facilities have moved toward split-dose liquid preps, with patients
beginning the process the night before and then finishing the cleanse
the day of their procedure. Regardless of the method, keep a close
eye on patient compliance. If patients consistently fail, take a closer
look at protocol, says Joyce Mackler, RN, MSN, CASC, the administra-
tor of Seaford (Del.) Endoscopy Center. "There's more than one way
to clean a colon," she says. "How many people do you have to bring
back because of a bad prep? The more complicated you make it, the
less success you'll likely have."
Although new technology, tools and techniques can each play an
important role in improving ADR, clinicians agree that a quality
colonoscopy — and a good ADR — comes down to a sole defining
factor: the skill of the endoscopist.
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