A vital point
Pradip De, Associate specialist,
October 22, 2015
Well done folks! We do not have a formalized A4 type of paper to fill up prior to the procedure, but we carry out most of these checks without ticking boxes. We have a pathway, which includes almost all of these and is normally checked by the Endoscopy nurse and a cancer specialist nurse. Only an independent bronchoscopist (not the trainee) is allowed to check the safety prior to add the patient in the list for the procedure. I highly respect and appreciate your hard work to formalize this for the safety of the patient. I would suggest you to check the patients ECG prior to the procedure (most them are middle aged and elderly population). I had been doing this for almost 15 years and unfortunately had encountered various ECG abnormalities which led to postponed the procedures. These were Complete and second degree heart blocks, unexplained bradycardia, various tacchyarrythmias and ischemic changes. Many of them were symptomatic for it's isolated reason, which could have easily been missed, if the ECG were not performed, due to their underlying illness mainly malignancy. If not wrong, I might have stopped some problem. I thought that this would be helpful. Once again, well done everybody.
Conflict of Interest:
Conflict of Interest