Endoscope Reprocessing Manual Chapt
u u u
ers 1 thru 15(All the homework, quizes, te
u u u u u u u
st, progress test)Completed 2023
u u u
Manualucleaningushouldubeginuimmediatelyuafterupre-cleaningu-uAnswerufalse
Reprocessinguthatubeginsumoreuthanuoneuhouruafterutheuendoscopeuisuuseduisucalled:u-
uAnswerudelayeduprocessing
Whenumanuallyucleaninguendoscopes,utheucleaningusolutionushouldubeuchanged:u-
uAnsweruforueachuendoscope
Usingudetergentsuthatuareunotulowufoamingucanuinhibitufluiducontactuwithutheusurfaceuofut
heuendoscopeu-uAnswerutrue
Afterurinsing,ubutubeforeudisinfection,uinneruchannelsushouldubeu-
uAnswerupurgeduwithuair
Waterubottlesushouldubeucleanedu-
uAnswerufollowingumaunfacturer'suinstructionsuforuuse
Testinguforucleaninguefficacyuofutheumanualucleaninguprocessushouldubeuperformeduatule
astuweekly,ubutupreferablyudailyu-uAnswerutrue
Automateducleaninguisutheumostuimportantustepuinuremovingumicrobialubiodurdenufromua
uflexibleuendoscopeu-uAnswerufalse
Thoroughumanualucleaningumustubeuperformedubeforeuplacinguanuendoscopeuintouanua
utomateduequipmentureprocessoru-uAnswerutrue
TheuU.S.uFooduanduDruguAdministrationu(FDA)udefinesuauvalidationuasuestablishingubyu
objectiveuevidenceuthatuauprocessuconsistlyuproducesuauresultuoruproductuthatumeetsuitsu
predetermineduspecificationsu-uAnsweruvalidation
Listutheusevenustepsuthatugennerallyuoutlineutheuprocessuforumanualucleaninguofuflexibleu
endoscopesu-
uAnsweru1.uCompletelyusubmergeuendoscopeuinudetergent/uenzymaticusolution
2.uManuallyucleanualluinternaluanduexternalusurfaces.uthisuincludesubrushingualluinternalu
channelsuthatucanubeubrushed
3.uAttachurecommendeducleaninguadaptersuaccordingutoutheuendoscopeumanufacturer'
suinstructionsu(IFU)
4.uFlushueachuinternaluchanneluwithudetergentuoruenzymatic
5.uSoakuforurecommendedutiimeuinudetergrent/uenzymaticusolutionuaccordingutoudetergr
ent/uenzymaticumanufacturersurecommendation
6.uAfterusoaking,urinseuandusubmergeutheuendoscopeuinucleanuwateruanduflushutheuchan
nels
7.uRemoveuwaterufromutheuchannelsubyuflushinguinternaluchannelsuwithuair.
,Endoscope Reprocessing Manual Chapt
u u u
ers 1 thru 15(All the homework, quizes, te
u u u u u u u
st, progress test)Completed 2023
u u u
Cleaninguverificationuofuflexibleuandusemi-rigiduendoscopesubyuusersushoulduinclude:u-
uAnsweru1.uVisualuinspectionucombineduwithuotheruverificationsuthatuallowsutheuassess
mentuofubothuexternalusurfacesuanduinternaluhousinguanduchannels
2.uTestinguofutheucleaninguefficacyuofumechanicaluequipment
3.uMonitoringuofukeyucleaninguparameters
Whatuareutheudangersuofudelayeduprocessinguofuendoscope?u-
uAnsweruDelayureprocessinguenablesubiofilmsutouformuandusoilutoudry.uBothuwillumakeucl
eaninguofutheuendoscopeumoveudifficult.
