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Table 2 Determination of mean work load for medical and nursing treatment for five out of ten most frequent reasons for visit

From: Quality management: reduction of waiting time and efficiency enhancement in an ENT-university outpatients' department

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