Chp 9 & 10Flexible Endoscope Reprocessing PowerPoint Questions With Complete Solutions!!

Flexible Endoscope Decontamination Area - Answer-The ventilation system should be designed to maintain negative pressure - air coming in to decon...not bad decon air flowing out to prep or other areas Flexible Endoscope Decontamination Area - Answer-Air is directly exhausted to the outside Requires 10 air exchanges per hour (as mentioned) Clean floors and (horizontal) work surfaces daily Routinely clean vents and walls Work should flow from clean to dirty Floor drains should be treated to inhibit the growth of microorganisms in the traps and to prevent the emission of noxious odors Flexible Endoscopes - Answer-Flexible endoscopes are extremely difficult to clean because of their numerous small channels lumens and size some more than 6 ft long Flexible Endoscopes - Answer-bronchoscopes, duodenoscopes e.g.,endoscopes for endoscopic retrograde cholangiopancreatography [ERCP], enteroscopes endoscopes used for small-bowel procedures, gastroscopes e.g., endoscopes for esophagogastroduodenoscopy [EGD], cystoscopes, nasopharyngoscopes, ureteroscopes, and ultrasound endoscopes ...yeah, there's just a few Flexible Endoscopes - Answer-Most: Semi-critical/HLD poss. Low-temp. sterilized Only those personnel who have been thoroughly trained, with competencies verified, should reprocess flexible endoscopes Flexible Endoscopes - Answer-Manufacturer's instructions should be carefully followedGenerally cleaned manually and separately. Most MFG will state in order to prevent cross-contamination - *1x use on detergent bath w/soft cloth, or impregnated sponge. This goes for flexible scopes, cameras, & the like, as well! Flexible Endoscopes - Answer-Automated washer & ultrasonic could, & more than likely, will damage these! Brush distal end with soft bristle brush After wiping outer surface and accessories with a soft cloth moistened with detergent solution - thoroughly rinse. AER's - Answer-Before this - friendly reminder: decontaminate prior to placing in any type of unit similar. Needs to be cleaned before disinfected AER - Answer-Leak test Submerge in manual bath (avg. 5-10 min.); Wipe down w/lint-free, soft cloth If lumen channels are present..."flush & brush" until completely clean! Rinse Dry Steris AER Peracetic Acid - Answer-A diagnostic may be required to run in an AER w/PA prior to an actual load being placed. (LCS) Liquid chemical sterilant. Wet system, use only for immersible items. Items not packaged, prone to re-contamination after processing. A friendly reminder, if you are to use this unit & the sterilant is to adequately "flow", connect channels to special connectors that allow liquid to flow through them. Steris AER Peracetic Acid - Answer-Not all endoscopes are able to be processed in an AER Ex. Bronchovideoscope And, not all endoscopes have internal channels to perform the "special connector flow ports" nasopharyngoscope.Yes, Peracetic Acid most popular, however, Glute or OPA may be a possible alternative approval. Steris AER Peracetic Acid - Answer-*Glutaraldehyde having a ceiling threshold of .05ppm Threshold (defined) - the magnitude or intensity that must be exceeded for a certain reaction, result, or condition to occur or be manifested. Not recommended/good for: cancer pt.'s On to Accessories - Answer-Bx Forceps - are used to obtain specimens from the patient; therefore are considered critical devices. Water Bottles - & their tubing must be cleaned daily and HLD or sterilized. Polypectomy snare - Answer-Polypectomy snare - these are available in many shapes, sizes, and materials...they can be disposable and micht be designed w/special features used for removing polyps. Esophageal Dilators - Answer-Esophageal Dilators - usually performed after the clinician has examined the esophagus w/a gastroscope..enables to clearly see what is causing a problem and to exlude serious conditions such as cancer.