ENDOSCOPY
specially formulated gas mixture. The bag is sealed and the lid lifts automatically, then the EndoPax IMS (independent monitoring system) prints out a label which is fixed onto the bag. “We print an extra label so that it’s available for the patient notes if required,” Emma commented. “The vacuum-packed scope is then placed into one of the Cleanascope transportation trays in a green liner, to indicate that it is clean. We also write the contents and the date that it expires on the box. The whole process takes less than two minutes. It’s a very simple process and easy to remember if you have not used the machine for some time. It is also very easy to train new staff on the system.” As well as being responsible for the
EndoPax machine, iM Med also handles the weekly, quarterly and annual testing, service and maintenance of the department’s endoscope washer-disinfectors, and two of
the drying and storage cabinets. Endoscopy technician, David Starowicki, is a regular user of the system and has found it easy to use: “We need to get the job done quickly and efficiently, and EndoPax fits the bill perfectly. It’s very straightforward, everything is preset and no chemicals are used. While iM Med’s engineers look after the endoscope reprocessors, they have not been needed on the EndoPax, as it has been so reliable.” Senior sister, Sarah Vaughan-Davis has also been pleased with the system: “Over
the years, many systems have been trialled. As the EndoPax is easy to use it is liked by the staff and used regularly because of this; new staff quickly gain confidence with the system. “Full training and updates are also provided by iM Med. Evidence of training is kept in the department and uploaded onto the JETS Workforce competency site. The EndoPax is compact which is important when there is limited space available within the department.” With Endopax there is no need for a tray or platform for the scope to be placed on; it goes straight into the bag. The bag and scope will drop into any existing scope transportation system, so no further equipment or accessories are needed. In addition, the cost per cycle is also extremely low – just £2.50 to £3.00, adding to the efficiency gains for Gloucestershire Royal Hospital. Ultimately, iM EndoPax enables endoscopes to be prepared and conveniently ready for routine lists, emergency situations, out of hours and off-site endoscopy work. It allows scopes to be transported in a controlled and tamper evident environment using transportation cases or lockable trolleys. By providing extended storage in safe, aseptic conditions, the system is helping the Gloucestershire Royal Hospital to manage the smooth operation of busy endoscopy lists, ensuring clean scopes are always available when needed and avoiding unnecessary delays.
CSJ NOVEMBER 2020
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