Prep Intake

Organize paper chart

• Check H&P, type of prep, additional notes like cardiac notes, etc.

Verify patient with wristband & chart

Click “Nurse Note”

• Pre-procedure

  • Click PREP START & mark bay number

  • Check In

    • NPO for 3 hours prior to procedure, clear liquids only on procedure day

    • Ask what their stools look like now

    • Transportation - Input driver’s information, how far away, and if it’s ok to share information

  • Meds/Allergies

    • All allergies must have a reaction or “unknown”

    • Latex & Egg allergies must be acknowledged

    • Each med must have name, dose, unit, route, frequency, and last used date

    • People on blood thinners: May need to have held for 2-5 days depending on which medication and reason for taking

  • Alerts

    • Limb - Sleeve & place do not use sticker on sleeve

    • Fall alert - Red socks on patient or one red sock tied to IV pole

  • Allow patient to dress into gown, everything off including underwear, bra and socks are OK to stay on for colonoscopies. Everything from the waist down and bra can stay on for an EGD

• Vital Signs

  • Report abnormal VS to anesthesia and document

• Health History

  • Each section acknowledged

  • Diabetic patients: 

  • Blood sugar taken prior to procedure and documented in health history and in station note.

    • Dexcom devices must be removed prior to procedure

  • Neuro/Musculoskeletal

    • No seizure in the last 6 months

    • TMJ - See how wide patient can open for EGDs

  • Pregnancy Status

    • If patient is 59 years old or younger, last period date must be recorded & pregnancy waiver must be signed unless patient had a hysterectomy

    • Tampons and pessaries must be removed prior to procedure

    • Tobacco history

      • Document how much, how long, when they quit if they quit

    • Alcohol history

      • Document how much and how often

    • Recreational drug use

      • No marijuana after midnight the day of the procedure

      • No illegal drugs within the last 6 months

      • Kratom/hallucinogenic mushrooms must be stopped within 1 week prior to procedure

• Patient Assessment

  • Stop/Bang score

    • Measurement to identify people who may have sleep apnea. 

• Click PREP finish