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Anoscopy and Proctoscopy (102.119)

Anoscopy and Proctoscopy (102.119) - Policies, Clinical, UWMF Clinical, UWMF-wide, Clinical Policies and Procedures, Surgical

102.119

1
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
CLINICAL POLICY AND PROCEDURE

TITLE: ANOSCOPY and PROCTOSCOPY

Effective Date: February, 2005 Approval: See Authorization
Supersedes Protocol: None Contact: Clinical Staff Education

Reviewed Nov., 2007 May 2009 November 2011


PURPOSE: To provide guidelines for set up and assisting with an anoscopy or proctoscopy at UWMF Clinics.

DEFINITIONS:
Anoscopy - the visualization of the anus for the purpose of locating lesions or diagnosing disease.
Proctoscopy - is the rectum for the purpose of locating lesions or diagnosing disease.

POLICY: The clinical staff will utilize the following guidelines to set up and assist with an anoscopy or
proctoscopy at UWMF Clinics.

SUPPLIES: Provider’s order, Patient’s record, Non-sterile gloves, Drape, Anoscope or
disposable sigmoidoscope, Speculum, Light source or inflatable anoscope bulb, Lubricant, 4x4 Gauze,

PROCEDURE:

1. Check provider’s order and clarify any inconsistencies.

2. Wash hands and gather equipment.

3. Introduce yourself and identify the patient. Include date of birth. Verify allergies.

4. Provide good light and provide privacy by closing curtains and door.

5. Room patient – Refer to Provider Preference List for Rooming Patients

6. Explain procedure to the patient.

7. Following the provider’s discussion with patient, have patient sign Consent form.

8. Have patient remove bottom clothing and wrap waist with drape.

9. Have patient kneel at the end of the table stretching his/her body forward over the table. Cover patient with
non-sterile drape.

10. Attach the anoscope to the light source or sigmoidoscope to bulb.

11. Put on gloves and assist the provider (as needed).
AFTER PROCEDURE

12. Remove gloves and wash hands

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13. Assist patient to comfortable position and assist with dressing (if needed).
Direct patient to restroom (if needed)
Direct patient back to waiting room
Assist patient with follow-up appointment (if needed)

14. Re-glove and disconnect anoscope/sigmoidoscope from light source or bulb.

15. Apply gloves and clean all surfaces with Dispatch
Bring surgical tray and instruments to dirty utility room
Discard waste and disposable equipment in proper receptacles
Wash instruments and tray in dirty utility room
Soak anoscope, sigmoidoscope bulb, ligator and clamps in Metricide
Remove gloves and wash hands
Bring instruments to clean utility room
Package hemostats for sterilization (if used)

16. Documentation (in Progress Notes section of HealthLink)
Patient education related to the procedure
The procedure that was done
name and amount of any medications given using SmartPhrase: .medinclinic
how the patient tolerate the procedure
discharge instructions
follow-up appointment (if any)

WRITTEN BY: Sarah C Schaefer, R.N., General Surgery Clinic
REVISED BY: Carol Decker, RN, MSN, Clinical Staff Education
REVIEWED BY: Kelly Meyer R.N., Department of General Surgery

REFERENCES:
1. Kowalak, J. P. (Ed.). (2009). Lippincott’s nursing procedures (5th ed.). Ambler, PA: Lippincott Williams & Wilkins.
2. Perry, A.G. & Potter, P.A. (2002). Clinical nursing skills & techniques. (5th ed.). St. Louis, MO: Mosby.
3. Perry, A.G. & Potter, P.A. (2009). Fundamentals of nursing. (7th ed.). Hall, A. & Stockert, P.A. (Eds.). St. Louis, MO: Mosby
Elsevier.

AUTHORIZATION:



Department of Surgery Date



Medical Director Date