When you ask nine experts in the endoscopy field for tips on safely preparing devices for the next patient, you get a full range of answers.
That’s just what Healthcare Purchasing News did in a recent article examining the best practices for getting endoscopes back into surgical suites after use. The topics covered everything from endoscope hang times to proper care of drying cabinets to cutting out reusables entirely by going to single-use devices.
There’s no doubt that having adequate storage and reprocessing space is essential for a quality reusable operation, says Christian Escobar, director of marketing for visualization at Ambu Inc. He also advocates trying single-use devices.
“One benefit of the single-use endoscope is the ability to reclaim crowded, valuable hospital space for more efficient use,” he says. “Single-use devices also eliminate the potential for cross-contamination when properly utilized.”
Ambu plans to add a single-use colonoscope and single-use gastroscope to its portfolio later this year after winning 510(k) approval from the U.S. Food and Drug Administration in 2020 for its cystoscope and duodenoscope.
The experts agree on the importance of drying reusable endoscopes both inside and out. Here are some of their tips:
“The wet environment inside of an improperly dried endoscope is the perfect breeding ground for water-loving bacteria,” says Seth Hendee, clinical education coordinator SPD at Healthmark Industries Co. “Thoroughly drying endoscopes between uses and before storage will remove that risk from the process.”
A lack of clarity in industry standards leaves many procedures open to interpretation, says Natalie Reece, clinical educator with Key Surgical.
“If you are hanging your scopes, there will absolutely be residual moisture left over,” she says. “Test how many of your ‘patient-ready’ scopes have microbial contamination. Test for residual moisture in your scopes.”
We’ve written here at Single-Use Endoscopy about studies showing that scopes believed to be patient-ready were not.
Alison Sonstelie, lead sterile processing coordinator at Sanford Health and affiliated with OneSOURCE in Fargo, N.D., recommends consulting the endoscope manufacturer’s instructions and preventive maintenance documents and staying abreast of current AAMI, AORN and SGNA standards.
“A controversial topic for endoscopes has been ‘hang time’, which is the amount of time a scope can be stored before it should be reprocessed,’ she says. “Depending on the standard or guideline, you may get different guidance for hang time.”