Back To Basics
How many times should the yellow sponge be squeezed once placed in the eco bowl?
At least 3 times
Simethicone makes it easier to reprocess the endoscope.
False! Simethicone makes it harder to reprocess the endoscope.
How much water should be placed in your water basin?
Anywhere from 300 mL to 500 mL.
True or False: Society guidelines recommend the use of freshly prepared solution for conducting the bedside clean?
True! You use freshly prepared enzymatic detergent! The enzymes in the sponge are protease (breaks down proteins) and amylase (breaks down carbs and starches).
True or false: Exalt scopes have distal tips that must be removed after the procedure is complete.
False! The whole scope is single use.
This contains living and non-living microorganisms that can adhere to endoscope surfaces and may be encased in slime.
Biofilm
Olympus recommends the avoidance of petroleum-based and silicone-based lubricants?
Yes. This may interfere with scope reprocessing.
_____ testing is done as soon as the endoscope makes it to the reprocessing room, right before manual cleaning
Leak testing
Americans do what 22 times a day?
Open the fridge!
How long have duodenoscope related infections been observed (that we are aware of)?
2015 outbreaks started
How long after an endoscopic procedure is completed will biofilm begin to form?
Minutes
If a reprocessed scope is pulled from the cabinet and is still wet, the scope must be reprocessed again before use.
True!
_____ cleaning is the most important step of endoscope reprocessing.
Manual cleaning
What does MDRO stand for and what are they?
Multi drug resistant organisms. They are antibiotic resistant bacteria.
True or false: Duodenoscope infection and contamination only occurs at elevator and distal tip of the scope.
False! Heat maps have shown that infection and contamination can happen anywhere on the scope.
What is the longest time allowed between the Pre-Clean and the Manual Clean before additional cleaning steps need to be taken?
1 Hour
The process that involves external wiping and cleaning and internal channel brushing and flushing of endoscopes
Manual Cleaning
Name the steps of scope reprocessing
Precleaning
Leak testing
Manual cleaning
Rinse
High Level Disinfection
Drying
Storage
First step prior to handling disinfected endoscopes
Hand hygiene
There are two additional actions involved during pre-cleaning of double balloon endoscope, certain ultrasound endoscopes, and the latest generation duodenoscopes
Remove the balloon or disposable endcap