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R E P R O C E S S I N G
1. Don't cut corners
The easy efficiency of an endo doc who's on a roll is a thing to behold.
For the sterile processing staff readying the scopes for his upcoming
cases, though, the pressure of keeping up with the schedule can be
intense. When people are rushed, it's easy for them to skip a step,
intentionally or not, or lose their focus on the task at hand.
Endoscope reprocessing is no time for cutting corners. Your staff
must follow each and every step of the scope manufacturer's instructions for use, from bedside pre-cleaning (use water and/or enzymatic
detergent to remove gross soil from the exterior surface and flush the
channels as soon as possible after use, enlisting your OR staff to
assist) to post-reprocessing storage (hang the scopes vertically, with
all detachable components removed). What's more, they shouldn't
assume that all scopes can be reprocessed in the exact same way.
Each model is different, and manufacturers' specifications are intricately detailed for a reason.
Routine in-service sessions and certification courses through professional organizations can reinforce the importance of process among
your reprocessors. Also take advantage of your scope manufacturer as
an educational resource. Many offer free laminated instruction posters,
videos to download and training visits from company reps who always
understand the scopes you're using inside and out.
As for the actual written copies of scope manufacturers' instructions, don't just file them and forget them. Be sure you have the most
current version stored where your staff will be able to consult them in
the event that reprocessing and handling questions arise. Surveyors
are eager to see easily accessible instructions during their visits.
2. Invest in the right tools
Infection prevention is hardly the place to economize. Make sure your