The north side endoscopy center has similar staffing, but Jamie was unable to give me exact numbers.The organizational structure of the Virginia Endoscopy Group simple. According to their website, they are a joint venture between 2 local gastroenterologists offices. ("welcome/home screen," n.d.) There are MD’s of each of the 2 GI offices that are managing partners, but the twooffices are run/managed by nurses, there is a practice administrator that works for both locations.Each location has a nurse manager, and then each office has about 3 or 4 front office staff, the rest of the employees work in the admission/discharge area or the procedure rooms. Primary Needs of Organization’s Population (A3)The Virginia Endoscopy Groups service area is the greater Richmond area. They serve patients within a roughly one-hour radius of the Richmond, VA area. According to the company website, they see patients regardless of race, color, religion, or creed. Most patients that come for service there are between the ages of 50-80 years old. There are some younger and some older, but due to it being an outpatient center they are not equipped to handle certain patients
C157 ESSENTIALS OF ADVANCED NURSING PRACTICE, FIEL4such as those with severe heart issues, or any other comorbidity that makes the procedure dangerous outside of a hospital. The population of Richmond VA, according to 20117 census data, is about 227,000 people spread across 62.5 square miles and of those about 45% are white, 48% are black, and the rest are 2 or more races or Asian or some other race. The median age in Richmond, VA, is 33. (World Population Review, 2019) Again, most patients come in for routinescreening for colon cancer. The Richmond area has a diverse population ranging from illiterate to highly educated professionals, all of whom need healthcare and screenings at some point in their life. There is sometimes a link to a family history of colon cancer, and Virginia Endoscopy Group may have to see patients younger than 50, but 80-85% of patients are only seen for screening and not diagnostic purposes. As mentioned before, they typically do not see patients with more than a few comorbidities and those need to be very well managed if they are present due to being classified as an ambulatory surgical center (ASC). The Richmond area also has patients with a myriad of health issues, some of which preclude them from being able to safely be done at an ambulatory surgical center. Those health issues are BMI over 50, due to increased risk of loss of airway during sedation, recent heart attack survivors due to not being able to handle sedation, uncontrolled diabetes due to an ambulatory surgical center not having enough staff to have additional one to one monitoring if a patients’ blood sugar becomes unstable. They also can not see patients with uncontrolled hypertension due to not being able to have all necessary/possible drugs available to handle a hypertensive crisis.
- Fall '18
- Nursing, Endoscopy, Jamie Wolfgang, Virginia Endoscopy Group