First Year Fellows Endoscopy Course (July 28-29)

10_The On Call Call

Pdf Summary

The document discusses various cases and scenarios related to being on-call as a GI fellow. The first case involves a patient with a prep question for a colonoscopy. Core principles of great customer service are mentioned, including speed, accuracy, transparency, accessibility, and patient-centeredness. The document also provides information on different types of colonoscopy preps and dietary instructions. The second case involves a patient in the ICU with a GI bleed, requiring either emergent or urgent endoscopy. Indications for emergent endoscopy are discussed, as well as the importance of assisting residents in recognizing and managing GI bleeds. The third case involves a patient experiencing pain after a colonoscopy, and the proper steps to take, including when to send the patient to the ER. Lastly, there is a discussion on the rates of post-ERCP complications, including pancreatitis, perforation, post-sphincterotomy bleeding, and bile leak. The document emphasizes the importance of communication and documentation in case of complications, as well as notifying other specialties when needed.

Keywords

on-call

GI fellow

prep question

colonoscopy

customer service

colonoscopy preps

ICU

GI bleed

emergent endoscopy

post-ERCP complications