Improving Quality and Safety in the Endoscopy Unit (Virtual) | August 2023-8-5-23 Quality and Safety - Session 3 Interactive Discussion with Case Studies

Video Transcription

Video Summary

In the video, the speaker discusses various topics related to infection control in endoscopy. They mention that different types of wipes have different wet times, which can be found on the label or in the manufacturer's instructions. Manual cleaning is emphasized as an important step in sterilization, as it removes the majority of bio burden and residue from the procedure. The speakers also discuss culturing of standard endoscopes and processing machinery, stating that for gastroscopes and colonoscopes, periodic culturing is not necessary unless there are specific circumstances. They also mention the use of simethicone in endoscopy, stating that it can be used safely and effectively, and that drying cabinets can be used to ensure that endoscopes are properly dried before use. The speakers also discuss the use of personal protective equipment (PPE) in the reprocessing room and procedure room, emphasizing the importance of eye protection, masks, gowns, and shoe covers. They mention the need for standardized reprocessing procedures and the importance of having an adequate fleet of endoscopes to facilitate infection control. Finally, they discuss a case scenario where an endoscopy washer had a malfunctioning intake valve, resulting in potential inadequate disinfection. They suggest gathering reprocessing logs, identifying affected endoscopes and patients, consulting with an infectious disease doctor, and considering patient notification and serological testing.

Keywords

infection control

endoscopy

manual cleaning

culturing

personal protective equipment

reprocessing procedures