Conducting visual examinations of flexible endoscopes: A focus on channels and ports

Eligible for a total of 2.0 possible Contact Hours | IAHCSMM: 1.0 Contact Hours | CBSPD: 1.0 Contact Hours

AAMI/ANSI, AORN, and SGNA guidelines recommend visual inspection using good lighting and magnification. Borescopes allow technicians to examine the complex interiors of flexible endoscopes, which facilitates early identification of scopes that would benefit from additional cleaning, repair, or refurbishment. This is a CE course on visual inspection based on scientific evidence and our experience examining hundreds of endoscopes. This webinar describes tools and methods for conducting visual exams using borescopes and provides insights about common findings and their clinical implications.

Objectives
By the end of this one-hour webinar, participants will be able to:
  1. Describe current guidelines for visual inspection of flexible endoscopes
  2. Explain methods for conducting borescope examinations of endoscope interiors
  3. Describe several defects that are commonly identified during borescope exams
  4. Discuss the clinical implications of damage and debris found inside endoscopes
  5. Outline several issues that should be considered before implementing visual exams

Content outline
  1. Patient exposures, injuries, and infections associated with endoscopy
    1. Injuries linked to the use of damaged endoscopes
    2. Material from previous cases remaining in endoscopes after reprocessing
    3. Bioburden found in “patient-ready” endoscopes
    4. Infections due to reprocessing breaches and damaged scopes
  2. Guidelines for visual inspection of flexible endoscopes
    1. SGNA
    2. AORN
    3. AAMI/ANSI
  3. Tools and methods for conducting visual exams using borescopes
    1. Purpose of borescope systems
    2. Diameter and length considerations
    3. Steps involved in setting up the borescope
    4. Methods for inspecting the interior of a flexible endoscope
    5. Documenting the findings
    6. Reprocessing and storing borescopes
  4. Interpreting findings of borescope exams
    1. Appearance of new control handles, ports, channels, and distal ends
    2. Potential problems that may be discovered inside endoscopes (e.g., fluid, simethicone, discoloration, damage, debris, and built-up biofilm
  5. Relevance of visual inspection findings
    1. Need for endoscope repair or refurbishment
    2. Outbreaks linked to visually apparent defects and debris inside endoscope channels
  6. Strategies for moving forward
    1. Sizes of borescopes needed
    2. Training and support for persons conducting visual examinations using borescopes
    3. Logistics for conducting borescope examinations
    4. Policies and protocols for responding to findings of visual examinations
    5. 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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Conducting visual examinations of flexible endoscopes: A focus on channels and ports VIDEO
Open to view video.
Open to view video. Conducting visual examinations of flexible endoscopes: A focus on channels and ports
Borescope Exam Log Sheet (Word doc)
Open to download resource.
Open to download resource. Visual inspection log sheet for internal examinations of flexible endoscopes using a borescope.
Quiz
# of Questions: 9 | Total Points: 9 | Passing Score:  6
# of Questions: 9 | Total Points: 9 | Passing Score:  6 Quiz: Conducting visual examinations of flexible endoscopes: A focus on channels and ports
Survey
6 Questions
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. 190104). 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: #6038BWCOR19) 2019-2024. This Certificate must be retained by the participant for a period of 5 years after course completion.