Appendix G: Infection Prevention and Control Guideline for Flexible Gastrointestinal Endoscopy and Flexible Bronchoscopy – Verification of training stages for endoscope reprocessing

APPENDIX G – Verification of Training Stages for Endoscope Reprocessing

Date(s) of Training:
Name of Trainee:
Name of Trainer:

Information or Procedure in Endoscope Reprocessing Training	Verification that procedure training was provided		Verification of competency with procedure
Information or Procedure in Endoscope Reprocessing Training	Trainer:	Trainee:	Trainer:	Trainee:
1. Basic tutorial on: Use of flexible endoscopes Mechanics/handling of scopes
2. Infection prevention and control tutorial on: Basic microbiology of endoscopy Disease transmission, staff protection (reduce aerosolizing) Prevention of infection transmission - (patient to patient, environment to patient transmission)
3. Chemical and detergent usage and safety
4. Review of reprocessing manuals: Manufacturer’s procedure manual Site/unit procedure manual (including diagrams)
5. Leak testing: How Why When What to do if leak test fails
6. Disassembling of endoscopes: Remove all buttons, valves, caps and other removable parts Processing of disassembled parts Appropriate capping for video endoscopes Visual inspection Correctly dispose of parts that are deemed single use
7. Manual cleaning procedure: Bedside suction Detergent used Brushing Appropriate size Appropriate reprocessing Water for rinsing (volume) Elevator wire of Endoscopic Retrograde Cholangiopancreatography (ERCP) scopes and other specialty channels Consistency of process and why this is critical Visual inspection
8. Manual high-level disinfectant procedure: Appropriate preventive clothing/risk of aerosols Hazards of chemical exposure Appropriate high-level disinfectant Testing Minimal effective concentration of disinfectant Maximum in disinfectant expiratory date Appropriate immersion techniques Critical minimum timing parameters for high level disinfectant exposure Rinsing techniques (water issues) of endoscopes Alcohol rinse of endoscopes Drying of reprocessed endoscopes
9. Automated endoscope reprocessor equipment: Manual pre-cleaning shall be done Appropriate protective clothing Hazards of chemical exposure Review of reprocessor manual/use of machine Correct connection of endoscope Issues related to the use-dilution of high level disinfectant or sterilant Alcohol rinsing of endoscope Drying of reprocessed endoscope
10. Storage of dried scopes
11. Accessory devices: appropriate cleaning and disinfection
12. Quality assurance program for endoscopy: Reprocessing damaged endoscopes References Templates

Adapted from M. Alfa^{Footnote 211}.

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Date modified:: 2011-02-14