that means the lidocaine gargle, lidocaine neb, jackson forceps, etc. We process our own specimens: dividing them in appropriate containers for path/micro/cytology/flow/etc. Some fellows walk the specimens down to the lab to avoid the not-too-infrequent "Sorry Doc, we lost the specimen".
We get good numbers overall, but it's through sheer hustle and staying late on those bronch days.
What has your experience been?
For instance: at my training program, we get 3 slots for bronchs per day in our only bronch room, 1 anesthesia slot 2 days a week. GI does about 20-30 cases a day, about 1/2 with general anesthesia. Of course, our anesthesia slot is after all the GI anesthesia cases are done on those days, so it's delayed to the point of cancellation about 1/3 of the time.
Our only bronch nurse leaves at a certain time every day and will not stay late for our important cases, leaving her duties to a rotating nurse who will either mismanage our specimens, or fail to get the proper equipment we need for the case, or both.
For the non-anesthesia slots, we the fellows do the laryngeal prep - that means the lidocaine gargle, lidocaine neb, jackson forceps, etc. We process our own specimens: dividing them in appropriate containers for path/micro/cytology/flow/etc. Some fellows walk the specimens down to the lab to avoid the not-too-infrequent "Sorry Doc, we lost the specimen".
We get good numbers overall, but it's through sheer hustle and staying late on those bronch days.
What has your experience been?