Page 70 - policy and procedure infection control

Policies and Procedures on Infection Control

7. Disinfection should be done after every procedure.
8. Do not attach the removal parts to the endoscope for storage.

Automatic Reprocessing
1. When using the automated re-processor the staff must be ensured to follow the
manufacturer’s instructions.
2. In automatic endoscope reprocessing (AER) the endoscope and endoscope
components are placed in the re-processor, and all the channel connectors attached
according to AER and endoscopic instructions.

3. Reprocessing programmer is about 20-30 minutes, depending on the disinfection used.
4. This is followed by cleaning and drying procedures, as drescribed in manual
description.

Storage
1. Ensure proper drying prior to storage.
2. Hand vertically preferably in a vertical position to facilitate drying.

3. Remove all removal parts according to manufacturer’s instructions.
4. Uncoil insertion tubes.
5. Use a well ventilated room or special storage cabinet for reprocessed endoscopes
only. This will encourage continued air drying of the surfaces and prevent undue moisture
build up, thereby discouraging any microbial contamination of the cabinet surfaces.

Endoscopic accessories
1. Rinse all the endoscopic accessories with water.

2. Clean by brushing with detergent.
3. Immerged all the endoscopic accessories into the disinfectant diluted according to
manufacturer’s instruction.
4. Rinse the clean accessories with clean water.
5. Dry the accessories with a non-shedding cloth.
6. Clean once a week using the Olympus ultrasonic washer.

Endoscopies for patients with Hepatitis B and C, and HIV and other immunocompromised
states
1. All cases should be schedules as the last cases for the session.
2. The endoscope should be disinfected according to the manufacture instruction before
the procedure as to ensure the eradication of all opportunistic pathogens.
3. The instrument should be immersed in the disinfectant diluted according to
manufacturer’s instructions.

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