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M O S HE RUB IN, M D GA ST RO E N T E RO LO GY mrubinmd@icloud.comPATIENT INSTRUCTIONS FOR COLONOSCOPY Name: ___ Date of Exam: ___ Time: ___If you take any medication that interferes with clotting

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How to fill out patient instructions for colonoscopy

01

Review the instructions provided by your healthcare provider.

02

Pay attention to the specific dietary restrictions to follow before the procedure, such as avoiding solid foods and only consuming clear liquids.

03

Note the timing of when to start fasting before the colonoscopy.

04

Understand the required bowel preparation process, which may involve taking laxatives or other medications as instructed.

05

Follow any additional guidelines for medication use and activity restrictions leading up to the colonoscopy.

Who needs patient instructions for colonoscopy?

01

Individuals who have been scheduled for a colonoscopy procedure.

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What is patient instructions for colonoscopy?

Patient instructions for colonoscopy are guidelines provided to patients outlining the preparation required before the procedure, including dietary restrictions, medication adjustments, and bowel cleansing protocols.

Who is required to file patient instructions for colonoscopy?

Healthcare providers, such as gastroenterologists or clinics performing the colonoscopy, are required to provide and file patient instructions to ensure the patient understands the preparation and procedure.

How to fill out patient instructions for colonoscopy?

To fill out patient instructions for colonoscopy, healthcare providers should complete a standardized form detailing preparation steps, such as dietary changes, timing of bowel prep medications, and what to expect during the procedure.

What is the purpose of patient instructions for colonoscopy?

The purpose of patient instructions for colonoscopy is to ensure patient safety and the accuracy of the procedure by properly preparing the patient, which helps in achieving optimal imaging results during the colonoscopy.

What information must be reported on patient instructions for colonoscopy?

Information that must be reported includes dietary restrictions, instructions for bowel preparation, medication instructions, expected duration of the procedure, and post-procedure care.

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