Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Compliance with
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Precleanse the flexible endoscope at point of care.
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Transports the contaminated endoscope and accessories to the endoscopy processing room as soon as possible after use.
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Ensures the container is labeled with a biohazard label.
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Ensures the container was cleaned with Sani-wipe and the IFU followed (wet time).
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The area under the sink are free of dust and debris
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The staff member is wearing the proper PPE appropriately
Manual Cleaning
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Performs leak testing before manual cleaning.
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GI endoscope reprocessing staff performed daily flow validation testing on endoscope flushing device
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Completely submerges the endoscope and accessories.
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Cleans all accessible channels and the end of the endoscope with a cleaning brush of the length, width, and material recommended by the manufacturer.
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Uses a clean disposable brush for each endoscope cleaning.
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If the endoscope has an elevator, raises and lowers the elevator throughout the manual cleaning process.
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Flushes the channels of the endoscope with the cleaning solution.
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Checks the expiration date of the high level disinfectant or liquid chemical sterilant before each use.
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Uses a test strip or other FDA-cleared testing device specific to the disinfectant or liquid chemical sterilant before each use.
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Can state the time associated with each strip (submerge for 1 second, read in 75 seconds)
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SPD HLD GI flexible endoscopes, test strips used to verify effectiveness of disinfectant used in automated endoscope reprocessing devices are dated with a revised expiration date upon opening, contrary to strip IFU.
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Positions endoscopes and accessories within the mechanical processor to ensure contact of the processing solutions.
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GI staff use the enzymatic cleaner per the IFU and the temperature of the water is 68-104 F.
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Wears clean gloves when transporting the endoscope to and from the storage cabinet.
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Stores flexible endoscopes horizontally or hangs them vertically so they do not coil or touch the floor of the cabinet
Records
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Processing records include: date and time
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identity of endoscope and endoscope accessories
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method and verification of cleaning and results of cleaning verification testing
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number or identifier of the mechanical processor or sterilizer and results of process efficacy testing
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identity of the persons performing the processing
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lot number of the processing solutions
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disposition of defective items or equipment
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maintenance of water systems, endoscopes and endoscope accessories, and processing equipment.
Endoscope Pre-Op and PACU
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In GI nurse station glucometer kits contained reagents and are labeled with 3 months use by date.
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All other areas are observed compliant.
