Inpatients often need to complete bowel preparation for colonoscopies. Typically, it takes 8-11 hours from the start of a bowel prep regimen to initiation of colonoscopy for bowel preparation to be effective. Multiple factors affect quality of preparation. Some studies suggest that age, height, weight, preprocedure diet, previous surgeries, and immobility can lead to poor preps. Medical conditions or patients' comorbidities such as diabetes, chronic obstructive pulmonary disease, stroke, dementia, cirrhosis, chronic constipation, and renal insufficiencies also play a role. In addition, medications including narcotics and laxatives have shown to affect poor bowel preps (Reilly & Walker, 2004). Other studies have suggested that the interval between bowel preparation and the start of colonoscopy has a significant impact on the adequacy of bowel cleansing (Bryant, Schoeman, & Schoeman, 2013;Chambers, Whiteman, Stephens, Goodloe, & Kirsteen, 2016). according to Krygier and Enns (2008), inpatient status and patient colonoscopy perceptions are predictors of incomplete bowel preparations, and they suggest educating staff members and patients about the importance of taking the bowel preparation is needed to obtain effective bowel cleansing.
BackgroundOur Midwestern endoscopy unit is small but busy and part of a two-time Magnet-recognized community hospital. We have two main procedure rooms, one an Educational Intervention to Improve Patient Outcomes for Colonoscopy