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Flexible Endoscope Reprocessing Flashcards

7 cards from real IAHCSMM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. What does the Spaulding classification categorize flexible endoscopes that enter sterile body cavities (e.g., laparoscopes) as?

    Answer: Critical items requiring sterilization

    Endoscopes that enter sterile body cavities are classified as critical items under the Spaulding system and require sterilization.

  2. When using peracetic acid as a high-level disinfectant in an AER, what is a key safety consideration for staff?

    Answer: Adequate ventilation is critical as peracetic acid releases irritating fumes

    Peracetic acid releases fumes that can irritate the eyes, skin, and respiratory tract, making adequate room ventilation and PPE essential.

  3. What information must be documented for each endoscope reprocessing cycle according to best practice standards?

    Answer: Scope ID, date/time, technician ID, chemical lot number, MEC test result, and AER cycle data

    Complete traceability documentation includes scope ID, date/time, technician ID, disinfectant lot/expiration, MEC result, and AER printout to support outbreak investigation if needed.

  4. Which detergent property is MOST important when selecting a cleaning solution for flexible endoscope manual cleaning?

    Answer: Low-foaming formulation compatible with scope materials per manufacturer IFU

    Low-foaming detergents that are compatible with the scope per the manufacturer's IFU are required to avoid damaging channels and to allow thorough rinsing.

  5. A flexible endoscope has been stored for 5 days in a ventilated cabinet. What action should be taken before patient use?

    Answer: The scope must be reprocessed again before patient use

    Most facilities follow a maximum hang-time policy (commonly 5–7 days), after which scopes must be reprocessed again before use regardless of storage conditions.

  6. What is the primary purpose of flushing all channels with air after the final rinse during endoscope reprocessing?

    Answer: To facilitate drying and prevent residual moisture that supports microbial growth

    Air purging removes moisture from all internal channels, preventing the wet environment that supports microbial growth during storage.

  7. Which PPE is MANDATORY when performing manual cleaning of flexible endoscopes in the decontamination area?

    Answer: Gloves, gown, face shield/goggles, and fluid-resistant attire

    Full splash-protection PPE including gloves, fluid-resistant gown, and face/eye protection is required when handling contaminated scopes due to splash risk.