with a doctor who didn't know exactly what instruments he wanted,
from the brand of scope to the kind of biopsy forceps.
3. Install enough AERs. Speaking of sterile processing, I rec-
ommend you install 2 automated reprocessors in your reprocessing
room. You can run an AER with 1 scope, but it's obviously more effi-
cient to run it with 2 scopes. But there will be times when you'll need
to run the AER with just a single scope in it to keep the schedule mov-
ing. That's why you'll want a second AER. Plus, it's smart to have a
backup in case one needs service.
Keep in mind that AERs vary in size. Give your architect the dimen-
sions of the AER(s) you want when you plan your decontam room.
The room's dimensions might eliminate certain models or force you to
move some cabinetry around. Plus, you'll need to know where to
plumb in drains and water lines. Finally, make room for a scope cabi-
net/room where you'll hang your scopes after processing.
4. Outfit the procedure room. It's easier if you dedicate a
shelled-out or in-use procedure room for GI, but if you're planning to
convert an OR to a GI suite once or twice a week, you'll have a new
set of challenges.
• Pace. GI cases are scheduled every 15 or 30 minutes and patients
remain on the same stretcher from admit to procedure to recovery, so
you'll likely need to buy a few more stretchers.
• Space. Where will you move all the pieces of equipment you'll
have to clear out of the OR? It's a long list that includes the OR bed,
Mayo stand, back table, ring stand, IV pole and anesthesia machine.
• Monitors. Then there's the question of where to place the moni-
tors. If the tracks of the OR's overhead lights won't let you suspend
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