Palatable Colonoscopy Prep
Instruct patients to add a 255-gbottle of PEG solution to 64 oz ofGatorade in any flavor that does notcontain red or purple dye.
To make the preparation for colonoscopy more palatable, have patients use a combination of Gatorade and polyethylene glycol (PEG) solution instead of the traditional PEG electrolyte solution (PEG-ES). PEG solution has the same active ingredient as PEG-ES and is virtually tasteless. Instruct patients to add a 255-g bottle of PEG solution to 64 oz of Gatorade in any flavor that does not contain red or purple dye. Have the patients drink 8 oz of the mixture every 10 to 15 minutes, starting at 3 PM the day before their colonoscopy and continuing until all the solution has been consumed. Also on the day before the examination, have them take 2 bisacodyl tablets at noon and 2 more at 6 PM and advise them to consume only clear liquids.
-- Laura Balmer, RN, MS, ANP
Gillett, Pa
3 Reasons Urology Practices Should Add Onsite UTI PCR Labs Under New LCD Rules
March 11th 20251. ONSITE PCR TESTING BRINGS SIGNIFICANT CLINICAL BENEFITS TO A PRACTICE. - ACCURACY Traditional urine cultures can give false-negative results. - SPECIFICITY Accurate microbial identification leads to targeted treatment. - SPEED Same day results vs. 3-5 days for traditional urine cultures - - - ANTIBIOTIC RESISTANCE MARKERS Improves antimicrobial stewardship 2. MAINTAIN INDEPENDENCE BY INCREASING REVENUE SIGNIFICANTLY THROUGH REVENUE SHIFTING FROM THE REFERENCE LAB TO THE PRACTICE. - Turnkey: Consultation on COLA and CLIA certification, all necessary equipment, standard operating procedures, personnel sourcing and interview, billing and coding training, 3-4 days of onsite training. - Stark Law Compliant: Complies with anti-kickback statutes. - Medicare part B pays at 100%, Med Advantage Plans at 80% - No lab build-out, only 8 linear feet of counter space needed - Z-code procurement for required states 3. BETTER PATIENT CARE LEADS TO BETTER OUTCOMES. - CONVENIENCE Point of care, no third-party referral lab. - TIMELY Results early in the care process. - CORRECT MEDICATION Avoids two trips to the pharmacy. - BETTER OUTCOMES Reduction of recurrent UTI and hospitalizations
