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Endoscope Reprocessing: Ensuring Patient Safety, Study notes of Nursing

A comprehensive overview of the essential aspects of endoscope reprocessing, including the examination of the small intestine (enteroscopy), the use of colonoscopes for procedures involving the large intestine, and the proper handling of flexible endoscopes to prevent cross-contamination. It covers key topics such as the importance of proper cleaning and disinfection, the role of automated endoscope reprocessors, the significance of anatomy and physiology knowledge for technicians, and the regulatory requirements surrounding endoscope reprocessing. The document also delves into the prevention of nosocomial infections, the management of bloodborne pathogens, and the proper use of personal protective equipment (ppe). By understanding the information presented in this document, healthcare professionals can ensure the safe and effective reprocessing of endoscopes, ultimately safeguarding patient health and well-being.

Typology: Study notes

2024/2025

Available from 09/15/2024

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Download Endoscope Reprocessing: Ensuring Patient Safety and more Study notes Nursing in PDF only on Docsity! CER EXAM -with 100% verified solutions-2024-2025 Enteroscopy Examination of the small intestine To prevent damage, __________ should not be tightly coiled light bundles _______ is used to perform procedures involving the large intestine Colonoscope A PEG is performed to ______ insert a flexible feeding tube When performing a gastroscope the _______ are visualized esophagus and stomach During an ERCP the _______ is NOT visualized colon Which part of the endoscope conducts light through the shaft and transmits images? Umbilical cord What should be removed first when removing PPE? shoe covers cleaning According to AAMI "the removal of contamination from an item to the extent necessary for further processing for the intended use' detergent A cleaning agent that lowers surface tension to dislodge or dissolve soil Bioburden Microorganisms on contaminated scopes The size of the sink for manual cleaning of scopes should be ______ deep and large enough to completely submerge the endoscope A solution with the pH of 9 is considered ______ alakaline Cavitation The mechanical action in an ultrasonic cleaner The ventilation system in the scope cleaning room must be maintained at negative pressure A major cause of AER failures is using incorrect connectors OSHA requires the eyewash stations be available or emergency use The OSHA Hazard Communication requires that MSDS must be available for _______ each chemical in the department Flexible endoscopes MUST be completely reprocessed so that _______ patient care is not affected Policies Defines what a department MUST do NIOSH This entity makes recommendations on how personnel should protect themselves from latex exposures FDA Food and Drug Administration. This agency requires medical device manufacturers to provide end users in healthcare facilities with specific instructions on how to reprocess reusable products. Regulates single-use device reprocessing. The goal is consumer protection Anatomy The branch of science refers to the form and organization of body parts Liver The largest internal organ Homeostasis The tendency of the body to maintain a stable internal environment Nosocomial An example of a patient contracting an infection from an improperly reprocessed endoscope Nosocomial infections can be prevented EXCEPT by ______ increasing patient length of stay It is mandatory that all healthcare personnel follow the OSHA standard on _______ blood borne pathogens MRSA An antibiotic resistant form of staphyloccocus Hepatitis is an inflammation of the _______ liver The longest part of the GI tract is the _______ small intestine Gastroscope Type of scope that would be used to view the esophagus Blue Positive Gram Stain Aerobes need oxygen to survive Spores A highly durable dehydrated cell with thick, hard shell-like walls, and can lie dormant for years. They can survive extreme heat, lack of water, and exposure to many toxic chemicals and radiation Fomite A desk is an example which is an inanimate object involved in the spread of infections E. Coli responsible for many HAI's Viruses Must have a living host to survive and multiply Pathogenic Colonoscope used to perform procedures involving the large intestine High-level disinfection The process that kills MOST microorganisms, but not necessarily spores High-level disinfection According to Spaulding's classification of medical devices a semi-critical item requires this type of disinfection Glutaraldehydes This disinfectant should NEVER be used as an environmental disinfectant Use life The length of time for which a high-level disinfectant can be used after it has been opened 12 minutes Items manually soaked in ortho-phthaldehyde at a minimum temperature of 68 degrees can achieve high-level disinfection Cleaning The most critical step in the reprocessing of flexible endoscopes Glutaraldehyde This chemical requires minimal effective concentration testing and must be activated 60 Minutes Reprocessing is considered "delayed" if it is not cleaned within this time frame Precleaning The first step in the cleaning process Containers or bags used to transport contaminated endoscopes should be ______ labeled as biohazardous Leak tested The endoscope must be ______ before manually cleaning _______ is NOT a method of leak testing Suction Reusable cleaning brushes must be _______ after each use disinfected Pre-cleaning at the bedside involves ______ flushing the channels Coiling a scope too tightly may cause _______ damage to the fiber optics H.pylori The bacterium that commonly cause inflammation of the stomach Infectious hepatitis is caused by _______ a virus _______ are two functions of the respiratory system Oxygen distribution and gas exchange Vehicle Transmission of disease by water or air ________ will appear on an improperly cleaned instrument that has been disinfected in ortho-phthaldehyde Blue stain