Second OpinionsFlexible Endoscope Reprocessing

Flexible Endoscope Reprocessing

The "world of endoscopy" has over many years failed to support scientific research to address the transmission of microorganisms and to set standards for endoscope reprocessing. Today's standards are not fundamentally different than those of 30 years ago. When will we finally come to our senses, put hands and funds together, and develop the answers needed to set a worldwide standard for the design, use, reprocessing and storage of flexible endoscopes?

Started by: Guus Jansen (OR Manager/Supervisor) at July 24, 2015 (4:34 am)

Comments and Responses

 

Clinical Engineer in a large hospital using the EVOtech machines, after 6 months we've noticed paint chipping from the Basins, when we finally got ahold of someone at ASP They agreed to replace the Basins, We've had numerous service calls to replace main board, leaks and disconnected valve, etc! Month later the other machine is now showing chipping in the Basins. Anyone else experiencing the same problems and did u experience problems getting up with support??

scottiedewolfe0615@gmail.com
June to July 2019

SCOTTIE DEWOLFE (Other) at July 26, 2019 (2:29 pm)

I work In a small hospital and we have strict cleaning guidelines, we also have only ever soaked our endoscopes in whatever disinfecting solution we are using at the time. We have never used a machine and we have never had any issues in 21 years I've worked here.

Tracee H. (Other) at September 8, 2015 (11:46 am)

I agree that scopes are difficult to clean, but there are good standards in place and with correct education and training infection rates should be nonexistent, but these standards can only be followed if the individual is given the appropriate amount of time to perform each step. To often in an endoscopy setting the technician is being rushed to get the next case set up, pressure for room turn around has been pushed ahead of the importance of following the pre-cleaning steps in many cases. Scopes sit and wait to be cleaned so the next case can begin, the priority needs to change. Staffing/equipment needs to change to allow for cleaning as you go.

Patricia W. (OR Manager/Supervisor) at August 4, 2015 (5:53 pm)

If education,training and certification are based on what we assume (lack of evidence) the value is not there. We talk about all the issues and believe that we are right because it would within our concept and logic function this way. The reality we think we know the truth unfortunately this is not the case. The CRE outbreak is an excellent example of the lack of knowledge we have. Is anybody prepared to find out the facts and willing to put in time and resources to come to that point?

Guus Jansen (OR Manager/Supervisor) at July 27, 2015 (2:45 am)

Instrument care must begin at the time of use. Suctioning properly during the procedure and immediately after is paramount in the process. The longer one waits after the procedure is complete to begin proper rinsing and cleansing (of all instruments) of the channels/portals/lumens the more difficult a scope is to clean and decontaminate. Biofilm forms rapidly. Sterilize all flexible scopes should be the Standard.
C. Kay Watson, sterileprocess.com

C. Kay Watson (Other) at July 25, 2015 (7:51 pm)

As with all surgical instruments, cleaning is the first step in sterilization or disinfection. However, we still can't get that concept in our heads. Most of the flexible and rigid scope infections have been the result of scopes not being thoroughly cleaned prior to disinfection or sterilization. Also let us remember that if a scope is to enter a sterile cavity it MUST also be sterile not disinfected.

No doubt flexible scopes are difficult to clean but with the correct training, education, certification and yearly competence skills validation, we can greatly improve HAI rates.

Dr. Nyla Skee Japp, RN, PhD, CSPDM, CASSPT

Nyla Skee Japp (Other) at July 25, 2015 (1:28 pm)

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