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Archive Infection Control 2013

Clean or Contaminated?

Did an endoscopic solution impair our scope reprocessing?

Laura Raio, CFER

BIO

automated reprocessing PROCESS OF PRECAUTIONS Any residue left behind after initial cleaning will affect the outcome of automated reprocessing.

A few years ago, an industry expert made the case that one of the practices many of our GI endoscopists swear by to improve visualization during colonoscopies — diluting and injecting the suspension form of simethicone into a patient's colon — could jeopardize proper scope reprocessing. Was it possible our scopes weren't fully clean? Had we been putting our patients at risk? Had we been damaging our scopes? Were we cleaning effectively enough to remove the residue? The many questions led to an examination of our high-level disinfection process. Here's how we did it and what we learned.

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