"It's safer for patients and it's better for patients."
That's the pronouncement of Dr. Peter Boyd, director of Australia's Cairns Hospital's Endoscopy Unit, which has slashed waiting times for low-risk endoscopy procedures by 90% and saved the health system more than $1 million since it began using a new sedation model last year, Australia's ABC News reports.
In most endoscopy units in Australia, sedation is delivered by specialist anaesthetists, which is "clearly much more expensive and labor intensive," Boyd says.
Instead, the Endoscopy Unit at Cairns Hospital uses the EDNAPSendoscopists-directed nurse administered propofol sedationwhich allows nurses to work to their full scope of practice and the treating doctor to titrate the level of sedation to the patient, reducing the number of staff required for the procedure to just one doctor and two nurses.
"Nurses do all of our preparations, all the canulas, get them ready with all their monitoring equipment and then they wait for the doctor," acting nurse unit manager Rebecca Healy tells ABC.
"During the procedure the doctor gives us verbal orders for how much propofol and midazolam to give and it takes away the requirement of an anaesthetist and pre
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