Hi all,
Could anyone provide information on these following questions regarding duodenoscopes and ERCPs –
1. What is the best practice recommendation for reprocessing a duodenoscope? We currently reprocess as per normal gassy/colon scopes. Should they be processed the same as flexible cystoscopes/ureteroscopes?
2. How should the scope ideally be handled immediately prior to use, and transported to theatre? With sterile gloves and in sterile container?
3. Although the working field during an ERCP is sterile, the scope is technically not, so immediately prior to procedure commencement is it acceptable for the scope to be placed outside of the sterile field (as in on top of the endo/camera trolley) with a sterile plastic cover or alternative surface barrier? Or should it be treated the same as a flexible urology procedure and kept within the sterile field?
We have just started undertaking ERCPs at my facility and these questions between clean vs sterile and how to appropriately perform the procedure in terms of infection control have been arising. Any information on your facilities practice or supporting guidelines would be appreciated.
Kindest regards,
Erin Burrows
RN, Operating Suite
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