Endoscope reprocessing
to take place. Staff at all levels should have a good general knowledge of the anatomy of flexible endoscopes, the basic principles of decontamination, the basic elements of infection prevention and control, microbiology and process chemicals, and the potential hazards posed by these.10 Holding reprocessing staff accountable is
an easy way to associate blame, but this does little to mitigate the issues concerned with inadequate reprocessing. Instead, a back- to-basics approach could be an ideal way to educate staff and ensure that protocols are being followed correctly. Monthly sessions could be held within the endoscopy unit and time should be allocated to allow all staff to access them. Manufacturers should support these training sessions and should also be on hand to help prevent any gaps in knowledge. Innovation is required for non-paper IFUs,
which may be difficult to access in procedural environments. QR codes could be utilised to assist staff and could also be used in training methods. A QR code can be linked to a training video or IFU that is available to all staff members and can easily be accessed with a Smartphone or tablet. Manufacturers and institutions should also be working together to create standardised IFUs that are approved and certified by healthcare providers, manufacturers, and training institutions.
CSJ
References 1. Health Technical Memorandum 01-06: Decontamination of flexible endoscopes.
https://www.england.nhs.uk/wp-content/ uploads/2021/05/HTM0106_PartA.pdf
2. 2020 Guidance on Decontamination of equipment for Gastrointestinal Endoscopy. British Society of Gastroenterology.
https://www.bsg.org.uk/BSG/media/BSG- Media/BSG-Decontamination-guidance-2020- update.pdf
3. A Vidyasagar, What Are Biofilms? LiveScience.
December, 2016.
https://www.livescience.com/57295-biofilms. html#:~:text=Biofilms%20are%20a%20 collective%20of,Pond%20scum%20is%20 another%20example.
4. M. Benedict. Olympus Corporation of the Americas. Delays in endoscope reprocessing... and the Biofilms within. (Whitepaper)
https://medical.olympusamerica.com/sites/ default/files/us/files/pdf/Whitepaper-- -Delays-in-Endoscope-Reprocessing-FINAL- APPROVED-single-page-version.pdf
5.
https://www.accessdata.fda.gov/scripts/ cdrh/cfdocs/cfMAUDE/
Detail.CFM?MDRFOI__ ID=18390602&pc=FDF
6.
https://www.accessdata.fda.gov/scripts/ cdrh/cfdocs/cfmaude/
detail.cfm?mdrfoi__ id=18389249&pc=FAJ&device_sequence_no=1
7. C.Ofstead, H.Wetzler,
A.Snyder, R.Horton. Endoscope reprocessing methods: A prospective study on the impact of human factors and automation. Gastroenterol Nurs. 2010 Jul-Aug;33(4):304-11. doi: 10.1097/ SGA.0b013e3181e9431a.
https://pubmed.ncbi.nlm.nih.gov/20679783/
8. 2020 Guidance on Decontamination of equipment for Gastrointestinal Endoscopy. British Society of Gastroenterology.
About the author
Kerry Dolan is the Head of the Marketing Department for Meditech Endoscopy, a global product development company which supplies endoscopy consumables worldwide. She has concentrated her marketing expertise on the cleaning and disinfection areas of endoscopy using multiple platforms to reach target audiences. Kerry has a special interest in creating awareness on achieving a sustainable future in the healthcare sector, believing that a combination of single use devices and sustainably sourced materials can work in harmony.
June 2024 I
www.clinicalservicesjournal.com 67
https://www.bsg.org.uk/wp-content/ uploads/2019/12/Guidance-for- Decontamination-of-Equipment-for- Gastrointestinal-Endoscopy_-2017-Edition-3.pdf
9. J. Maurice, et al. Green endoscopy: a call for sustainability in the midst of Covid 19. Lancet Gastroenterol Hepatol. Lancet Gastroenterol Hepatol. 2020 Jul;5(7):636-638. doi: 10.1016/ S2468-1253(20)30157-6. PMID: 32553141; PMCID: PMC7295492.10. 2020 Guidance on Decontamination of equipment for Gastrointestinal Endoscopy. BSG.
https://www.bsg.org.uk/clinical- resource/2020-guidance-on-decontamination- of-equipment
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