Flexible cystoscopy has become one of the more valuable and commonly performed procedures in the urology office/clinic setting. Best practices to ensure safe, patient-ready cystoscopes continue to evolve. In 2013 the AUA (American Urological Association) and SUNA (Society of Urological Nurses and Associates) introduced updated guidelines for scope reprocessing.
Incorporating the tenants of the guideline can be a challenge for offices with limited access to budget for inventory and labor – but that doesn’t have to be the case. Using the EndoSheath® protective barrier with PrimeSightTM endoscopy systems offer a simplified, efficient alternative to meet the guideline.
The Inconvenience of Scope Reprocessing
As urologists and other healthcare professionals are well aware, it can be inconvenient to wait for conventional cystoscopy equipment to go through lengthy and elaborate reprocessing procedures. While office-flexible cystoscopy has become a standard urology procedure, the flexible cystoscope has become a more complex instrument, with reprocessing requirements becoming more complex between patients.
Following concerns over office-based endoscope reprocessing practices nationwide, AUA/SUNA published an updated definitive white paper outlining required and proper conventional reprocessing procedures that require a seven-step process to ensure patient safety.
- Precleaning: Promptly after the cystoscope is removed from the patient, manual precleaning should be performed to loosen gross debris using a soft disposable cloth or sponge.
- Leak Testing: Even a tiny hole can be a potential contamination source by allowing fluid entry that will accumulate during repeated use and processing. Leak testing and inspection are the only ways for early detection of fluid invasion.
- Cleaning: The interior and exterior of the cystoscope must be meticulously cleaned, vital to the microbicidal processes used for disinfection or sterilization.
- Disinfection: All disinfectants/sterilants must approved for use with flexible endoscopes, complying with FDA guidelines.
- Rinsing: To ensure that all traces of the disinfectant solution are adequately removed, rinsing is done with sterile water, filtered water, or tap water.
- Drying: Drying the cystoscope after each reprocessing cycle, both between patient procedures and before storage, is a requisite practice, crucial to the prevention of bacterial transmission.
- Storage: Cystocopes should be hung in a well-ventilated or protected area that will facilitate thorough drying.
On the other hand, the sterile, single-use EndoSheath protective barrier eliminates the need for high-level disinfectant between procedures. So, instead of the 27 steps and 45 minutes needed for conventional scope reprocessing, a PrimeSight cystoscope can be ready within 10 minutes after 3 simple steps. Even better, this process ensures that patient safety stays at the forefront and in compliance with the AUA/SUNA scope processing guideline.
How It Works
Prior to the procedure, the PrimeSight cystoscope is placed inside a new EndoSheath barrier which covers the cystoscope and completely isolates it from patient contact. At the completion of the procedure, the scope is removed from the sheath. After a quick rinse and wipe-down, the scope ready for a new EndoSheath barrier. The result is a safe, sterile EndoSheath protective barrier for each patient and rapid equipment turnaround for the practice.
Compliance Without Extra Cost
Using the EndoSheath barrier means less staff and equipment exposure to toxic disinfection chemicals. This simple preparation routine frees up staff time normally spent on conventional cystoscope reprocessing routines, increasing productivity and keeping room and equipment turnaround from throwing off the practice’s schedule.
For the practice itself, using PrimeSight cystoscopes with the EndoSheath barrier helps keep the capital equipment budget low by providing one flexible cystoscope that can do the work of many conventional scopes. This combination not only reduces reprocessing time but increases scope flexibility. Since EndoSheath products are available with different working channel sizes, urologists can use a single PrimeSight scope to support a full range of diagnostic and therapeutic procedures.