Infection Control Principles for Endoscope Reprocessing
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| show | Spill Containment Plan
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| Who is responsible for providing instructions on cleaning reusable accessories? | show 🗑
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| Devices that break the mucus membrane and/or come into contact with sterile tissue or the vascular system are called what? | show 🗑
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| Devices which are not intended for reuse are labeled in what way? | show 🗑
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| show | False,any single use items is never to be reused or reprocessed.
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| Is suctioning of fluid is sufficient for removing debris from internal lumens at the end of the procedure. | show 🗑
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| What action in the room precludes drying of organic and inorganic debris on lumen surfaces and may remove large numbers of microorganisms? | show 🗑
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| show | In an enclosed container.
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| Containers, sinks, and basins should be large enough why? | show 🗑
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| Leak testing detects what? | show 🗑
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| show | To minimize damage to parts of the endoscope not designed for fluid exposure.
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| What is the most common finding of a failed leak test? | show 🗑
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| During a leak test what must be moved? | show 🗑
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| show | Before
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| True or False: Attach the leak tester and pressurize the scope before submerging it in water. | show 🗑
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| show | Enzymatic cleaning solutions
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| What is necessary immediately after removing the endoscope from the patient and prior to automated or manual disinfection? | show 🗑
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| show | The composition of soil found on endoscopes includes, proteins, fats,carbohydrates and the various chemical salts that exist in blood and other body fluids.
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| show | Cross contamination.
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| show | So that the device can be clearly visualized during the cleaning process
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| show | True
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| True or False: Endoscopes exposed to synthetic lipids require no additional precleaning. | show 🗑
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| The endoscope should be left under water during the cleaning process to prevent what? | show 🗑
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| The small cleaning brush should be used to clean what? | show 🗑
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| When brushing the scope it is important to do what after each pass? | show 🗑
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| You continue to see debris on the brush after two passes, how long should you continue to brush? | show 🗑
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| What should be done with reuseable brushes between cases? | show 🗑
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| show | Worn bristles are ineffective in cleaning, and damaged brushes may damage endoscope channels.
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| Why is cleaning a duodenoscope unique? | show 🗑
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| show | Allowed to soak in a detergent solution until it can be thoroughly reprocessed.
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| show | The manufacturer of the solution used.
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| show | To prevent dilution of the liquid chemical germicide used in subsequent steps.
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| show | When it is used in a sterile,operative field.
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| True or False: HLD destroys all vegetative microorganisms and all bacterial spores. | show 🗑
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| Testing of HLD is done to assure what? | show 🗑
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| show | Twenty minute soak
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| Reuse of a HLD is dependant on what factors? | show 🗑
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| show | True
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| show | Use a product-specific test strip, and keep a log of the test results.
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| show | Exposure to chemical vapors may present a health hazard.
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| show | Proper temperature and use a timer to verify needed time.
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| show | Rinsing prevents exposure and potential injury of skin and mucous membranes from chemical residue.
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| Why do we purge all channels with air until dry after manual cleaning? | show 🗑
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| Flush all channels, including accessory channels, with alcohol until the alcohol can be seen exiting the opposite end of each channel. Why? | show 🗑
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| What type of alcohol is used in flushing the channels? | show 🗑
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| show | True
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| show | False. Storage of endoscopes with the removable parts detached lowers the risk of trapping liquid inside the instrument and facilitates continued drying of the channels and channel openings.
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| show | True, drying the endoscope after every reprocessing cycle, both between patient procedures and before storage is a requisite practice crucial to the prevention of bacterial transmission and nosocomial infection.
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| show | Prevent undue moisture build-up, thus discouraging any microbial contamination.
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| Padding the lower portion of the scope storage area with non-porous material may prevent damage to what? | show 🗑
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| show | Endoscope reprocessors.
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| show | True
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| show | True
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| True or False? If your AER does not include the final alcohol rinse cycle, it is acceptable to omit this step. | show 🗑
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| show | Semi Critical as it comes in contact with mucous membranes or non-intact skin and should be sterilized or receive high level disinfection.
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| show | Blood pressure cuff,stethescope, tympanic thermometer.
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| show | Narrow. Any slight deviation from the recommended reprocessing protocol can lead to the survival of microorganisms and an increased risk of infection.
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| True or False Each individual who reprocesses instruments should complete the initial infection control orientation/reprocessing competency and subsequent annual competency review and infection control updates, with documentation. | show 🗑
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| show | Supervision, training, annual competency review, methods of assuring the availability of appropriate equipment and supplies, and procedures for reporting infections.
