1043 - Making Heads or Tails of Uncertainties and Inconsistencies in Endoscope Reprocessing

Overview/Abstract: This session provides a comprehensive, evidence-informed review of flexible endoscope reprocessing, guiding perioperative professionals through each critical stage—from point-of-use cleaning to final storage. Emphasis will be placed on the integration of current best practices in space design, workflow optimization, effective drying, and the safe transport and storage of endoscopes. Special attention will be given to hang-time management and strategies for sustaining quality assurance throughout the reprocessing lifecycle.

The session will also address areas of controversy and inconsistency among standards issued by organizations such as AAMI, SGNA, and the CDC. Participants will critically examine conflicting recommendations and emerging research on key topics, including alcohol flushing, simethicone’s role in biofilm development, and the influence of human factors on protocol adherence. Real-world case studies will be used to bridge evidence and practice, supporting effective clinical decision-making.

To reinforce practical learning, the session will conclude with a live borescope demonstration. This segment will showcase internal channel inspections, revealing commonly overlooked findings such as retained debris, surface damage, and early-stage biofilm. Attendees will gain actionable insights into incorporating borescopic evaluation into quality assurance workflows to enhance patient safety and ensure regulatory compliance.