Table 2 Determination of mean work load for medical and nursing treatment for five out of ten most frequent reasons for visit
Symptoms | Necessary activities | Involved | Duration (minutes) |
|---|---|---|---|
First visit with unclear deafness, chronic vertigo, cholesteatoma | Anamnesis and examination | Intern | 15 |
| Â | Audiological examination | MTA | 10 |
| Â | Examination of the estibular nerve | MTA | 15 |
| Â | Discussion of results, presentation to assistant medical director, planning and decision making | Intern | 10 |
| Â | Total time needed for intern: | Â | 25 |
| Â | Total time needed for MTA: | Â | 25 |
First visit with impaired nasal respiration, chronic sinusitis | Anamnesis and examination | Intern | 15 |
| Â | Rhinomanometry and Prick test, taking of blood samples | Nurse | 45 |
| Â | Discussion of results, presentation to assistant medical director, planning and decision making | Intern | 10 |
| Â | Total time needed for intern: | Â | 25 |
| Â | Total time needed for nurse: | Â | 45 |
First visit with parotid tumour, swollen neck | Anamnesis and examination | Intern | 10 |
| Â | Sonography and fine needle biopsy | Intern | 10 |
| Â | Assistance in fine needle biopsy | Nurse | 05 |
| Â | Discussion of results, presentation to assistant medical director, planning and decision making | Intern | 10 |
| Â | Total time needed for intern: | Â | 30 |
| Â | Total time needed for nurse: | Â | 05 |
First visit with tumour of larynx/pharynx | Anamnesis and examination | Intern | 10 |
| Â | Sonography | Intern | 10 |
| Â | taking of blood samples | Nurse | 05 |
| Â | Discussion of results, presentation to assistant medical director, planning and decision making, appointment arrangement for staging investigation | Intern | 15 |
| Â | Â | Intern | 20 |
| Â | Â | Nurse | 20 |
| Â | Total time needed for intern: | Â | 35 |
| Â | Total time needed for nurse: | Â | 25 |
Follow-up visit for change of dressings or discussion of histology results | Compilation and evaluation of histology findings | Intern | 03 |
| Â | Change of dressings, examination and patient instruction | Intern | 07 |
| Â | Assistance in change of dressings | Nurse | 05 |
| Â | decision making | Intern | 05 |
| Â | Total time needed for intern: | Â | 15 |
| Â | Total time needed for nurse: | Â | 05 |