Improving Quality and Safety In Your Endoscopy Unit: Live and Virtual | October 2022-09_Collins

09_Collins_Infection Control Nuts and Bolts

Pdf Summary

This document discusses the importance of infection control in endoscopy procedures. The author highlights the low frequency and long lag time between colonization and infection in endoscope-associated infections (EAI). Inadequate surveillance of outpatient procedures and the presence of pathogens in the usual enteric flora further contribute to the problem.<br /><br />The document mentions several areas of concern in infection control, including inappropriate cleaning and disinfection of endoscopes, contamination through automated endoscope reprocessors (AERs), improper handling of tubing, water bottles, and reusable instruments such as biopsy forceps, and contamination through the hands of caregivers. It also emphasizes the risks of reusing syringes, needles, and multi-dose vials.<br /><br />The Joint Commission's 2021 top "Non-Compliant" findings related to infection control are mentioned, along with the need to reduce infection risk from equipment, devices, and supplies. A specific Joint Commission standard (IC 02.02.01) is highlighted, which focuses on reducing the risk of infections associated with medical devices.<br /><br />The document also discusses the reprocessing process for endoscopes, identifying common deficiencies such as incomplete brushing, inadequate drying of channels, and skipped steps in the cleaning and disinfection process. Occupational concerns, such as pressure to work quickly and physical discomfort while wearing personal protective equipment, are also highlighted.<br /><br />Other areas of infection control mentioned in the document include hand hygiene, environmental hygiene, safe medication administration practices, and creating a culture of safety in the GI unit. The importance of having written reprocessing protocols, regular education and competency verification, and routine maintenance of AERs is emphasized.<br /><br />Finally, the document mentions recommendations for handling suspected infections, including reporting, notification, serologic testing, and the availability of a toll-free helpline and personal counseling.<br /><br />Overall, this document provides an overview of important considerations and practices in infection control in endoscopy.

Keywords

infection control

endoscopy procedures

endoscope-associated infections

surveillance

inadequate cleaning

disinfection

automated endoscope reprocessors

reusing syringes

medical devices

reprocessing process