Federaluagencyuthatuconductsuandusupportsuhealthupromotion,upreventionuanduprepare
dnessuactivitiesuinutheuUS,uwithutheugoaluofuimprovinguoverallupublicuhealth.uEstablishedu
inu1946uandubaseduinuAtlanta,uGAutheuCDCuisumanagedubyutheudepartmentuofuhealtyuan
duhumanu-uAnsweruCentersuforudiseaseucontroluanduprevention
Whichutypeuofucleaningubrushuoffersutheusafestuandueasiestuwayutouminimizeucrossucont
aminationurisks?u-uAnswerudisposable
Enduofuanuitemuthatuisufarthestuawayufromutheupointuofuorigin;utheuenduofutheuinstrumentuf
arthestuawayufromutheuoperator;utheudistaluenduofutheufemuruisuclosetutoutheukneeu-
uAnswerudistal
Listutheuthreeumainugoalsuwhenutransportingucontaminateduendoscopesu-
uAnsweru1.uDelierutheuendoscopeuinuautimelyumanner
2.uPreventucrossucontaminationuduringutransport
3.uPreventutheuendoscopeufromubeingudamaged
Whatuisutheudangeruofuauflexibleuendoscopeuthatuisunotuleakuteastedu-
uAnsweru1.uDamageduendoscopesuareuvulneralbuetoufluiduinvasion
2.uUndetectedudamageumayuinpedeufutureuprocedures
Situationuwhereufluiduinvadesuinternalusectionsuofuanuendoscope.uFluidudamageucauses
udamageutouworkingucomponentsuofutheuendoscopeuanducreatesuausituationuwhereumicr
oorganismsuareuintroducedutouareasuofutheuendoscopeuthatucannotubeucleanedu-
uAnswerufluiduinvasion
Listutheueightustepsuofuleaskutestingu-uAnsweru1.uInspectuforutearsuandudamages
2.uRemoveusuction,uairuanduwateruvalues
3.uConnectutheuendoscopesutoutheuleakutest
4.uPressurizeuandusubmergeutheudistaluportion,uanduflex,usubmergeuanducheckutheucontr
oluhead
5.uCheckuforububblesuandusignsuofudamage
6.uRemoveutheuendoscopeufromuwateruandudrain
7.uReleaseupressureufromutheuendoscope
8.uDisconnectufromuleakutester
,Endoscope Reprocessing Manual Chapt
u u u
ers 1 thru 15(All the homework, quizes, te
u u u u u u u
st, progress test)Completed 2023
u u u
breakudownufattyudeposits,usuchuasuboneumarrowuanduadiposeutissueu-uAnswerulipase
catalyzeu(changes)ustarchu-uAnsweruamylase
Preucleaninguatutheupointuofuuseureducesutheulikelihooduofubiofilmuformationu-
uAnswerutrue
Preucleaninguatutheupointuofuuseushoulduoccurubeforeutheuendoscopeuisudisconnectedufr
omutheupowerusourceu-uAnswerutrue
Afteruremovingutheuflexibleuendoscopeufromutheupatient,utheufirstustepuinupointuofuuseupre
ucleaninguisutou-uAnsweruremoveutheugrossusoil
Whenuplacingutheupreucleaneduendoscopeuinutheucontaineruforutransportutoutheudeconta
minationuarea,ualluaccessoriesuuseduonutehuprocedureushouldubeuplaceduinutheucontaine
ruwithutheuendoscopeu-uAnswerufalse
Theugoaluofuleakutestinguisutou-
uAnswerudetectudamageutoutheuexterioruanduinterioruofutheuendoscope
Theuendoscopeucanubeureturnedutoucirculationutoubeuuseduforusurgeryuifutheuleakageuisuv
eryuminimaluafteruleakutestingu-uAnswerufalse
Preucleaninguatutheupointuofuuseuincreaseutheulikelihooduofubiofilmuformationu-
uAnswerufalse
Whenuperforminguauleakutest,utheuwateruresistantucapushouldualwaysubeuinuplaceu-
uAnswerutrue
WhichuofutheufollowinguaboutufluiduinvasionsuisuNOTutrue?u-
uAnswerualluanswersuareutrueuaboutufluiduinvasion
Whenutransportinguendoscopeufromutheuuseruareautoutheudecontaminationuarea,utheuen
doscopeuanduaccessoriesu-uAnswerushouldubeutransporteduinuauseparateucontainer
Threeumainugoalsuofutransportu-uAnsweru1.udeliverutheuendoscopeuinuautimelyumanner
2.upreventucrossucontaminationuasutheuendoscopeuisutrnasported
3.upreventutheuendoscopeufromubeingudamaged
Theuthreeumainugoalsuwhenutransportingucontaminateduflexibleuendoscopesutoutheudec
ontaminationuareauincludesuallutheufollowinguexcept:u-
uAnsweruforuimmediateusterilizationuoruhighuleveludisinfection
Anuexampleuofuaurigiduendoscopeuisua/anu-uAnsweruArthroscope
, Endoscope Reprocessing Manual Chapt
u u u
ers 1 thru 15(All the homework, quizes, te
u u u u u u u
st, progress test)Completed 2023
