What’s inside your scopes? Simethicone and other insoluble products used during endoscopy

Eligible for Contact Hours | IAHCSMM: 1.0 Contact Hours | CBSPD: 1.0 Contact Hours | RN: 1.0 Contact Hours

During this webinar, the presenter describes her team’s groundbreaking discovery of simethicone inside gastrointestinal endoscopes. She explains how the substance was originally identified and describes her team’s detection of other insoluble products on bronchoscopes and GI endoscopes. The presenter discusses the nature of these products, their clinical value, and the dilemma posed by policies that prohibit their use. This course is designed to empower clinicians, perioperative nurses, central service managers, and reprocessing personnel interested in identifying suspicious residues found on endoscopes. The webinar includes recommendations for addressing the use of these insoluble products, including methods for determining which products are being used, conducting risk assessments, and developing strategies for reducing the risk.

Objectives

By the end of this one-hour webinar, participants will be able to:

  1. Describe four types of insoluble products that are commonly used during endoscopy
  2. Explain how the use of these products impacts reprocessing effectiveness
  3. Summarize guidelines and manufacturer statements on the use of insoluble products
  4. Discuss strategies for addressing the potential impact of these products

Content outline
  1. Background
    1. Endoscope reprocessing does not reliably eliminate soil or bioburden
    2. The use of insoluble products may be making the situation worse
  2. Discovery of simethicone inside endoscopes
    1. Initial observations during visual inspections with borescopes
    2. Collaborating with facility personnel to determine potential sources
    3. Capturing samples and running laboratory tests to identify the substances
    4. Identifying the foreign substance
    5. Learning about the nature and clinical value of simethicone
    6. Exploring the implications for endoscope reprocessing and maintenance
  3. Detection of other insoluble products used during endoscopy:
    1. Lubricants containing oils and silicone
    2. Tissue glue
    3. Hemostatic powders and sprays
  4. Guidelines and manufacturer statements about insoluble products


  5. Addressing the use of insoluble products during endoscopy:
    1. Determining which products are being used during endoscopy
    2. Reviewing product labels, manufacturer IFU, guidelines, and facility policies
    3. Evaluating current procedures for detecting and removing foreign substances
    4. Conducting a risk assessment and developing strategies for reducing risk
  6. Sponsor acknowledgement (Supported by an educational grant from Healthmark)

Cori L. Ofstead, MSPH

President & CEO, Ofstead & Associates

Cori L. Ofstead, MSPH, is an epidemiologist with 30 years of experience designing and conducting studies about the impact of clinical processes on patient outcomes. She has served as the Principal Investigator on numerous studies related to infection prevention, instrument reprocessing, and vaccination against infectious diseases. Ms. Ofstead is nationally recognized for her groundbreaking research, and her studies have been published in peer-reviewed journals including CHEST, AJIC, ICHE, Journal of Hospital Infection, Gastroenterology Nursing, and Vaccine. She currently serves as a reviewer for AJIC, Endoscopy, and the Journal of Urology, and is an active member of the editorial board for AJIC. She has presented the findings of her studies at national and international conferences sponsored by the CDC, APIC, IAHCSMM, AORN, SGNA, AGA, and several universities. In addition, she currently serves as a preceptor for epidemiology students in the School of Public Health at the University of Minnesota.

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Certificate IAHCSMM
1.00 Contact Hour credit  |  Certificate available
1.00 Contact Hour credit  |  Certificate available Provider approved by IAHCSMM (APPROVAL CODE: Ofstead & Associates, Inc. 2000104). This Certificate must be retained by the participant for a period of 3 years after course completion.
Certificate CBSPD
1.00 Contact Hour credit  |  Certificate available
1.00 Contact Hour credit  |  Certificate available Provider approved by CBSPD (APPROVAL CODE: #6566BWCORP20) 2020-2022. This Certificate must be retained by the participant for a period of 5 years after course completion.
Certificate California Board of Registered Nursing
1.00 Contact Hour credit  |  Certificate available
1.00 Contact Hour credit  |  Certificate available Ofstead & Associates, Inc. is approved by the California Board of Registered Nursing, Provider # 17298 for 1.0 Contact Hours. This Certificate must be retained by the participant for a period of 4 years after course completion.