Endoscopy Practice and Safety
Editor: Peter B. Cotton
2. Design and management of gastrointestinal endoscopy units
Bret T. Petersen & Beverly Ott
Fig. 1 Design and space considerations.
Fig. 2 Generic proximity considerations for small, medium, and large units.
Fig. 3 Ratios for estimating space needs of ancillary functions.
Fig. 4 Room design considerations. (A) Clean and and dirty regions of the endoscopy room. (B) Functional physician and and nursing
areas. Note dual computer terminals for electronic medical record and endoscopy database.
Fig. 5 Room pictures of nursing and and physician workstations. Note proximity of the nurse's terminal to the patient for ongoing
documentation of clinical details of patient monitoring and and procedural elements.
Fig. 6 Pass through room design with local reprocessing anterooms. (A) Design options. (B, C) Final design and and photo of our
reprocessing corridors, which are located between every two general procedure rooms. (D, E, F) Other reprocessing anterooms
employed in our units.
Fig. 7 (A, B) Endoscope storage in-wall option. (C) Detail demonstrating protective barrier for endoscope tips and and placement
of paper towels for daily assessment of overnight water dripping. Any evidence of water stains prompts repeated reprocessing
in the morning before use.
Fig. 8 Large complex room design.
Fig. 9 (A, B) Storage for ERCP devices, employing slotted cabinets with recessed doors and labeling for daily 'par' stock control using electronic wands.
Fig. 10 Mobile cart used for transport of endoscopic services to distant areas throughout the hospital. (A) The main self-powered
module containing most equipment. (B) Smaller non-powered module that is linked to the larger unit during travel and unlinked
for procedure performance.
Fig. 11 Major administrative responsibilities for a gastrointestinal endoscopy unit.
Copyright © Blackwell Publishing, 2006