4. Store properly. Flush scope channels with 70% to 90%
ethyl or isopropyl alcohol followed by forced air. This final step
before hanging in storage helps reduce the risk of microorganisms
remaining in a moist channel.
Current research focuses on how long scopes can be stored before
redisinfection for reuse is necessary. There is limited clinical evidence
to support redisinfecting scopes after they're hung, and current guide-
lines don't provide a clear answer. The Association for Professionals
in Infection Control and Epidemiology (APIC) suggests 7 days of stor-
age as the acceptable cutoff. AORN says 5 days. A multi-society guide-
line on reprocessing flexible endoscopes states that it may be advis-
able to redisinfect scopes stored for 7 to 14 days if a subsequent
patient is immunosuppressed or the scope could enter the retroperi-
toneal space or biliary tree during an endoscopic retrograde cholan-
giopancreatography (ERCP).
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