Scope Safety
This must be checked on the scope before use to ensure there are no leaks.
Leak test
The first step in cleaning an endoscope right after a procedure.
Pre-cleaning at bedside
This vital sign must be continuously monitored during sedation.
oxygen saturation
This must be recorded for every scope used on a patient.
Scope tracking (serial number/log)
This must be immediately available in case of a cardiac emergency.
ACLS cart
Damaged scopes should be handled this way.
Removed from use and reported
These four critical moments help healthcare workers prevent the spread of infection by identifying exactly when hand hygiene must be performed during patient care.
4 moments of hand hygiene
This is used to monitor heart rhythm during procedures.
Cardiac monitor (ECG)
Any complication during a procedure must be recorded in this.
Patient chart, procedure note, incident report
Staff must be trained in this life-saving skill.
CPR (Basic Life Support)
This helps ensure scopes are safe to use on the next patient.
Reprocessing
Putting on personal protective equipment before patient care
Donning: gown, mask, eye protection, hair net (optional) and gloves
Blood pressure should be checked at this frequency during procedures.
Regular interval (2-5 minutes) per policy
This must be obtained before the procedure begins.
Informed consent
This medication reverses opioid sedation.
Naloxone
This part of endoscope reprocessing removes blood, mucus, and tissue before disinfection.
Manual cleaning
Staff must wear this when handling contaminated scopes.
Personal protective equipment
This scale is often used to assess sedation level.
Sedation scale (i.e. ASA, Ramsay)
This log tracks scope cleaning and disinfection cycles.
Reprocessing logs
Oxygen delivery equipment must always be this.
This must be done if a scope fails a leak test before use.
Remove it from service and send it for repair
This step must occur between cleaning and high-level disinfection to ensure effectiveness.
Proper rinsing and inspection
This is required before discharge to ensure the patient has safely recovered from sedation.
Post-sedation assessment (i.e. Aldrete score)
This must be documented if there is a break in the reprocessing cycle or concern with a scope.
Incident report
This must be checked regularly to ensure emergency medications are safe to use.
Expiry dates and ACLS cart checks