Endoscopic Reprocessing
Competency Tool

Endoscopic Reprocessing Competency Tool1

The Victorian Department of Health is making this document freely available on the internet for health services to use and adapt to meet the National Safety and Quality Health Service Standards of the Australian Commission on Safety and Quality in Health Care. Each health service is responsible for all decisions on how to use this document at its health service and for any changes to the document. Health services need to review this document with respect to the local regulatory framework, processes and training requirements

The author disclaims any warranties, whether expressed or implied, including any warranty as to the quality, accuracy, or suitability of this information for any particular purpose. The author and reviewers cannot be held responsible for the continued currency of the information, for any errors or omissions, and for any consequences arising there from.

Published by Sector Performance, Quality and rural Health, Victorian Government, Department of Health

February 2014

Endoscopic Reprocessing Competency Tool1

Key: I – Independent S – Supervised A – Assisted M – Marginal D – Dependent(Refer‘Bondy’ Rating Scale p.4)

Note:Shaded area indicates minimum criteria to meet clinical competency

ASSESSMENT CRITERIA / ELEMENTS / Participant Performance / Standard
Perform leak testing in the Reprocessing area, prior to reprocessing each endoscope. /
  • Wears appropriate personal protective equipment (PPE)
/ I / S / A / M / D /
AS4187,
ACORN S16
  • Fill sink with clean water.
/ I / S / A / M / D
  • Confirm that there is no moisture inside the leakage tester’s connector cap.
/ I / S / A / M / D
  • Connect the leakage tester to the output socket of the MU-1(air supply)
/ I / S / A / M / D
  • Turn on leak tester and confirm that air is being emitted by gently depressing the pin located inside the leakage tester connector cap
/ I / S / A / M / D
  • FOR 180 ENDOSCOPES: Connect the leakage tester cap to the venting connector on the water resistant cap on endoscope, and confirm bending section inflation before placing in water
/ I / S / A / M / D
  • FOR 190 ENDOSCOPES: Connect the leakage tester to the venting connector on the One Touch Connector and confirm bending section inflation before placing in water.
/ I / S / A / M / D
  • Completely immerse the endoscope in water and observe for 30 seconds for potential leaks,
/ I / S / A / M / D
  • Manipulate the angulation knobs checking for potential leaks.
/ I / S / A / M / D
  • Remove the endoscope Light Guide Connector/One Touch Connector from water and turn OFF the leak tester.
/ I / S / A / M / D
  • Disconnect the leakage tester from the air source (MU-1)
/ I / S / A / M / D
  • Wait 30 seconds or until the bending section contracts to its pre-expansion size.
/ I / S / A / M / D
  • Disconnect leakage tester connector cap from endoscope.
/ I / S / A / M / D
  • Generate Scancare TY barcode
/ I / S / A / M / D
Patency Checking /
  • Verify the scope angulation is in the free position.
/ I / S / A / M / D /
AS4187,
ACORN S16
  • Use long brush to check channel patency of Biopsy/suction channel in the insertion tube.
/ I / S / A / M / D
  • Use long brush to check channel patency of Biopsy/suction channel in the universal cord.
/ I / S / A / M / D
ASSESSMENT CRITERIA / ELEMENTS / Participant Performance / Standard
Safe Handling /
  • Ensure that the insertion tube is not coiled too tightly when handling the endoscope.
/ I / S / A / M / D /
AS4187,
ACORN S16
  • Position the control knobs upright, especially if the endoscope is placed on a counter.
/ I / S / A / M / D
  • Transport the endoscope in tray throughout decontaminating process.
/ I / S / A / M / D
Loading Automated Endoscope Reprocessor (AER) /
  • Loads scope securing the control head in washer/disinfector chamber.
/ I / S / A / M / D /
AS4187, ACORN S16
  • Ensures that scope is not coiled too tightly or kinked
/ I / S / A / M / D
  • Cleans and dries leak test connector with detergent wipe followed by dry non linting cloth.
/ I / S / A / M / D
  • Attaches leak test first
/ I / S / A / M / D
  • Ensures that all channels are attached, as required by specific model of scope.
/ I / S / A / M / D
  • Thoroughly wipes washer disinfector surround with detergent wipe.
/ I / S / A / M / D
  • Removes gloves and conducts hand hygiene
/ I / S / A / M / D
  • Selects appropriate cycle for scope, based on anticipated length of storage after reprocessing.
/ I / S / A / M / D
  • Scans operator into machine and checks information is correct
/ I / S / A / M / D
  • Scans scope into machine and checks information is correct
/ I / S / A / M / D
  • Closes machine lid at appropriate time and starts cycle
/ I / S / A / M / D
  • Scan Soluscope load and scope into Scancare
/ I / S / A / M / D
Documenting Load / Fills in record sheet correctly:
  • cycle type
  • scope type e.g. G, C, D
  • last 4 digits of serial number
  • User number
  • Date
  • Time In
/ I / S / A / M / D /
AS4187,
ACORN S16
Unloading AER /
  • Scans Staff bar code when directed by Washer/Disinfector display
/ I / S / A / M / D /
AS4187,
ACORN S16
ASSESSMENT CRITERIA / ELEMENTS / Participant Performance / Standard
Unloading AER
(cont) / Checks Printout including
  • Machine number
  • Cycle number
  • Scope number
  • Date
  • Cycle complete successfully
/ I / S / A / M / D /
AS4187,
ACORN S16
  • Opens machine lid and checks scope attachment
/ I / S / A / M / D
  • Passes load on record sheet
/ I / S / A / M / D
  • Pass load in Scancare
/ I / S / A / M / D
  • Opens machine lid and checks scope attachment
/ I / S / A / M / D
  • Passes load on record sheet
/ I / S / A / M / D
  • Pass load in Scancare
/ I / S / A / M / D
Storage /
  • Ensure the angulation locks are in the free position.
/ I / S / A / M / D /
AS4187, ACORN S16
  • For endoscopes with flexible adjustment mechanism (Colonoscopes), set the insertion tube to maximum flexibility (“O” position)
/ I / S / A / M / D
  • Hang the endoscope so that the universal cord and insertion tube are hanging vertically and the distal tip of insertion tube is hanging free.
/ I / S / A / M / D
  • For endoscopes with water resistant cap, remove for storage.
/ I / S / A / M / D
  • Dispatch scope into cupboard in Scancare
/ I / S / A / M / D
Ultrasonic Probes /
  • Checks procedure list and identify if ultrasound probe processing requirements for the list. Acts appropriately (i.e. if ultrasound processing required, disinfector warmed up in timely fashion)
/ I / S / A / M / D /
AS4187, ACORN S16
  • Prepares detergent solution to the correct concentration.
/ I / S / A / M / D
  • Cleans the probe with a soft non linting cloth being careful not to immerse the plug in water.
/ I / S / A / M / D
  • Rinses the probe with consideration for risks that may cause damage.
/ I / S / A / M / D
  • Loads probe and indicator correctly in Trophon EPR
/ I / S / A / M / D
  • Documents cycle correctly in Trophon EPR record book
/ I / S / A / M / D
  • Interprets indicator correctly and files in Trophon EPR record book with appropriate cycle
/ I / S / A / M / D

