520
Detailed Needs and Requirements: Gastroenterology Unit
4. Measurements of physiologic variables, e.g., pressure differentials
(manometry).
528.1.2
Operational Relationships
As indicated previously, a significant number of conditions studied in the
clinical studies unit may involve the gastrointestinal system and fall within
the field of interest of gastroenterology. For this reason, a close relation
between the two units may be desirable. Such a relationship would
facilitate interaction between the sub-specialties involved and would allow
for joint use of diagnostic, laboratory, teaching and conference facilities.
The relationship to other functional units is generally non-critical. Priority
should, however, be given to medical intensive and acute nursing units.
The procedures and equipment involved in the examination and diagnosis
of inpatients and outpatients are the same. If appropriate access, waiting,
and dressing facilities are provided, one gastroenterology unit may be able
to conduct both inpatient and outpatient procedures.
It may be argued that sample analysis and fluoroscopic and radiographic
examinations need not be done on the unit, but should be done in the
central clinical lab and in radiology. The inclusion of these facilities in
teaching hospitals not only allow for rapid diagnosis of emergency cases,
but also serve as useful tools for comprehensive training of residents,
interns and students. Exclusion from the unit will generate a need for
frequent patient and staff travel from the unit to radiology and laboratory.
528.1.3
Characteristics
1. Environment
The environment should be generally similar to a GM & S unit.
2. Organization
Organizational factors include an ability for nursing personnel to
observe patients continuously while they are on the unit.
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