BSGIE national survey : The endoscopy unit

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1 BSGIE national survey : The endoscopy unit Dear Colleagues, The BSGIE organises a national survey on the organisation, equipment and activity of the endoscopic units in our hospitals. The results of this survey will be presented during the next annual symposium of the BSGIE which will take place in Gembloux on the 26 th January, The first session of the symposium will address the theme of the endoscopic unit organisation today and tomorrow. If we want to know what the future can bring us in this matter, it is very important to have a clear understanding of where we stand today. We therefore call upon your goodwill and ask you to answer the next questionnaire. This will be also available online very soon. You will be informed by . One questionnaire (and only one) is warranted by hospital center. You can answer it online or send it to us by post. The deadline for answering the survey is 1 st December, In order to get a representative picture of the subject, it is of the utmost importance that a maximum of centers participate to this survey. Because it will take you some time to research and fill in all the items, we suggest that every team assigns a person who would be in charge of the questionnaire. The same person will also call upon his/her colleagues for data collection. The questionnaire can hence be filled in, in a single session. Needless to say, anonymity of all answers is totally guaranteed by the BSGIE. We are trusting this survey will gather positive responses from all of you. We are looking forward to taking your feedback into account, which will help those of us who are planning a renovation of their endoscopic unit. Dr De Koninck X. For the BSGIE Service de gastro-entérologie, Avenue Reine Fabiola, Ottignies. 1

2 BSGIE national survey : The endoscopy unit One questionnaire (and only one) is warranted by hospital center. If your institution encompasses several hospitals, one questionnaire should be filled in for each geographical site. As several questions need researches, we suggest sharing the job with colleagues, taking your time to fill in all the items and than - either go to the online questionnaire : and validate it in one session. - either send the paper questionnaire to Dr X De Koninck Service de gastro-entérologie Clinique Saint Pierre Avenue Reine Fabiola, Ottignies Deadline for answering: December 1, 2007 General information s : 1) Were you assigned by your colleagues to fill in this questionnaire? Yes No. (If no, inform them to avoid duplicate response) 2) Initials of the centre (for instance: St Valentin Hospital in Las Vegas: SVHLV) This question is intended to avoid duplicate response. Anonymous collection is guaranteed. Initial of the centre 3) Is this (see classification on A university hospital A general hospital with academic beds A general hospital (private or public) Other 4) In which region of Belgium Flanders Brussels Wallonia or German part 5) How many hospital beds dedicated to medical gastroenterology and hepatology? N = Endoscopy unit architecture : 6) Is your endoscopic activity concentrated in an unique architectural site or splitted (for example routine diagnostic endoscopy in one site, endoscopy under anesthesia in the operating room): multiple answers allowed The whole endoscopic activity in one site including ERCP The whole endoscopy activity in one site except ERCP Endoscopic activity splitted in different sites of the hospital 2

3 One day clinic is delocalized 7) Is your endoscopy unit dedicated to GI endoscopy only or shared with other specialities? GI only Shared with other specialities. In that case, which one? Pneumology Urology Cardiology Surgical unit Other : (free text) 8) Has your endoscopy unit been significantly renovated in the past ten years? yes no 9) Total surface dedicated to endoscopic activity (corridors and facilities included). If several sites, sum the surfaces. One day clinic hospital and radiology department surfaces (if ERCP performed in radiology) excluded. Square meters Did you evaluate this surface On a plan roughly 10) To be precise, does this surface include Secretariat Waiting room Medical offices Nurses offices A room dedicated to premedication of patients before endoscopy A room dedicated to recovery If same room for prep and recovery : specify Disinfection room(s) Storage room Seminar, bibliothèque room 11) Rooms dedicated to endoscopy : Number: Surface of the largest room: square meters Surface of the smallest room: square meters 12) How many rooms are dedicated to functional tests (manometry, ph metry, breath tests ) a. number: 13) Circulation of patients : are there separated circuits for in and outpatient? yes no Technical equipment : 3

4 14) How many scopes are available in the unit Videogastroscopes : N = Fiber-optic gastroscopes : N = Naso-gastroscope: N = Videocolonoscope: N = Fiber-optic colonoscopies : N = Sigmoidoscopes : N = Lateral vieuwing duodenoscopes N = Enteroscope Push enteroscope N = Double balloon enteroscope N = EUS scope Radial EUS N= Linear EUS (non therapeutic)n= Linear therapeutic EUS N= 15) Is one of your scopes equipped with the following technology Large operating channel therapeutic gastroscopes : Double channels gastroscope Zoom NBI FICE 16) How many working stations ( videoprocessors) are available : N= 17) Which is the principal purchaser of your scopes: Olympus Pentax Fujinon 18) How many electrocautery units? N= 19) Are the following technologies available? : Bipolar coagulation Laser Argon beam Heater probe Gold probe 20) How is the disinfection of the scopes performed? The whole cycle manually automatic machine exclusively Manual or automatic cleaning co-exist, according to the availability of machines 21) Who is performing the disinfection? Nurses only Auxiliary personnel only Both 22) How many lavage machines are available? Machine for two scopes/cycle Machine for one scope/cycle 23) Disinfectant used Glutaraldehyde Peracetic acid Other 4