Staff member being assessed:______

Assessor:______Signed (Assessor): ______

(Please print name)

Date of Assessment: ______

Standard Achieved: (please circle one)Competent (C)Not Yet Competent(NYC)

Comments (if required):

______

______

______

Endoscopic Reprocessing Competency Tool1

Action Plan

Please document the agreed education plan and completion timelines for staff assessed as not yet competent:

Staff Member Name______

Staff Member Signature______

Staff Member Ward______

Educator Name______

Educator Signature______

Proposed Completion Date______

Endoscopic Reprocessing Competency Tool1

‘Bondy’ Rating Scale

Scale label / Score / Standard of procedure / Quality of performance / Level of assistance required
Independent / 5 / Safe
Accurate
Achieved intended outcome
Behaviour is appropriate to context / Proficient
Confident
Expedient / No supporting cues required
Supervised / 4 / Safe
Accurate
Achieved intended outcome
Behaviour is appropriate to context / Proficient
Confident
Reasonably expedient / Requires occasional supportive cues
Assisted / 3 / Safe
Accurate
Achieved most objectives for intended outcome
Behaviour generally appropriate to context / Proficient throughout most of performance when assisted / Requires frequent verbal and occasional physical directives in addition to supportive cues
Marginal / 2 / Safe only with guidance
Not completely accurate
Incomplete achievement of intended outcome / Unskilled
Inefficient / Requires continuous verbal and frequent physical directive cues
Dependent / 1 / Unsafe
Unable to demonstrate behaviour
Lack of insight into behaviour appropriate to context / Unskilled
Unable to demonstrate behaviour/procedure / Requires continuous verbal and continuous physical directive cues

Bondy, 1983

References

ACORN. (2012-2013). Standards for perioperative nursing including nursing roles, guidelines and position statements. Adelaide: ACORN

AS/NZ 4187:2003, Australian/New Zealand Standard: Cleaning, disinfecting & sterilising reusable medical & surgical instruments & equipment, & maintenance of associated environments in health care facilities. Sydney: Standards Australia

Bondy, K.N. (1983) Criterion-Referenced Definitions for Rating Scales in Clinical Evaluation. Journal of Nursing Education, 22(9), 376-382

Bondy, K.N. (1984) Clinical Evaluation of student performance: the effects of criteria on accuracy and reliability. Research in Nursing and Health, 7(1), 25-33

GESA/GENCA document: Infection Control in Endoscopy 2nd Edition (2003)

Endoscopic Reprocessing Competency Tool1