Instrument disinfection is a crucial part of providing these services. Durham EndoSurgery Centre adheres very strictly to guidelines set out by Health Canada, and in particular to a Policy Statement by the College of Physicians and Surgeons of Ontario regarding Independent Health Facilities and high-level disinfection of endoscopes. This policy statement can be viewed HERE
Our technicians have special training and certification from the CSAO. This level of certification qualifies them to run a sterilization department for any Hospital operating room in Ontario.
In general, the procedures are as follows:
Endoscopes our rinsed immediately after use within enzymatic detergent, and all interior channels are flushed. The scope is then manually cleaned with enzymatic detergent, wiped down, all removable pieces taken apart, all valves and attachments individually cleaned and scrubbed in enzymatic detergent, all interior channels once again flushed with detergent, scrubbed with brushes, and prepared for high-level disinfection. The instrument is placed in a sophisticated cleaning machine that exposes every surface of the scope to a medical-grade virus and bacteria- killing solution for a specified contact time. (This solution is checked for effectiveness and documented daily). The scope is then rinsed clean with water, followed by air, and isopropyl alcohol. It is then ready for reuse. The cleaning steps, personnel, date and time, of each scope and each cleaning cycle are recorded simultaneously in a searchable database.
All instruments that travel across body linings (biopsy forceps and polyp removal devices) are disposable, and never reused. All other instruments used for procedures are subjected to sterilization in an autoclave, using high-pressure steam. This results in instruments that are “surgically sterile”.
The floors and surfaces on the Recovery Room and Procedure Room are constructed with surfaces such as stainless steel, sealed flooring with vinyl moulding, and glass, that can easily be wiped and disinfected. All this helps to ensure that every surface and every instrument with which you come into contact is as clean as possible.
All of our Reprocessing procedures are performed by professionals who are re-certified regularly, and undergo on-site, direct observation/inspection on a regular basis. Our Reprocessing personnel also sit on our Quality Assurance Committee.
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