5 24) biopsy forceps Single use only Reusable only Both 25) Polypectomy loop Single use only Reusable only Both 26) Which of the following techniques are available? Classical Oesophageal manometry Gastrojejunal manometry Anorectal manometry 24 H oesophageal ph monitoring 24 h oesophageal manometry Impedance metry Hydrogen Breath tests Aminopyrine breath test Videocapsule X-Ray inside the endoscopic unit Extracorporeal shock-waves lithotripsy (in the hospital) MRI (in the hospital) Human resources 27) How many endoscopists are working in the unit? Graduated endoscopists : N = trainees endoscopists; N =.. 28) How many half-days/week of GI endoscopy? (sum the number of half days/week each endoscopy room is really used, functional tests excluded) :.. 29) According to the human resource available, how many endoscopy rooms maximum can work simultaneously (GI endoscopic activity only, functional test excluded)? Nr of room : 30) How many nurses (in full time equivalent (FTE)) are working in the unit? If nurses are shared with other specialties, evaluate the FTE dedicated to GI endoscopy only. Nr of FTE :. 31) How many unqualified workers are working for the endoscopic activity in FTE (surface technicians excluded)? Nr of FTE:. 32) How many secretaries (in full time equivalent) are working for the endoscopy? Nr of FTE:. 33) How many anaesthesiologists in FTE are allocated to the Unit? Nr of FTE:. 5

6 Volume of activity (for the whole unit) per year (2006): as much as possible, please refer on your data base or administrative data to give precise answers. In order to help the extraction of data, the RIZIV-INAMI codes are mentioned. If a technique is not performed, indicate 0 34) Total Nr of upper GI : N=.. 35) Among these, how many Upper GI non variceal hemostases (473771, ) N= Treatment of esophageal varices (473270, ) N= Oesophageal dilatation (bougie) (112210, ) N= Oesophageal pneumatic dilatation (achalasia) (472091, ) N= Oesophageal prosthesis (473292,473303) N= Percutaneous Endoscopic Gastrostomy (355950, ) N= Oesophageal mucosectomy (no specific code yet) N= Gastric mucosectomy (no specific code yet) N= Gastric outlet and duodenal stenting (code U , ) N= 36) Total number of lower GI endosocopy( ileo or colonoscopy, left colo, flexsig) N= From this total, extract polypectomy (473211, ) N= Colic stent placement (code U , ) N= 37) ERCP : N=. Diagnostic (473734, ) N= Therapeutic (sphincterotomy, stones extraction and stent) N= (473690,473701,473830,473841,473712,473723) 38) Transgastric or transduodenal cystostomy (473911, ) N= 39) EUS : total : N=.. Diagnostic upper GI EUS (473852, ) N= EUS with FNA (473874, ) N= Anorectal EUS (473896, ) N= 40) Enteroscopy N= 41) Small bowel videocapsule N= 42) Liver biopsies Transcutaneous liver biopsy (355751, ) N= Transjugular liver biopsy (473410, ) N= 43) Diagnostic laparoscopy (performed by gastroenterologist or internist, not by surgeon) N= 44) Functionnal tests 6

7 Static oesophageal manometry N= 24 h oesophageal manometry N= Anorectal manometry N= 24h PH monitoring N= Breath test N= Organisation and habits 45) Informed consent of the patient before procedure (emergency excluded) Verbal only for all procedures Verbal only for therapeutic procedure or under anaesthesia Written only for all procedures Written only for therapeutic procedures under anaesthesia Depends of the operator 46) Do you think in and outpatients are equally informed? Outpatient are better informed Inpatient are better informed Equivalent information for both 47) In average, how long (in minutes) do you plan for : (to fill your agenda) Diagnostic upper GI endoscopy: min EUS min ERCP min Colonoscopy min 48) Percentage of procedures under anaesthesia (with anaesthesiologist) Upper GI endoscopy.% Colonoscopy.% ERCP.% EUS.% 49) In case of sedation performed by the endoscopist alone (no anaesthesiologist présent), do you use Midazolam Midazolam + pethidine or other narcotic drug Propofol (percentage if yes) other 50) Who is managing orders of ancillary material? A nurse A doctor A Pharmacist 51) Do you trace all the steps of the procedures? Disinfection Reference Nr of the scope disinfected : Disinfection of the valves : Name of the person who did it : Procedure Reference Nr of the scope used Name of the nurse or GI assistant Identification of the single used material used 52) If you don t trace yet, do you think you will do it in the future? Y or No 53) Are you satisfied of your endoscopy unit equipment and working conditions? 7

8 Very satisfied Moderately satisfied Not satisfied 54) Do you plan to renovate your endoscopy unit in the next future? 55) Give approximate date for planned renovation: year.. THANK YOU VERY MUCH FOR YOUR COLLABORATION. 8

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