ENDOSCOPY

[Jennifer McCarthy]

Dear all
We have recently put a “scope buddy” in our endoscopy area (a device
that automatically flushes the scope prior to putting in the AFER) . My
concern is the suppliers have told the endoscopy staff that “other
hospitals” leave the tubing attached to the scope buddy with the low
level instrument grade disinfectant through the tubing.
The tubing is reusable and staff have set up a system where the tubing
sits in the disinfectant until the next list. Any comments?
Thanks
Jenny
Jenny McCarthy
OR Manager/Infection Prevention and Control Coordinator
Maryvale Private Hospital
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[Anonymous]

Hi Jenny,

Usually the disinfectant is circulated through the tubing at the end of the
day – it isn’t ‘soaked’.

Regards

Terry McAuley

Sterilisation & Infection Prevention and Control Consultant

STEAM Consulting

E: terry@steamconsulting.com.au

W: http://www.steamconsulting.com.au

A: PO BOX 779

Endeavour Hills

VIC Australia 3802

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Of Jenny McCarthy

Dear all

We have recently put a “scope buddy” in our endoscopy area (a device that
automatically flushes the scope prior to putting in the AFER) . My concern
is the suppliers have told the endoscopy staff that “other hospitals” leave
the tubing attached to the scope buddy with the low level instrument grade
disinfectant through the tubing.

The tubing is reusable and staff have set up a system where the tubing sits
in the disinfectant until the next list. Any comments?

Thanks
Jenny
Jenny McCarthy
OR Manager/Infection Prevention and Control Coordinator
Maryvale Private Hospital

Maryvale Private Hospital Confidentiality and Privacy Notice

NOTICE – This e-mail is only intended to be read by the named recipient. It
may contain information which is confidential or proprietary. If you are not
the intended recipient please notify the sender immediately and delete this
e-mail. If you are not the intended recipient you should not copy this
e-mail or use the information contained in it for any purpose nor disclose
its contents to any other person. Maryvale Private Hospital Pty Ltd accepts
no responsibility for electronic viruses or damage caused as a result of
this email or for changes made to this email or to any attachments after
transmission from SIAG. You should not distribute or publish the contents of
this email or any attachment without the prior consent of Maryvale Private
Hospital.
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[Roel Castillo]

Hi Jenny

Terry is right, additionally include a cleaning protocol in place, as you treat all other equipment (and attachments) for reprocessing.
Happy processing.

Cheers

Roel

Roel Castillo
Project Officer SSD
[The Chris O`Brien Lifehouse at RPA]
Level 5, 119-143 Missenden Road
Camperdown NSW 2050
PO BOX M5 Missenden Road NSW 2050

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*hWK4nY*

Dear all

We have recently put a “scope buddy” in our endoscopy area (a device that automatically flushes the scope prior to putting in the AFER) . My concern is the suppliers have told the endoscopy staff that “other hospitals” leave the tubing attached to the scope buddy with the low level instrument grade disinfectant through the tubing.

The tubing is reusable and staff have set up a system where the tubing sits in the disinfectant until the next list. Any comments?

Thanks
Jenny
Jenny McCarthy
OR Manager/Infection Prevention and Control Coordinator
Maryvale Private Hospital

Maryvale Private Hospital Confidentiality and Privacy Notice

NOTICE – This e-mail is only intended to be read by the named recipient. It may contain information which is confidential or proprietary. If you are not the intended recipient please notify the sender immediately and delete this e-mail. If you are not the intended recipient you should not copy this e-mail or use the information contained in it for any purpose nor disclose its contents to any other person. Maryvale Private Hospital Pty Ltd accepts no responsibility for electronic viruses or damage caused as a result of this email or for changes made to this email or to any attachments after transmission from SIAG. You should not distribute or publish the contents of this email or any attachment without the prior consent of Maryvale Private Hospital.
* Please consider the environment before printing this email

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[Sue Finch]

Hi Jenny

As Brand names are discouraged from being used in this forum I will be very
generic so hope it is understandable.

I suspect you have already had a look at this online instructional video for
the mechanical device you refer to, but if not I have included the link for
you and others to look at.
http://legacy.minntech.com/medivators/resource/video/scope-buddy.htm.

This is an American product and as such some of the language and practices
in the video are not reflective of our National Endoscopy Guidelines, such
as leaving the decontaminated tubing full of disinfectant attached to the
machine to soak for extended periods or as an alternative rinsed tubing can
be hung to dry.

GENCA guidelines -Infection Control in Endoscopy Guidelines states
-cleaning adaptors and flushing systems must be sterilised via steam or
approved low temperature equivalent or at least thermally disinfected after
each use. I would suggest leaving tubing soaking for an extended period of
time would pose Infection Prevention risks particularly any of the
resistive water borne microorganisms. If the manufacturer is suggesting the
tubing be disinfected in accordance with routine disinfection instructions
after each use then that would make more sense, however this would require
enough tubing to allow cleaning, rinsing and disinfecting for each scope.

The disinfectant that the manufacturer is using in the video is
glutaraldehyde, so assume a similar glutaraldehyde chemical is being used in
your department. Glutaraldehyde 2% is an approved TGA high level
disinfectant but no where can I find the efficacy of items after prolonged
soaking which suggests that this is not its intended use. Plenty of
information however out there about the hazards associated with the use of
glutaraldehyde which is a concern.

I would suggest the sterilization of the tubing via low temperature or steam
after each use or the cleaning and high level disinfection then rinsing in
between use. I would be asking the manufacturer to supply instructions on
how these reusable medical devices should be appropriately processed for
reuse. If they cannot supply them to you then you can notify the TGA and
report this as this is a mandatory requirement of manufacturers and also
Sponsors of Overseas manufactures (suppliers) of Reusable Medical
Devices(RMD). But in the interim obviously disinfection via soaking is the
only option recommended by the manufacturer so according to GENCA
guidelines it must e performed in between each use and must be subject to
the same requirements of documentation as required for the scope. For
terminal processing I would suggest the tubing be thoroughly dried in a
drying cupboard (not air dried)before storing in a manner that prevents
contamination.

Regards

Sue Finch

Nurse Consultant

Infection Prevention & Control

Sterilizing Services

P: 0419306845

E: suzef@bigpond.net.au

Of Jenny McCarthy

Dear all

We have recently put a “scope buddy” in our endoscopy area (a device that
automatically flushes the scope prior to putting in the AFER) . My concern
is the suppliers have told the endoscopy staff that “other hospitals” leave
the tubing attached to the scope buddy with the low level instrument grade
disinfectant through the tubing.

The tubing is reusable and staff have set up a system where the tubing sits
in the disinfectant until the next list. Any comments?

Thanks
Jenny
Jenny McCarthy
OR Manager/Infection Prevention and Control Coordinator
Maryvale Private Hospital

Maryvale Private Hospital Confidentiality and Privacy Notice

NOTICE – This e-mail is only intended to be read by the named recipient. It
may contain information which is confidential or proprietary. If you are not
the intended recipient please notify the sender immediately and delete this
e-mail. If you are not the intended recipient you should not copy this
e-mail or use the information contained in it for any purpose nor disclose
its contents to any other person. Maryvale Private Hospital Pty Ltd accepts
no responsibility for electronic viruses or damage caused as a result of
this email or for changes made to this email or to any attachments after
transmission from SIAG. You should not distribute or publish the contents of
this email or any attachment without the prior consent of Maryvale Private
Hospital.
P Please consider the environment before printing this email

Messages posted to this list are solely the opinion of the authors, and do
not represent the opinion of ACIPC.

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