Posted on Nov 5, 2015 8:47:43 AM by Leslie Wooldridge, GNP-BC, CUNP, BCIA-PMD

Delivering PTNS in an Efficient Way

A Resourceful Staff Makes PTNS an Efficient Process

All of us seem to find ourselves in a square footage pinch these days. The great thing about percutaneous tibial Efficiencynerve stimulation (PTNS) is that all you need is a chair on which to deliver the treatment. Our clinic started out in a storage room with a recliner, a nice floor lamp, and a box of magazines. As things got busier, we needed more space for regular patients, as well as those receiving PTNS. Time for creativity. We have husband and wife patients, friends who are patients, and friendly people as patients, many of whom just can’t get enough said in one office visit. Doubling up works just great for these types of patients.

Office Space for PTNS Treatments

We work in a beautiful building, but it lacks efficiency. We continued to look for single space, double space, underutilized space, awkward space, and space that just did not get its full daily workout. We determined that the times in between other procedures were easiest to fit in a “quick” PTNS procedure. We have late hours, early hours, and lunchtime hours. As a team we decided the best thing we could do for our patients needing multiple visits is to be flexible. Happy patients are compliant patients, especially when available clinic time is at a premium.    

Logistical Responsibilities

Both nurse practitioners and our RNs place the needles, connect the stimulators and get the treatments going. Our MA carries a kitchen timer in her pocket or puts it in the chart holder outside the door and removes needles as the alarms ring. The providers always review the documentation and quickly see the patients. A quick review of patients’ progress happens resourcefully.

All documentation is done neatly and proficiently on the forms provided by Cogentix Medical. They take just minutes to complete and comply with all necessary information needed to abide by third-party payer requests for billing. These documents also give the clinician a bird’s-eye view of their patients’ progress.  

Busy? Yes. But a resourceful staff can increase productivity with just a bit of vision, creativity, and imagination.  Please contact Cogentix Medical for further information on all their documentation tools, research, and all needs related to starting PTNS therapy within your practice.

Urgent PC for OAB

This blog post reflects the opinions and experience of Leslie Wooldridge, a long-standing user of the Urgent PC Neuromodulation System, and was produced under a paid consulting agreement with Cogentix Medical.

Urgent PC is indicated for the treatment of Overactive Bladder and associated symptoms of urinary urgency, urinary frequency and urge incontinence. Treatment with Urgent PC is contraindicated for patients with pacemakers or implantable defibrillators, patients prone to excessive bleeding, patients with nerve damage that could impact either percutaneous tibial nerve or pelvic floor function or patients who are pregnant or planning to become pregnant during the duration of the treatment. Most patients don't experience side-effects. If side-effects occur, they are typically temporary and include mild pain and skin inflammation at or near the stimulation site. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. For complete instructions for use, storage, warnings, indications, contraindications, precautions, adverse reactions and disclaimer of warranties, please refer to the insert accompanying each product or online at www.cogentixmedical.com. Models are for illustrative purposes only. Urgent is a registered trademark of Cogentix Medical © 2015 Cogentix Medical. All rights reserved. 

Leslie Wooldridge, GNP-BC, CUNP, BCIA-PMD
Leslie Saltzstein Wooldridge, GNP-BC, CUNP, BCIA-PMD, is Director of the Adult Bladder Control Center, Mercy Health Partners, Muskegon, Michigan USA. Ms. Wooldridge received a Master of Science degree in nursing administration, critical care nursing and postgraduate certification as a Geriatric Nurse Practitioner from Marquette University, Milwaukee, Wisconsin. In 2015, she was honored with the Women’s Health Foundation Activist Award. She is also the recipient of the 2009 National Association for Continence Rodney J. Appell Continence Champion Award. Ms. Wooldridge has published in multiple refereed journals. She authored the Genitourinary chapter in The Nurse Practitioner in Long Term Care: Guidelines for Clinical Practice (2007). She has lectured throughout the United States on geriatrics, urology and clinical practice.
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