Initial and annual competencies should be completed on all staff and before they even clean or reprocess a scope. Also, random observation is important in that it helps to reinforce the consistency of how the scopes are reprocessed. The RN in the room should always do a visual check of the scope used in the OR.
Reprocess stored scopes? Some professional organizations recommend a scope be re-processed after 5 days before use on a patient. SGNA has not released an official statement about this. However, to reduce bacteria or contamination on a stored scope. SGNA recommends scopes be stored in a vertical position with caps, valves and other detachable components be removed per manufacturers instructions. The storage area should be clean, well ventilated and dust free.
Tracking Scopes? Institutions should have a surveillance program that would enable patients to be recalled if there was a type of outbreak. One way to do this is to be keep a log that includes the scope model and SN used on the patient.
What competency standards should units adopt for individuals whom reprocess scopes?
- Standard Precautions
- OSHA rules
- Reprocessing procedures for scopes and accessories
- Mechanism of disease transmission
- Maintenance of a safe work environment
- Safe handling of high-level disinfectants
- Procedures for waste management