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Appendix 3: Topics Covered by the Endoscope Decontamination Assessment Tool
Site details: this form collects details about the organisation on behalf of which the review is being undertaken e.g., the NHS board or independent hospital and details of the contact person for the site.
Clinical unit details: this form collects information about the clinical unit in which the review is being undertaken including:
- type of clinical service area;
- contact person details;
- whether endoscopes are processed in-house or sent to another unit and if so where;
- number of automated endoscope reprocessing machines used;
- whether endoscopes from other clinical units are re-processed;
- endoscopes withdrawn from service within previous 2 years
- whether endoscopes are borrowed from elsewhere;
- number of endoscopes re-processed.
Endoscope details: this form gathers details about each endoscopes used or re-processed in the unit including:
- manufacturer, supplier, model/serial numbers and type;
- number and type of channels;
- whether each channel is cleaned and disinfected and how this is achieved;
- whether the decontamination process/disinfectant used changed in previous 2 years;
- availability of manufacturer's instruction;
- whether current practice differs from manufacturer's instructions;
- have staff had training and if so who provided it;
Manual cleaning procedure: this form collects information on:
- where and how manual cleaning is undertaken, e.g., the facilities and equipment;
- process chemicals;
- water quality;
- procedures used.
Endoscope reprocessing equipment: this form gathers details about endoscope reprocessing equipment, including:
- manufacturer, supplier, model/serial/asset numbers, age and type;
- number and type of endoscopes accommodated;
- operational details;
- cycle stages available;
- automatically controlled functions;
- process chemicals - type and manufacturer;
- independent monitoring.
Reprocessing equipment - maintenance and testing: this form collects information about automatic washer disinfectors e.g.,
- validation;
- periodic testing;
- maintenance;
- records maintained;
- personnel.
Chemical Disinfectants: this form gathers details of the chemical disinfectants used in the unit, including
- manufacturer, and product name;
- in-use concentration of active ingredient/component;
- health and safety information related to occupation exposure;
- bio-compatibility and microbial validation information;
- contact times;
- whether discarded after use or re-used.
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