When it comes to scope reprocessing, no two facilities do things the exact same. There is a lot of variation, from the time spent on reprocessing tasks, to wages paid to personnel, and the costs of reprocessing materials used.

Scope reprocessing is very costly for a facility.

The average cost of reprocessing just one flexible endoscope ranges anywhere from $114.07 to $280.71, and also requires approximately 76 minutes of hands-on staff time.1

With the confusion around scope reprocessing techniques, and the high costs that come with them, it is crucial that your facility is up to date on the changing standards and their recommendations. In an effort to keep your patients safe while also staying cost effective, let’s review some of the most recent scope reprocessing tips that ANSI/AAMI, AORN and SGNA all agree on.1

PPE

      • While fluid-resistant face masks, eye protection and gloves are expected, newer standard recommendations include face shields, impermeable gowns, shoe covers and head covers
      • AORN and AAMI also recommend wearing clean gloves when handling reprocessed endoscopes

Manual Cleaning

      • Brush channels multiple times with the correct-size brushes
      • Clean and disinfect transport containers after each use
      • Perform biochemical cleaning-verification tests

Visual Inspection

      • Use lighted magnification for the visual inspection

HLD using an AER

      • Perform MEC test of disinfectant before each use
      • SGNA and AAMI also recommend unloading the AER promptly after cycle completion

Drying

      • Dry all accessories, such as valves and caps
      • AORN and AAMI also recommend transporting to storage using a clean container

Storage

      • Store endoscope in a clean, well-ventilated area
      • Store accessories with their assigned endoscope

 Documentation

      • Use a system (tag or label) to verify reprocessing occurred

FDA Scope Reprocessing Recommendations

2018 Scope Safety

71% of reusable medical scopes deemed ready for use on patients tested positive for bacteria at three major U.S. hospitals.