Page 6 - The Care and Handling of Flexible Scopes v3

Care of Flexible Endoscopes

When unpacking the endoscope from its case, it is important to maintain control of the
distal tip as much as possible, so this must be taken in one hand, then the scope
removed with the other hand. Flexible endoscopes are more complex to clean because
of the construction and length of the instrument and there are more reported problems
associated with cleaning them. These endoscopes are usually cleaned using only a
manual cleaning process, which requires an effective set-up and supplies to clean the
endoscope according to the manufacturer’s instructions. This section will detail a
manual process, but also will include an automatic process as well as an automatic
process using a machine like an Automatic Endoscopic Reprocessor (AER) or Endoscope
Cleaning and Reprocessing (ECR), etc.

These machines provide a level of quality that is difficult to replicate using only a manual
process for cleaning and disinfecting. The machine can deliver consistent process steps
as well as measure and report on the steps taken to reprocess the endoscope; these
reports can be used for quality documentation.

3. Per-Cleaning the Endoscope in the Patient Care Area

As with the rigid endoscope, pre-clean the flexible endoscope in the patient care area
before transferring to CSSD or designated reprocessing area for terminal reprocessing:

1. Flush the channels with solution using a syringe or use the room suction to suction
the solution through the channels (see Figure 2).
2. Wipe the surfaces with a sponge dampened with water or enzymatic detergent or
use an enzymatic detergent sponge.
3. Rinse the surface and suction the channels with tap or sterile water.
4. Secure the endoscope in a transport container with a lid or a transport bag to keep it
moist during transport. Check the manufacturer’s instructions before applying any
enzymatic pre-treat spray to the endoscope.
5. Place the secured endoscope within an approved transport cart and ensure there are
no instruments or equipment lying on top of the endoscope.
6. Transport to the Central Sterile and Supply Department (CSSD) or designated
reprocessing area as soon as possible for terminal reprocessing.
Figure 2 -Pre-Clean All Endoscopes in the Patient Care Area

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