Article Text


Service development I
PMO-007 Is pre-assessment prior to colonoscopy useful?
  1. C Regan
  1. Endoscopy Unit, Midstaffordshire NHS Foundation Trust, Stafford, UK


Introduction In 2009, the National Patient Safety Agency issued a Rapid Response Report alerting healthcare providers to the potential risk of harm from using oral bowel cleansing agents (OBCA). Our Trust decided the most robust method of protecting patients was for nurses to see patients in clinic to fully pre-assess them.

Methods Prospective data were collected from the pre-assessment records. The information was then collated and tabulated. The time period covered is from July to the end of December 2011.

Abstract PMO-007 Table 1

Conclusion During the time period under review 507 patients were pre-assessed.

  • 6.31% had an abnormal eGFR or urea and electrolytes (u & e).

  • 5.33% required further OBCA to be prescribed.

  • 6.31% needed to come in for their bowel preparation.

  • 1.58% of those patients declined the procedure.

  • 3.94% were asked to stop medications in preparation for the test.

  • Consultants were asked to review 5.33% of these patients.

  • The trend for failed procedures due to poor bowel preparation has begun to fall.

  • Pre-assessment is ensuring problems are being addressed in advance of the procedure. Patients are being protected and list efficiency is maximised.

Competing interests None declared.

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