By Harry R. Dalton, H.R. Dalton, S.H. Hussaini, I.A. Murray, J.L.H. Wong
Clinic guide: Gastroenterology presents sensible directions at the clinical and administrative concerns linked to operating a gastroenterology-based outpatient clinic.
Written with all participants of the outpatient group in brain, the publication offers key details on analysis; making plans and implementation of remedy; sufferer schooling and source management.
Clinic instruction manual: Gastroenterology is key examining for someone deliberating constructing, or at present thinking about, an outpatient medical institution during this box
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Protected barium enema appointment slots are made available to coincide with the flexible sigmoidoscopy session, and fixed appointment times are given to each patient for both examinations. The barium enema referral is checked by a consultant radiologist prior to the Rectal bleeding 43 appointment being issued. Particular attention is given to the patient’s age, mobility and general health. The barium enema examination requires the patient to be reasonably mobile. If the patient has poor mobility or a medical condition that precludes them from undertaking the examination, then appropriate alternative imaging can be arranged for the same day, for example, CT colon, CT colonography or colonoscopy.
The radiographer also takes part in a regular appraisal program to support this new area of practice. This allows the discussion of clinical and professional issues and ensures continuing professional development and regular audit within this new community of practice. Rectal bleeding clinics Organization of a one-stop rectal bleeding service The radiographer undertakes a flexible sigmoidoscopy list on two mornings per week with a maximum of seven patients per list. As many as nine patients per week can take part in the one-stop service and undergo a flexible sigmoidoscopy followed by a doublecontrast barium enema.
Unless strict referral guidelines are established, however, the jaundice service will be susceptible to misuse. 1. A ‘one-stop’ approach to jaundice the form of inappropriate referrals of patients with chronically abnormal LFTs. Examples of suggested guidelines for referral are: • Patients must have clinical jaundice of not more than 4 weeks’ duration • The clinic is not designed to investigate patients with chronically deranged LFTs • Referrals are by phone or fax and can be made at all times • Although not essential, a written referral letter including all recent blood tests should be faxed or sent with the patient if at all possible • The clinic is not designed as an alternative to the admission of acutely ill patients.