First Year Fellows Endoscopy Course (August 4-5)

10_The On Call Call

Pdf Summary

This document provides a summary of an on-call scenario for a GI fellow. In the first case, the fellow receives a call from a patient who has lost their colonoscopy prep instructions. The fellow emphasizes the core principles of great customer service, including speed, accuracy, transparency, accessibility, and patient-centeredness. They also provide guidance on various colonoscopy preps and dietary instructions. For diabetic patients, they advise holding PO medications and regular insulin on the morning of the procedure.<br /><br />In the second case, the fellow is contacted by an ICU resident who has a patient with a GI bleed. The fellow distinguishes between emergent and urgent endoscopy and explains the indications for each. They stress the importance of helping the resident identify the source of bleeding and ask specific questions to assess the patient's condition.<br /><br />In the third case, the fellow receives a call from a patient experiencing post-colonoscopy pain. They mention various potential causes of pain, including perforation, post-polypectomy syndrome, and mesenteric tear, and advise sending the patient to the ER for further evaluation. The document also covers the rates of complications for ERCP procedures and the importance of communication and documentation in case of complications.<br /><br />Overall, the document provides key information on handling different on-call scenarios, emphasizing patient-centered care, effective communication, and appropriate decision-making.

Keywords

on-call scenario

GI fellow

colonoscopy prep instructions

customer service

patient-centeredness

diabetic patients

urgent endoscopy

source of bleeding

post-colonoscopy pain

complications