Osa out of hospital endoscopy

[PpfSuxTube]

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Hi
Ive been approached by an out of hospital premises i work at to help develop an osa protocol.

Does anyone know of any guidelines for this that are recent and practical?

Also should i ask to be renumerated for this work?
Ive already done the diabetic procotol and updated their anesthesia pathway and documentation for free...

It suited me to do so as its quite a lucrative sideline and the owner gives my choice of days so the situation isnt terrible

Thank you

 

[kidthor]

Perioperative OSA management has a lot of grey areas. Here's a good resource I've cited before for similar policies:
Practice Guidelines for the Perioperative Management of Patients with Obstructive Sleep Apnea: An Updated Report by the American Society of Anesthesiologists Task Force on Perioperative Management of Patients with Obstructive Sleep Apnea

Also SAMBA has some good resources on point:
SAMBA

 

[coffeebythelake]

Presumably with sedation and little to no opioid use the risks and postop needs pertaining to OSA should be very low.

 

[jwk]

Lucrative to write policies? Hmmmmm.

 

[DirtDocMD]

Lucrative to write policies? Hmmmmm.

That’s all that 3/4 of the “administrative RN’s”, and half of the paper-shufflers, do in any hospital.

MD’s might as well get in on the action...

 

[Shimmy8]

Lucrative to write policies? Hmmmmm.

Think he/she is saying the work at that site is lucrative…write the policy and keep cashing checks.

 

[PpfSuxTube]

Apologies yes. The sedate work is good money. The policies are free.

Thanks for the links

 

[PpfSuxTube]

Does anyone have the samba links for osa? My library doesnt carry them so cant accees

 

[Volatile]

At our surgical center all OSA patients have to be reviewed by an anesthesiologist. If they are compliant with CPAP and having a procedure that can be done under regional or even a GA w/ minimal opioid we’ll generally let them through. If we have any concerns they get it done at the main hospital. We’ve had exactly zero push back from our surgeons, they trust our judgement and we appreciate their business 😉

 

[drmwvr]

Also should i ask to be renumerated for this work?
Ive already done the diabetic procotol and updated their anesthesia pathway and documentation for free...

Do not...its worth more than what they'd pay you and if you asked for more than that they'd think less of you than they already would if you asked for what they'd give you.

 

[DirtDocMD]

Do not...its worth more than what they'd pay you and if you asked for more than that they'd think less of you than they already would if you asked for what they'd give you.

Is this some sort of Vulcan mind trick?? Or should he just hope for a bronze plaque, with his name and likeness, to show up in the lobby of the facility??

Docs gotta quit doing all this “free” work for “for profit” facilities. This isn’t 1950 at the Catholic charity hospital...

 

[deleted87051]

Apologies yes. The sedate work is good money. The policies are free.

Thanks for the links

Writing policy and procedure (and enforcing it) is medical director work. Usually comes with some kind of stipend. Sometimes it’s nominal and sometimes it’s significant.

 

[circleK]

Agree with nimbus, that is medical director work which this facility likely already has and who is getting compensated for such work. I am medical director of our affiliated surgery center and receive a small per hour amount, and this type of work would fall under my duties.