Improving Quality and Safety in the Endoscopy Unit (On-Demand) | October 2024-12_Collins

12_Collins_Reprocessing Guidelines

Pdf Summary

The document outlines guidelines and best practices for reprocessing endoscopes, emphasizing the importance of stringent protocols to minimize the transmission of pathogens within healthcare facilities. Key elements of these guidelines include staff training, construction of reprocessing rooms, and detailed steps for cleaning and high-level disinfection.<br /><br />Staff involved in endoscope reprocessing must undergo comprehensive training, with their competence verified regularly. The reprocessing rooms must be separate from patient care areas to ensure cleanliness and avoid cross-contamination. Reprocessing begins with point-of-use treatment and leak testing, followed by thorough manual cleaning. There is a strong emphasis on adhering to the manufacturer's instructions for use (IFU), ensuring solutions and protocols are followed accurately.<br /><br />High-level disinfection (HLD) is critical and should be performed following each use of flexible gastrointestinal endoscopes. While there is no consensus on the specific chemistry used for disinfection, the guidelines highlight the need for regular measurement of the Minimum Effective Concentration of disinfectants.<br /><br />Rinsing and drying practices are also discussed, though there is no universal agreement on aspects like the quality of water used. Most recommend sterile water, or if tap water is used, an alcohol flush is necessary to proceed. Drying procedures are highlighted as critical, yet further study is suggested to reach a consensus on optimal practices.<br /><br />The document also touches on storage guidelines, noting that while optimal storage cabinet features remain undetermined, scopes should be stored per IFU, away from endoscopy rooms, and potentially in ventilated or drying cabinets. Accessories should not be inserted into instruments during storage.<br /><br />Surveillance, documentation, and maintenance practices form another essential guideline area, recommending the development of cleaning verification programs. The document concludes with calls for further research in areas like the optimal scope hang time and verifying reprocessing effectiveness, fostering collaboration among national organizations for standardized best practice guidelines.

Keywords

endoscope reprocessing

pathogen transmission

staff training

reprocessing rooms

high-level disinfection

minimum effective concentration

cleaning protocols

storage guidelines

surveillance and documentation

best practice guidelines