Outpatient Surgery Magazine

Helping Hand - July 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 99 of 128

before hanging endoscopes in a conventional storage cabinet. • Endoscope drying cabinets. These specially designed units let you hook up endoscope ports to a manifold that pushes HEPA-filtered air through the scope's channels and circulates the air around the scope's exterior. Dr. Ofstead says applying forced air for at least 10 minutes or placing scopes in a drying cabinet for at least an hour ensures channels are properly dried. Nobody wants to extend the time it takes to reprocess scopes, but drying technology might be worthwhile, says S. Dwayne Taylor, PA-s, CST, CFA, CRCST, CIS, CHL, CFER, ACE, surgical services manager at Sunrise Hospital and Medical Center in Las Vegas, Nev. Mr. Taylor's staff used to hang-dry endoscopes in a conventional storage unit, but recently added an endoscope drying cabinet. Typically, scopes are left in the cabinet for up to an hour. When the scopes are dry, they're moved to a storage cabinet that continuously circulates filtered air around the chamber. "Considering the [cross-contamination] problems we've seen through- out the nation, I support using a HEPA-filtered drying cabinet to decrease the likelihood of channels becoming contaminated," says Mr. Taylor. There's no clear consensus on how long a scope can be stored before it must again undergo high-level disinfection, but the Society of Gastroenterology Nurses and Associates recommends a maximum storage time of 7 days — that's how long scopes are permitted to hang at Sunrise Hospital. Mr. Whelan suggests basing your facility's hang time on such factors as the types of endoscopes you use and proce- dures you perform, case volume, and scope inventory. "Until research provides clearer results, you should perform your own risk assessment," he adds. Drying double-checks To test the effectiveness of Sunrise Hospital's scope-drying protocols, 1 0 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U L Y 2 0 1 9

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