Outpatient Surgery Magazine

Special Edition: Infection Control - May 2020 - 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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Cholangiopancreatography (ERCP). These devices are par- ticularly difficult to clean and dis- infect due to a complicated design of an elevator channel at the distal end that houses a guidewire and catheter. In December 2019, the FDA approved the first completely dis- posable duodenoscope, but we believe the model is not yet cost effective. We're planning on buying a new duodenoscope with a dis- posable end cap designed to eliminate the need to clean the problematic elevator compo- nent. The rest of the scope can be reprocessed appropriately utilizing the same cleaning process as standard GI scopes, making it a potentially safer option than a stan- dard scope. Fast and safe Continuous training for GI staff is essential to keep your cleaning and high-level disinfection processes working well. We have a dedicated GI technician, but our entire staff attends scope repro- cessing training. In addition to GI scopes, our facility uses flexible urology, GYN and intubation scopes. Even though we're sterilizing those scopes and not high-level disinfecting them, I think it's important for the entire staff to be trained in the same cleaning 4 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A Y 2 0 2 0 • CLEANED BY HAND After scopes receive an initial point-of- use cleaning, they arrive in the decontamination room, where they are soaked in a sink and manually brushed, cleaned and rinsed. Artesia General Hospital

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