Tolerability Matters

Nursing Education for Lavage Bowel Preparation Method

Colon HydroPrep Solutions (CHPS) was established in 2013 as a continuing education provider to offer nurses, hospitals, and endoscopy centers best practices for education and on-site integration of HydroPrep, a structured clinical method of lavage bowel preparation for colonoscopy. We shifted to non-profit in 2017 to expand outreach in our science, charitable and educational purposes, unite populations to ignite the power for change, and to express our continued commitment to people’s health.

Lavage bowel preparation (LBP) is a regulated procedure to wash out material from the walls of the bowel,  from rectum to cecum, with controlled bowel evacuation. LBP combines one-time oral OTC laxatives with colonic lavage method for an integrative and effective approach to bowel cleansing. Differentiated from colonic irrigation* (colonic hydrotherapy) used for health and wellness, lavage bowel preparation method operates under FDA guidelines as a Class II medical procedure intended for precolonoscopy cleansing. Therapeutic value and clinical success is demonstrated by Danbury Hospital, in Connecticut, since 2006, and continued practice at Barton Memorial Hospital, in California, since 2011; both facilities offering lavage bowel preparation method for colonoscopy in their endoscopy departments.

HydroPrep LBP has structured nursing procedural and patient navigation policies, and has created facility integration and department procurement guidelines. HydroPrep offers both nurse and patient education to employ a systematic teaching for nurses to implement best practices at their facility.

LBP combines mild laxatives plus a clear liquid ‘day before’ protocol, followed by colonic lavage procedure the morning of colonoscopy. LBP safely and gently cleanses the large intestine with warm, purified water and is administered by a registered nurse. The FDA cleared lavage instrumentation is a closed system (from anus to waste management) and uses one-time disposables for each patient. A nurse monitors the patient for tolerance and lavage indicators, and performs the procedure controlling pressure, water flow, evacuation management, temperature and duration to safely and effectively wash out the bowel.

LBP can help patients that may have difficulty with traditional preps, such as bariatric patients, patients with immobility, elderly, and patients that undergo frequent colonoscopies. HydroPrep may also help solve common patient problems including history of prep intolerance and inadequate preps, while enhancing the overall colonoscopy experience.


Gastroenterologist Dan Norman, MD FACP FACG and Susan Frailey, BSN RN CGRN

Gastroenterologist Dan Norman, MD FACP FACG and Susan Frailey, BSN RN CGRN

HydroPrep On-Site for Hospitals and Endoscopy Centers

Nurses can learn LBP by completing the HydroPrep on-line Training for Registered Nurses to learn lavage bowel preparation performance skills and procedural policy. Colon HydroPrep Solutions is provider approved by the California Board of Nursing, Provider Number 15792. Certificate and training is for use in accredited medical facilities offering lavage bowel preparation method. Not for private business use by individual nurses.

HydroPrep training incorporates documents for facility accreditation requirements necessary for state and federal surveyors.  Procedural policy, nurse navigation policy, patient education forms, patient instruction form, patient consent, nursing documentation (computer format), performance evaluation are some of the templates used in training and available for customized use at your facility.

Integrate HydroPrep into your facility with your team members or collaborate with CHPS  for on-site Facility Integration and Department Procurement to assist with new service integration. We will be happy to help define your needs and goals to deliver clinical excellence on day one of “go-live”. Program Director: Susan Frailey, BSN RN CGRN.

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*as defined by Medicare National Coverage Determinations Manual 100.7