Colonoscopy prep · Episode program
Colonoscopy prep, ready on the day.
Walks patients through the week before a colonoscopy so they arrive well prepped, on time and with a ride home.
- Day −7 to Day 2
- Base · free for providers
- Pro · patient upgrade
What’s included
Everything in the program, Base and Pro.
For: Adults scheduled for a colonoscopy, whether for screening, surveillance or symptoms.
| Included in the program | BaseFree to refer | ProPatient upgrade |
|---|---|---|
| A step-by-step prep guide matched to the practice’s prep and timing | Included | Included |
| Diet guidance for the days before | Included | Included |
| Medication FAQs, including blood thinners and diabetes medicines, per practice protocol | Included | Included |
| AI Q&A for last-minute prep questions | Included | Included |
| Escalation of red-flag symptoms to your practice | Included | Included |
| Progress updates to your practice | Included | Included |
| Timed reminders for each prep dose, evening and morning | Not included | Included |
| Live coaching through prep day | Not included | Included |
| Proactive check-ins on medications, transport and arrival | Not included | Included |
| A post-procedure check-in and results reminder | Not included | Included |
| Thesis NP support when prep isn’t going to plan | Not included | Included |
Program goals
- Arrive with an adequate bowel prep
- Take the right prep at the right times
- Sort out medications, diet and transport ahead of time
- Recover well and know what to watch for
Who acts on escalations
- Base: red flags go straight back to your practice, with the patient’s report and context.
- Pro: Thesis nurse practitioners can also step in, and your practice is kept informed.
- Agents never diagnose, prescribe or change a treatment plan.
How it engages patients
One stage at a time, always on protocol.
From Day −7 to Day 2, each stage sends the right information at the right moment, answers questions from your practice’s guidance and records what your team needs to know.
Instructions and medication reviewPrep instructions, a medication checklist for the practice’s protocol and a ride confirmation.
RecordedInstructions delivered · medication checklist sent
Clinical foundation
Guideline-based care, adapted to your practice.
Program content is built on published guidelines and reviewed by our clinical team. Your practice’s own protocols always take precedence.
Split-dose preparation
The US Multi-Society Task Force and ASGE recommend split-dose bowel preparation, with the second dose starting 4–6 hours before colonoscopy and finished at least 2 hours before the procedure.
[1] USMSTF 2014[2] ASGE 2015Education improves prep quality
Enhanced patient education, including written or electronic instructions and reminders, is associated with better bowel cleansing. The program delivers each instruction when it is needed, instead of all at once.
[1] USMSTF 2014[3] ESGE 2019Diet before colonoscopy
Guidance supports a low-residue diet on the day before colonoscopy as an alternative to clear liquids alone. The program follows whichever diet the practice prescribes.
[1] USMSTF 2014[3] ESGE 2019Blood thinners and sedation
Antithrombotic instructions come from the practice, informed by ASGE guidance, and patients receiving sedation need a responsible adult to take them home. The program confirms both before prep day.
[4] ASGE 2016[5] ASGE 2018
When we escalate to your practice
- Unable to keep the prep down, or persistent vomiting
- Severe abdominal pain or a swollen abdomen
- Dizziness, fainting or signs of dehydration
- Questions about blood thinners or diabetes medicines not covered by the practice’s protocol
- After the procedure: fever, severe pain or more than a small amount of bleeding
What your practice receives
- Confirmation when the patient enrolls
- Progress summaries at key milestones and before follow-up visits
- Real-time escalation for any red-flag symptom
- Pro status, so you know when Thesis nurse practitioners are supporting a patient
Sources
- 1US Multi-Society Task Force on Colorectal CancerJohnson DA, Barkun AN, Cohen LB, et al. Optimizing Adequacy of Bowel Cleansing for Colonoscopy: Recommendations From the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2014;147(4):903–924.
- 2American Society for Gastrointestinal EndoscopySaltzman JR, Cash BD, Pasha SF, et al. Bowel preparation before colonoscopy. Gastrointest Endosc. 2015;81(4):781–794.
- 3European Society of Gastrointestinal EndoscopyHassan C, East J, Radaelli F, et al. Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2019. Endoscopy. 2019;51(8):775–794.
- 4American Society for Gastrointestinal EndoscopyAcosta RD, Abraham NS, Chandrasekhara V, et al. The management of antithrombotic agents for patients undergoing GI endoscopy. Gastrointest Endosc. 2016;83(1):3–16.
- 5American Society for Gastrointestinal EndoscopyEarly DS, Lightdale JR, Vargo JJ, et al. Guidelines for sedation and anesthesia in GI endoscopy. Gastrointest Endosc. 2018;87(2):327–337.
Guidelines inform program defaults. They do not replace clinical judgment, and patients are always directed to their own care team for diagnosis and treatment decisions.