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PROTOCOL TITLE: Ambulatory Surgery Center (ASC) Scheduling and Procedure for the Kidney/Pancreas Transplant Surgery ServiceAPPLICABLE FACILITIES:?EHC?EDH?EHH?EHI?EHN?EJCH?ELTAC?ESJH?EUH?EUHM?EUHS?EUOSH?EWWH ?RJV-ERH?RJV-ESOP?TEC/ESAEFFECTIVE DATE: ORIGINATION DATE: 1/13/2021SCOPE: Kidney/pancreas Transplant ProgramPURPOSE: Guide scheduling and execution of PD catheter +/- stent removals in kidney transplant recipientsCONTENT: ***This protocol is intended for PD catheter +/- ureteral stent removal in kidney transplant recipients post-transplant that meet ASC patient selection criteria***SchedulingShort-term post-transplant coordinator may send scheduling request to the ETC scheduler for PD catheter +/- ureteral stent removal 4-6 weeks post-transplantETC scheduler may confirm GU attending availability and schedule the procedure during established block time1st Monday of month 12:30-17:30 (PM)3rd Monday of month 07:30-12:30 (AM)Cases may be scheduled under the (1) assigned kidney/pancreas transplant attending and (2) kidney/pancreas transplant fellow (per QGenda)ETC scheduler coordinates plan with the patientDay of ProcedureSurgical team performs H&P on yellow paper formOne consent done by surgery teamBoth PD catheter removal and cystoscopy/stent removal listed on same consentTransplant fellow or surgical attending and urologist performing the procedures should be listed on same consent (patient doesn’t need to be seen by urology attending pre-procedure unless requested by patient)Surgical team to discuss anesthetic approach with anesthesiology attending (general vs. MAC)Fellow/attending document operative reportWhite paper short stay form to be filled out post-procedurePACU and post-op orders on pink form, including d/c order and instructionsSurgical team update/communicate with patient’s familySurgical team provides prescription for pain medication as neededPatient discharged per ASC protocolFollow-up as scheduled per ETC protocolKey contactsRobert Weinberg, MD, Chief of ASC Main, robert.weinberg@ ASC Sr. Manager, 404-778-3824ASC Shift Manager, 404-274-9738ASC Preop Charge RN, 404-472-8390ASC, 404-778-4048 or 404-778-4036RELATED POLICIES / PROCEDURES:ASC/Endoscopy Patient Selection CriteriaDEFINITIONS: ASC, ambulatory surgery centerETC, Emory Transplant CenterPD, peritoneal dialysisMAC, monitored anesthesia careREFERENCES AND SOURCES OF EVIDENCE:n/aKEY WORDS:ASC, PD catheter, ureteral stent, cystoscopy ................
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