u u u
Thisuorganizationuusesuapplieduscientificuresearchutoukeepuhealthcareuprofessionalsuab
reastuofuchallengesuanduconcernsuregardingumedicaludevices.u-uAnsweruECRIuInstitute
Theusectionuofuauflexibleuendoscopeuarticulatesutouaiduinsertionuintoucurveduareas.u-
uAnsweruBendingusection
Theuinsertionutubeuofuauflexibleuendoscope:u-
uAnsweruAllutheuaboveu(usutheupartuofutheuendoscopeuthatuisuinserteduintoutheupatient,uPro
tectsutheuinnerucomponentsuofutheuendoscopeuanduHousesutheuair,uwateruanduinstrume
ntuchannels)
Aubronchoscopeucanubeuusedutouexamineutheuairways.u-uAnswerutrue
Whenuusinguauflexibleuendoscope,uintrumentsuareuintroduceduintoutheubodyuthroughutheu
-uAnsweruBiopsyuport
Thisuendoscopeuisuoftenuusedutoutreatukidneyustones.u-uAnsweruUreteroscope
Gastroscopesucanubeuusedutouperformuupperugastrointestinaluprocedures,uincludinguaud
uodenoscopy.u-uAnswerufalse
Operativeu(therapeutic)uflexibleuendoscopesuareuusedutouidentifyupossibleudisease.u-
uAnswerufalse
Thisuendoscopeuisuusedutouremoveugallstones:u-uAnsweruCholedochoscope
Ureteroscopesuareuusedutouviewutheutubesuthatuconnectutheukidneysutoutheubladder.u-
uAnswerutrue
Aurhinolaryngoscopeuisuusedutouexamineuthe:u-uAnsweruNasalupassages
Informationuforureprocessinguspecificuendoscopesucanubeufound:u-
uAnsweruInutheuendoscopeumanufacturer'suinstructionsuforuuse
Alonguwithubenefitsutoutheupatient,uendoscopicuproceduresubenefitutheufacilityuby:u-
uAnsweruReducinguprocedureutime
Theuendoscopeuuniversalucord:u-
uAnsweruConnectsutheulightuconnectorutoutheucontrolubody
Anuenteroscopeuisuusedutouexamineuthe:u-uAnsweruSmalluintestine
Flexibleuendoscopesucanubeuusedutouremoveupolyps.u-uAnswerutrue
Theuinsertionutubeuofuauflexibleuendoscopeucanucontainuthe:u-
uAnsweruInstrumentuchannel
u u u
ers 1 thru 15(All the homework, quizes, te
u u u u u u u
st, progress test)Completed 2023
u u u
Manualucleaningushouldubeginuimmediatelyuafterupre-cleaningu-uAnswerufalse
Reprocessinguthatubeginsumoreuthanuoneuhouruafterutheuendoscopeuisuuseduisucalled:u-
uAnswerudelayeduprocessing
Whenumanuallyucleaninguendoscopes,utheucleaningusolutionushouldubeuchanged:u-
uAnsweruforueachuendoscope
Usingudetergentsuthatuareunotulowufoamingucanuinhibitufluiducontactuwithutheusurfaceuofut
heuendoscopeu-uAnswerutrue
Afterurinsing,ubutubeforeudisinfection,uinneruchannelsushouldubeu-
uAnswerupurgeduwithuair
Waterubottlesushouldubeucleanedu-
uAnswerufollowingumaunfacturer'suinstructionsuforuuse
Testinguforucleaninguefficacyuofutheumanualucleaninguprocessushouldubeuperformeduatule
astuweekly,ubutupreferablyudailyu-uAnswerutrue
Automateducleaninguisutheumostuimportantustepuinuremovingumicrobialubiodurdenufromua
uflexibleuendoscopeu-uAnswerufalse
Thoroughumanualucleaningumustubeuperformedubeforeuplacinguanuendoscopeuintouanua
utomateduequipmentureprocessoru-uAnswerutrue
TheuU.S.uFooduanduDruguAdministrationu(FDA)udefinesuauvalidationuasuestablishingubyu
objectiveuevidenceuthatuauprocessuconsistlyuproducesuauresultuoruproductuthatumeetsuitsu
predetermineduspecificationsu-uAnsweruvalidation
Listutheusevenustepsuthatugennerallyuoutlineutheuprocessuforumanualucleaninguofuflexibleu
endoscopesu-
uAnsweru1.uCompletelyusubmergeuendoscopeuinudetergent/uenzymaticusolution
2.uManuallyucleanualluinternaluanduexternalusurfaces.uthisuincludesubrushingualluinternalu
channelsuthatucanubeubrushed
3.uAttachurecommendeducleaninguadaptersuaccordingutoutheuendoscopeumanufacturer'
suinstructionsu(IFU)
4.uFlushueachuinternaluchanneluwithudetergentuoruenzymatic
5.uSoakuforurecommendedutiimeuinudetergrent/uenzymaticusolutionuaccordingutoudetergr
ent/uenzymaticumanufacturersurecommendation
6.uAfterusoaking,urinseuandusubmergeutheuendoscopeuinucleanuwateruanduflushutheuchan
nels
7.uRemoveuwaterufromutheuchannelsubyuflushinguinternaluchannelsuwithuair.
