ERCP Bootcamp: Cutting Edge Comprehensive Training for the Team | July 2026-Chahal

Chahal_Optimizing Efficiency in ERCP Room

Pdf Summary

The document outlines a framework for improving ERCP room efficiency through a 3-phase operating system: pre-procedure, intra-procedure, and post-procedure.<br /><br />In the pre-procedure phase, the key goal is “no surprises before wheels in.” This includes confirming indication, risks, equipment, anesthesia, and transport needs so the patient, room, team, and plan are all ready. A checklist and team huddle involving the room RN, charge RN, anesthesia, and endoscopist are emphasized.<br /><br />During the procedure, efficiency comes from parallel processing without chaos. Different team members handle their roles simultaneously: the endoscopist defines the indication and rescue triggers, the tech prepares accessories, the RN manages antibiotics/specimens/family communication, anesthesia prepares airway and recovery plans, and fluoroscopy is managed with radiation awareness. The document stresses triggering rescue early if access drifts, devices are missing, the patient becomes unstable, or repeated attempts fail.<br /><br />Post-procedure, “scope out is not the finish line.” The focus shifts to PACU handoff, room reset, documentation, discharge planning, and communication with families and referring teams. Outpatients should leave with clear complication warnings, medication instructions, stent follow-up plans, and contact information. Inpatients need diet, anticoagulation, antibiotic, and reintervention plans.<br /><br />The document also discusses how AI and automation can support ERCP throughput in areas like referral capture, scheduling, chart review, documentation, and follow-up, while warning against automating clinical judgment, consent, urgent triage, or final documentation without human review.<br /><br />A practical recommendation is to pilot one tool for one bottleneck over 90 days, measuring time saved, cancellations avoided, safety signals, and added workload.

Keywords

ERCP

room efficiency

pre-procedure checklist

intra-procedure workflow

post-procedure handoff

team huddle

parallel processing

PACU handoff

automation

clinical workflow