Back

Colonoscopy

Edit

Direct Access Colonoscopy (screening only)

  • Order "Colonoscopy, Screening"

  • Prescribe the prep: ONE DAY PREP: Miralax powder 238g; TWO DAY (EXTENDED) PREP: 476g (double). (Indications for 2-day prep: severe chronic constipation/chronic opioid use, paraplegia, prior h/o poor prep)

  • Refer patient to Firm C to meet with the scheduler, Mike Guzman. Mike will schedule the procedure, review the prep, and navigate the patient. All referral orders go to a pool that Mike monitors, so he will reach out to any patients he is not able to meet with face to face. Patients may reach him at 212-241-0507

  • Mike will provide prep instructions, but if you want to do so, you can use the following smartphrases: .COLONOSCOPYPREP INSTRUCTIONS .COLONOSCOPYPREP INSTRUCTIONSSPANISH .COLONOSCOPYPREP INSTRUCTIONSEXTENDED .COLONOSCOPYPREP INSTRUCTIONSEXTENDED PREPSPANISH

FIT

  • Order “OCCULT BLOOD, FECAL BY IMMUNOASSAY” as a NORMAL order

  • Ask your MA to give the pt the FIT

  • After completing the test, the patient mails the specimen to Labcorp in a pre-paid envelope

  • Once the results are sent to your Inbasket, please update “Colonoscopy” Health Maintenance topic by selecting “Done” and use the “Edit Modifier” button to add the modifier “Colonoscopy due in 1 Year.”

FIT-DNA (Cologuard)

  • Order the test in Epic

  • Educate the patient on the basics of the process and add patient information to the AVS using the smartphrase “.COLOGUARDENGLISH” or “.COLOGUARDSPANISH”

  • Ensure that the patient is able to reliably receive and send large packages via UPS.