,Endoscope Reprocessing Manual Chapt
u u u
ers 1 thru 15(All the homework, quizes, te
u u u u u u u
st, progress test)Completed 2023
u u u
Cleaninguverificationuofuflexibleuandusemi-rigiduendoscopesubyuusersushoulduinclude:u-
uAnsweru1.uVisualuinspectionucombineduwithuotheruverificationsuthatuallowsutheuassess
mentuofubothuexternalusurfacesuanduinternaluhousinguanduchannels
2.uTestinguofutheucleaninguefficacyuofumechanicaluequipment
3.uMonitoringuofukeyucleaninguparameters
Whatuareutheudangersuofudelayeduprocessinguofuendoscope?u-
uAnsweruDelayureprocessinguenablesubiofilmsutouformuandusoilutoudry.uBothuwillumakeucl
eaninguofutheuendoscopeumoveudifficult.
Federaluagencyuthatuconductsuandusupportsuhealthupromotion,upreventionuanduprepare
dnessuactivitiesuinutheuUS,uwithutheugoaluofuimprovinguoverallupublicuhealth.uEstablishedu
inu1946uandubaseduinuAtlanta,uGAutheuCDCuisumanagedubyutheudepartmentuofuhealtyuan
duhumanu-uAnsweruCentersuforudiseaseucontroluanduprevention
Whichutypeuofucleaningubrushuoffersutheusafestuandueasiestuwayutouminimizeucrossucont
aminationurisks?u-uAnswerudisposable
Enduofuanuitemuthatuisufarthestuawayufromutheupointuofuorigin;utheuenduofutheuinstrumentuf
arthestuawayufromutheuoperator;utheudistaluenduofutheufemuruisuclosetutoutheukneeu-
uAnswerudistal
Listutheuthreeumainugoalsuwhenutransportingucontaminateduendoscopesu-
uAnsweru1.uDelierutheuendoscopeuinuautimelyumanner
2.uPreventucrossucontaminationuduringutransport
3.uPreventutheuendoscopeufromubeingudamaged
Whatuisutheudangeruofuauflexibleuendoscopeuthatuisunotuleakuteastedu-
uAnsweru1.uDamageduendoscopesuareuvulneralbuetoufluiduinvasion
2.uUndetectedudamageumayuinpedeufutureuprocedures
Situationuwhereufluiduinvadesuinternalusectionsuofuanuendoscope.uFluidudamageucauses
udamageutouworkingucomponentsuofutheuendoscopeuanducreatesuausituationuwhereumicr
oorganismsuareuintroducedutouareasuofutheuendoscopeuthatucannotubeucleanedu-
uAnswerufluiduinvasion
Listutheueightustepsuofuleaskutestingu-uAnsweru1.uInspectuforutearsuandudamages
2.uRemoveusuction,uairuanduwateruvalues
3.uConnectutheuendoscopesutoutheuleakutest
4.uPressurizeuandusubmergeutheudistaluportion,uanduflex,usubmergeuanducheckutheucontr
oluhead
5.uCheckuforububblesuandusignsuofudamage
6.uRemoveutheuendoscopeufromuwateruandudrain
7.uReleaseupressureufromutheuendoscope
8.uDisconnectufromuleakutester
,Endoscope Reprocessing Manual Chapt
u u u
ers 1 thru 15(All the homework, quizes, te
u u u u u u u
st, progress test)Completed 2023
u u u
breakudownufattyudeposits,usuchuasuboneumarrowuanduadiposeutissueu-uAnswerulipase
catalyzeu(changes)ustarchu-uAnsweruamylase
Preucleaninguatutheupointuofuuseureducesutheulikelihooduofubiofilmuformationu-
uAnswerutrue
Preucleaninguatutheupointuofuuseushoulduoccurubeforeutheuendoscopeuisudisconnectedufr
omutheupowerusourceu-uAnswerutrue
Afteruremovingutheuflexibleuendoscopeufromutheupatient,utheufirstustepuinupointuofuuseupre
ucleaninguisutou-uAnsweruremoveutheugrossusoil
Whenuplacingutheupreucleaneduendoscopeuinutheucontaineruforutransportutoutheudeconta
minationuarea,ualluaccessoriesuuseduonutehuprocedureushouldubeuplaceduinutheucontaine
