Outpatient Surgery Magazine

Helping Hand - July 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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How concerned should you be? In 2018, Cori L. Ofstead, MSPH, co- authored a study of endoscope reprocessing, drying and storage prac- tices at 3 hospitals. Her research team found residual fluid in 22 of 45 endoscopes tested and detected microbial growth in 71% of endo- scopes stored for 24 hours (osmag.net/HMr6Fc). Retained fluid was associated with significantly higher microbial growth within the endo- scopes, notes the study. Do hanging and flushing work? Hanging an endoscope and relying on gravity's pull to dry its inner chan- nels is a common, yet ineffective practice. "The fluid doesn't completely drain out, because the channels are too narrow," says Dr. Ofstead, presi- dent and CEO of Ofstead & Associates, a firm that designs and conducts real-world studies to validate healthcare guidelines, treatments and product claims. Flushing channels with 70% isopropyl alcohol — this step is incorporated into the cycles of some auto- matic endoscope reprocessors — at the end of high-level disin- fection is thought to prevent moisture from forming in channels, but that, too, poses problems. 9 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U L Y 2 0 1 9

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