Enhanced visual inspection and magnification
In recent years , rigid and flexible borescopes have transformed the inspection of cannulated devices and channels of medical devices . Most commonly used by plumbers and mechanics to inspect the internal channels of pipes , medically adapted borescopes are used to visually inspect the internal channels of GI endoscopes and other for cleaning , disinfection , and sterilization process of the borescopes . Follow manufacturers instructions for use to determine the frequency of each of these steps .
The use of borescopes in SPD has proven to be an essential inspection tool and have systematically reduced incidents of soil reaching near perfection measures on quality audit . For many organizations , these successful goals justify the high cost of these devices .
Adequate lighting
Adequate lighting is one of the simplest ways to set up your SPD for success , and AAMI ST 79 3.3.5.6 provides guidelines for proper lighting in inspection areas . After all , you can ’ t clean bioburden if you can ’ t see it . Lighting guidelines should be taken into consideration based on the different work environments , the age group of individuals working in the areas , and the amount of light reflection in the area . Some surfaces and colors absorb the light , while some , like stainless steel , reflect it , so it ’ s important to choose the correct type of lighting and luminance .
Today , there are a variety of light fixtures depending on the type of inspection to be conducted . The most-used type of lighting in SPD is the halogen lights but there are others like fluorescent and LED lighting that may be beneficial in your workspace . Endoscopy areas may require additional lighting over the sinks where manual washing is performed to ensure soil is easily identified . The GI endoscopy audit workstation should also have adequate lighting to provide the technician the ability to inspect the scope lining for damage and bioburden . To further determine the departments ’ illumination needs , the hospital can engage the services of an illumination engineer ensure those areas where critical inspection is conducted incorporates adequate lighting .
The inspection process during surgical instrument assembly is a critical step in the process but visual inspection alone cannot determine if the cleaning process was successful . We can — and should — use enhanced visualization tools like protein indicator tests , borescopes , and cutting-edge technology to “ see ” beyond what we have ever seen before .
We ’ ve come a long way from the early 1990s . Let us keep improving by regular quality audits , solid benchmarks , and a commitment to a zero-defect product .
to have borescopes in the decontamination area where technicians inspect the channels of flexible scopes , power equipment and channeled devices . If soil is found in the channels , the device ( s ) go back to the first step of the cleaning process .
Other borescope applications are for visually inspecting the internal channels of orthopedic shavers , endoscopic and power equipment . It is essential to prepare a maintenance protocol to outlining the steps