ruwithutheuendoscopeu-uAnswerufalse
Theugoaluofuleakutestinguisutou-
uAnswerudetectudamageutoutheuexterioruanduinterioruofutheuendoscope
Theuendoscopeucanubeureturnedutoucirculationutoubeuuseduforusurgeryuifutheuleakageuisuv
eryuminimaluafteruleakutestingu-uAnswerufalse
Preucleaninguatutheupointuofuuseuincreaseutheulikelihooduofubiofilmuformationu-
uAnswerufalse
Whenuperforminguauleakutest,utheuwateruresistantucapushouldualwaysubeuinuplaceu-
uAnswerutrue
WhichuofutheufollowinguaboutufluiduinvasionsuisuNOTutrue?u-
uAnswerualluanswersuareutrueuaboutufluiduinvasion
Whenutransportinguendoscopeufromutheuuseruareautoutheudecontaminationuarea,utheuen
doscopeuanduaccessoriesu-uAnswerushouldubeutransporteduinuauseparateucontainer
Threeumainugoalsuofutransportu-uAnsweru1.udeliverutheuendoscopeuinuautimelyumanner
2.upreventucrossucontaminationuasutheuendoscopeuisutrnasported
3.upreventutheuendoscopeufromubeingudamaged
Theuthreeumainugoalsuwhenutransportingucontaminateduflexibleuendoscopesutoutheudec
ontaminationuareauincludesuallutheufollowinguexcept:u-
uAnsweruforuimmediateusterilizationuoruhighuleveludisinfection
Anuexampleuofuaurigiduendoscopeuisua/anu-uAnsweruArthroscope
, Endoscope Reprocessing Manual Chapt
u u u
ers 1 thru 15(All the homework, quizes, te
u u u u u u u
st, progress test)Completed 2023
u u u
Thisuorganizationuusesuapplieduscientificuresearchutoukeepuhealthcareuprofessionalsuab
reastuofuchallengesuanduconcernsuregardingumedicaludevices.u-uAnsweruECRIuInstitute
Theusectionuofuauflexibleuendoscopeuarticulatesutouaiduinsertionuintoucurveduareas.u-
uAnsweruBendingusection
Theuinsertionutubeuofuauflexibleuendoscope:u-
uAnsweruAllutheuaboveu(usutheupartuofutheuendoscopeuthatuisuinserteduintoutheupatient,uPro
tectsutheuinnerucomponentsuofutheuendoscopeuanduHousesutheuair,uwateruanduinstrume
ntuchannels)
Aubronchoscopeucanubeuusedutouexamineutheuairways.u-uAnswerutrue
Whenuusinguauflexibleuendoscope,uintrumentsuareuintroduceduintoutheubodyuthroughutheu
-uAnsweruBiopsyuport
Thisuendoscopeuisuoftenuusedutoutreatukidneyustones.u-uAnsweruUreteroscope
Gastroscopesucanubeuusedutouperformuupperugastrointestinaluprocedures,uincludinguaud
uodenoscopy.u-uAnswerufalse
Operativeu(therapeutic)uflexibleuendoscopesuareuusedutouidentifyupossibleudisease.u-
uAnswerufalse
Thisuendoscopeuisuusedutouremoveugallstones:u-uAnsweruCholedochoscope
Ureteroscopesuareuusedutouviewutheutubesuthatuconnectutheukidneysutoutheubladder.u-
uAnswerutrue
Aurhinolaryngoscopeuisuusedutouexamineuthe:u-uAnsweruNasalupassages
Informationuforureprocessinguspecificuendoscopesucanubeufound:u-
uAnsweruInutheuendoscopeumanufacturer'suinstructionsuforuuse
Alonguwithubenefitsutoutheupatient,uendoscopicuproceduresubenefitutheufacilityuby:u-
uAnsweruReducinguprocedureutime
Theuendoscopeuuniversalucord:u-
uAnsweruConnectsutheulightuconnectorutoutheucontrolubody
Anuenteroscopeuisuusedutouexamineuthe:u-uAnsweruSmalluintestine
Flexibleuendoscopesucanubeuusedutouremoveupolyps.u-uAnswerutrue
Theuinsertionutubeuofuauflexibleuendoscopeucanucontainuthe:u-
uAnsweruInstrumentuchannel
