Conducting visual inspections of flexible endoscopes using lighted magnification

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

Numerous patient injuries and infections have been caused by the use of damaged and dirty endoscopes. To help improve patient safety, AAMI/ANSI, AORN, and SGNA guidelines recommend that endoscopes be inspected using good lighting and magnification every time they are used. This webinar describes tools and methods for conducting visual inspections of the outsides of flexible endoscopes. It illustrates important differences between ureteroscopes, cystoscopes, bronchoscopes, colonoscopes, gastroscopes, and specialty scopes such as EBUS, EUS, and ERCP scopes. Participants will see numerous photos of defects and debris and learn from an epidemiologist about evidence on the clinical impact of such defects. This course will empower front line reprocessing specialists, nursing personnel, infection preventionists, and clinic managers to conduct visual inspections of endoscopes and identify issues that could impact reprocessing effectiveness, impede procedural success, or injure patients. It will increase the evidence base regarding reprocessing effectiveness and endoscope durability.

Objectives

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

  1. Describe guidelines for visual inspections issued by AORN, SGNA, AAMI, and international agencies
  2. Discuss clinical implications of visible defects that were not identified before procedures
  3. Explain why lighted magnification is necessary when doing visual inspections
  4. Discuss methods for conducting visual inspections using lighted magnification
  5. Recognize that different types of endoscopes have unique features
  6. Outline issues to consider before doing visual inspections using lighted magnification

Content outline
  1. Patient exposures, injuries, and infections associated with endoscopy
    1. Evidence of organic soil and microbial bioburden found on “patient-ready” endoscopes
    2. Infections linked to residual contamination on damaged or dirty scopes
    3. Injuries linked to the use of damaged or defective endoscopes
  2. Guidelines for visual inspection of flexible endoscopes
    1. US guidelines, including SGNA, AORN, and AAMI/ANSI
    2. Guidelines from other geographies, including Europe and Australia
    3. Manufacturer instructions for use
  3. Tools and methods for conducting visual inspections using lighted magnification
    1. Purpose of magnification
    2. Types of magnification equipment available
    3. Methods for inspecting exterior surfaces of a flexible endoscope
    4. Documenting and addressing the findings of visual inspection
    5. Cleaning and disinfecting your magnification equipment
  4. Interpreting findings of external inspections using lighted magnification
    1. Appearance of new control handles, ports, valves and buttons, insertion tubes, bending sections, and distal ends
    2. Common problems that may be discovered (e.g., buckling; scratches; gaps; cracks; chips; dents; chemical damage; and residual blood, mucous, fluid, lubricants, or debris)
  5. Importance of visual inspection for identifying:
    1. Endoscopes requiring additional cleaning, repair, or refurbishment
    2. Issues that may spark internal risk assessments
    3. A need for improvements in reprocessing protocols, materials, or water quality
  6. Strategies for moving forward
    1. Obtaining lighted magnification equipment
    2. Training and support for persons conducting visual inspections using magnification
    3. Logistics for conducting visual inspections
    4. Policies and protocols for responding to findings of visual inspections
  7. Sponsor acknowledgement (Supported by an educational grant from Healthmark and information from Endoscopy Repair Specialist, Inc.)

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 inspections of flexible endoscopes using lighted magnification VIDEO
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Borescope Exam Log Sheet (Word doc)
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Open to download resource. Visual inspection log sheet for visual inspections of flexible endoscopes using lighted magnification.
Quiz
9 Questions  |  Unlimited attempts  |  6/9 points to pass
9 Questions  |  Unlimited attempts  |  6/9 points to pass Quiz: Conducting visual examinations of flexible endoscopes: A focus on channels and ports
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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. 191907). 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: #2875AJWCOR19) August 2019 - August 2024. 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.