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| show | HLDs and sterilants must be changed when the solutions fail to meet minimum effective concentration or exceed the HLD manufacturer’s recommended reuse life, whichever comes first.
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| HLD and sterilant vapor levels should be monitored and documented when? | show 🗑
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| True or False: To prevent cross-contamination in an endoscopic procedure room, most areas of the room should be designated as clean areas. Contaminated areas where accessories and specimens are handled should be separated from clean counter areas. | show 🗑
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| show | With an Environmental Protection Agency registered, hospitalgrade disinfectant.
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| show | False, the rooms are negative pressure rooms.
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| show | True. Water of equivalent quality (i.e., suitable for drinking)or sterile water may be used.
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| show | In the event of an identified outbreak.
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| show | False: Every patient must be considered a potential source of infection and all endoscopes must be decontaminated with the same degree of rigor following every endoscopic procedure.
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| When microflora found on the mucosal surfaces of the GI or respiratory tract gain access to the blood stream or normally sterile body sites as a result of a procedure it is called what kind of infection? | show 🗑
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| Exogenous infections result from microrganisms introduced from where? | show 🗑
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| Name three types of exopenous infections. | show 🗑
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| show | Inadequate manual cleaning, inadequate rinsing and drying, improper use of AER's.
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| The ability of bacteria to form this structure and maximize growth potential, is an important factor in endoscopy related infections. | show 🗑
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| True or false: The inertnal channels of endoscopes have been found to contain biofilms. | show 🗑
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| What term describes the physical or chemical procedure used to destroy all forms of microbial life, including spores. | show 🗑
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| What regulatory body classifies levels of disinfection as sterilization, HLD, intermediate level disinfection and low level disinfection. | show 🗑
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| show | Decontamination, Cleaning.
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| show | Because it is impossibl to suffiently clean and disinfect endoscopes that cannot be completely immersed in liquid.
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| show | Glutaraldehyde.
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| Glutaraldehyde is compatable with all but one AER, which one? | show 🗑
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| show | Resistant myobacterium, it is an irritant, it fixes protein and can allow for biofilm formation.
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| Sensitivities to Glutaraldehyde can include what symptoms? | show 🗑
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| What are the routes of absorbtion for gluaraldehyde? | show 🗑
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| Mixing, adding and removing equipment or disposing of glutaraldehyde solution breaks the surface tension and releases what? | show 🗑
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| show | .05 part per million
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| show | Ducted exhaust hoods, 7-15 air exchanges per hour, ductless fume hoods with absorbents for the vapors, tight fitting lids and AER's.
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| True or False: The FDA has approved products containing 7.5% hydrogen peroxide as a HLD. | show 🗑
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| Hydrogen peroxide is not compatible with flexible endoscopes by which 3 manufacturers? | show 🗑
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| show | Paracetic Acid 0.2%
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| show | The endoscope must be used immediately upon removal.
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| True or False : Scopes placed in the Steris system do not require as meticulous a precleaning as those placed in glutaraldehyde. | show 🗑
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| show | It can remove glutaraldehyde-hardened biofilm from biopsy channels.
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| show | No there are no resistant organisms.
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| show | Pentax and Fujinon.
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| show | True
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| show | It is significantly higher in cost.
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| Cosmetic discoloration of scopes, damage to the seals of reprocessors and exposing leaks of internal channels of previously glut cleaned scopes are all what? | show 🗑
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| What is the chemical name and concentration for Cidex OPA? | show 🗑
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| What is the required HLD immersion time for Cidex OPA? | show 🗑
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| show | True.
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| show | Glutaraldehyde (40 cycles, compared to OPA's 82 cycles)
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| The maximum reuse life of Cidex OPA is? | show 🗑
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| What number of large volume rinses are required after HLD with Cidex OPA? | show 🗑
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| True or False: Large volume spills may be cleaned up with an absorbent pad. | show 🗑
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| show | Creutzfeld-Jakob Disease
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| show | Glycine(free base)powder 25 grams/gallon
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| The ability of an AER to heat disinfectants reduces what? | show 🗑
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| show | A 0.2 micron filter.
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| ERCP and Duodenal scopes may not be able to be HLD in an AER why? | show 🗑
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| show | Manually clean, use an ultrasonic cleaner cycle, rinse, dry and then use steam sterilization.
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| show | Daily.
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| What should be used for wipe down of non-critical items such as carts or stretchers? | show 🗑
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| Visible spills of blood or blood contaminated body fluid should be cleaned with what? | show 🗑
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Created by:
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