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ENDOSCOPE GUIDE
OXIDIZING from page 46 can you help your department embrace to glutaraldehyde and OPA and actually
from external and internal surfaces of a change for the better? continue to thrive, release from the sur-
endoscopes, AERs and tubing, and We’ve all heard comments like, “If our face, travel, and form a new biofilm else-
from soaking containers. process isn’t broken, why fix it?” and, “Is where.
• Oxidizing chemistries are free-rinsing the new stuff proven?” First, is the pro- Explain how the new chemistry can be
so no chemistry remains after only one cess really not broken? Be prepared to used for manual processing or in auto-
rinse and there is no fear of causing question the current department process; mated AERs. Most AERs are cleared by
inflammation in a patient’s intestinal are staff members having sensitivity to FDA independently of a specific chemis-
mucosa. current chemistries? Are scopes pro- try, so the end-user has a choice of which
• Oxidizing disinfectants are also com- cessed on time, every time? Are the disinfectant/sterilant to use.
patible with a wide variety of scope scopes in excellent condition? Is the pro-
Lay out the business case
materials. They actually remove dis- cess as easy, safe and fast as it could be
A manager of an endoscopy department
coloration on scope surfaces and will for the staff? Can things be done better?
needs to be able to make the business
not leave the black spots on the floor, The answers will help staff see the pro-
case to materials management for switch-
on scrubs or in storage cabinets that cess more objectively.
ing a processing chemistry. This would
you see when a department uses alde-
Educate include the safety aspects, productivity
hyde chemistries.
Oxidative chemistries are proven – they gains, quality outcomes and of course,
• There is no need to reinvent the wheel
have been in use in healthcare settings the costs.
or change procedures – oxidizing dis-
for more than 20 years. The disinfectant An exposure time of eight minutes for
infectants fit neatly into existing
supplier can help you acquire documen- high-level disinfection and only one
manual and automated protocols.
tation and present to your staff. rinse results in shorter turnover times,
In particular, educate the department which means more available time in the
Steps to reprocessing
about the real-world benefits they will processing schedule.
effectiveness
personally experience. The new chemistry provides up to 21
I have found that the fear of change and
Discuss the challenge of biofilm and days of reuse instead of 14, which means
lack of solid, factual information can be
how it can build up on the scopes, and less change-out of chemistry (less work
more powerful than a desire for process
contribute to infection. Clinical studies and time) for the staff.
improvement. So, the question is, how
now confirm that biofilms are resistant The chemistry’s cost is equivalent to
aldehyde chemistries when you look at
the number of cycles per bottle and cal-
Because they depend
culate the cost on a per-cycle basis. Over-
all cost is streamlined by using a single-
on you, you can
supplier, single chemistry for most or
all processing (manual and automated).
depend on us.
Quality outcomes are improved for
patients because the facility doesn’t have
Our Complete Cycle of Care is
to worry about mucosal inflammation
proven to continually enhance
from dialdehyde-processed scopes when
equipment performance, increase clinical
using this product according to manu-
staff productivity and reduce costs.
facturer’s instructions. Staff are not ex-
Modern Medical Systems keeps your posed to noxious fumes.
equipment resources ready to go by
Let them try it
providing a variety of services 24/7/365.
Manufacturers often provide opportuni-
ties for facilities to test a product, and
this new chemistry is no exception. Ar-
range for a trial and have your staff con-
duct it to get hands-on experience. Docu-
ment important data like the number of
scopes processed in one batch of chemis-
try, the number of reprocessing cycles
completed in a day, and the condition of
the endoscopes before and after process-
ing with the oxidative formulation.
The best endoscope disinfection pro-
cesses are safe, fast, reliable and produc-
tive, and changes that help you achieve
these ends are worth making. HPN
Marcia Hardick has been a clinical education
specialist with STERIS Corporation since 1998.
800.736.8257 | www.ModernMedicalSystems.com
For references, please visit www.hpnonline.
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SCOPES continues on page 50
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0911-Scope Guide-shorrt.pmd 48 10/14/2009, 9:46 AM
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