The purpose of this activity is to provide information and resources to guide program participants when they are responsible for visually verifying cleanliness of a flexible endoscope and determining if damage or debris are present.

 Understanding the importance of visibly inspecting a flexible endoscope and performing inspection correctly adds redundancy for evaluating the cleaning process in order to provide the cleanest surfaces for high level disinfection of the flexible endoscope.

It is expected that participants will be able to identify damage to the scope both internally and externally before the flexible endoscope is submitted to a high-level disinfection or sterilization process.

Target Audience

This independent study is intended primarily for RNs with an interest in flexible endoscope reprocessing and ensuring patient safety in GI Endoscopy and other flexible endoscopy procedures.  It will also be of interest to allied healthcare personnel and MDs involved in endoscopy.

Learner Objectives

Upon completion of the continuing education activity, participants should be able to:

  1. Review evidence-based research related to visualization of flexible GI endoscopes.
  2. List professional society and regulatory guideline recommendations for visualization during handling and reprocessing of flexible GI endoscopes.
  3. Identify available technologies to enhance visualization during handling and inspection of flexible GI endoscopes.
  4. Review documentation required for medical device reprocessing performed on GI endoscopes and accessories.
Teaching Methodology

Participants will complete the printed module learning activity. They will register online to complete the evaluation and take the post-test. They will submit the documentation as directed. A bibliographic reference is included for those wishing additional information.

Contact Hours

Upon successful completion of the entire online program and submission of required documentation, participants will be granted 1 contact hour. No partial credit will be granted.



Provider approved by the California Board of Registered Nursing, Provider Number 08747, the District of Columbia Board of Nursing, Provider Number 50-574, the Florida Board of Registered Nursing, Provider Number 50-574, the Georgia Board of Nursing, Provider Number 50-574 and the West Virginia Board of Examiners for Registered Professional Nurses, Provider Number 50-26112.

It is the responsibility of the licensee to verify acceptance of contact hours for relicensure.

According to the criteria of the American Board of Certification for Gastroenterology Nurses (ABCGN), contact hours earned in this activity are considered GI Specific for the purpose of recertification through the ABCGN.

This program has been pre-approved by the Certification Board for Sterile Processing and Distribution (CBSPD).

This program has been approved by the International Association of Healthcare Central Service Material Management (IAHCSMM).

This program is acceptable for surgical technologist recertification by the National Center for Competency Testing.

  1. Successful completion: Participants must complete the entire program, register, achieve a score of 80% on the post-test and submit required documentation.
  2. Conflict of interest: Planners disclose no conflict of interest. The speakers disclose salary or honorarium from the commercial support entity; they have signed a statement agreeing to present material fairly and without bias.
  3. Commercial company support: Fees are underwritten by education funding provided by Cantel Medical.
  4. Non-commercial company support: None.
  5. Alternative/Complementary therapy: None.
Suggested Readings

AAMI ST:91. (2015). AAMI/ANSI ST:91, Flexible and semi-rigid endoscope processing in health care facilities. Arlington, VA: AAMI/ANSI.

Barakat, M. T., Huang, R. J., & Banerjee, S. (2018). Simethicone is retained in endoscopes despite reprocessing: Impact of its use on working channel fluid retention and adenosine triphosphate bioluminescence values. Gastrointestinal Endoscopy

Barakat, M. T., Girotra, M., Huang, R. J., & Banerjee, S. (2018). Scoping the scope: Endoscopic evaluation of endoscope working channels with a new high-resolution inspection endoscope. Gastrointestinal Endoscopy 88(4), 601-611. doi: 10.1016/j.gie.2018.01.018

Barakat, M. T., Huang, R. J., & Banerjee, S. (2019). Comparison of automated and manual drying in the elimination of residual endoscope working channel fluid after reprocessing. Gastrointestinal Endoscopy 89(1), 124-132. doi: 10.1016/j.gie.2018.08.033

Herrin, A., Loyola, M. Bocian, S. Diskey, A., Friis, C. M., Herron-Rice, L., & et al. (2016). Standards of Infection prevention in reprocessing flexible gastrointestinal endoscopes. Chicago, IL: Society of Gastrointestinal Nurses and Associates.

Oxford Dictionary. (2019). Retrieved from

Ofstead, C. L., Wetzler, H. P., Johnson, E. A., Heymann, O. L., Maust, T. J., & Shaw, M. J. (2016). Simethicone residue remains inside gastrointestinal endoscopes despite reprocessing. American Journal of Infection Control 44(11), 1237-1240. doi: 10.1016/j.ajic.2016.05.016

Ofstead, C. L., Heymann, O. L., Quick, M. R., Johnson, E. A., Eiland, J. E., Wetzler, H. W. (2017). The effectiveness of sterilization for flexible ureteroscopes: A real-world study. American Journal of Infection Control 45(8), 888-895.

Thaker, A. M., Kim, S., Sedarat, A., Watson, R. R., & Muthusamy, V. R. (2018). Inspection of endoscope instrument channels after reprocessing using a prototype borescope. Gastrointestinal Endoscopy 88(4), 612-619. doi: 10.1016/j.gie.2018.04.2366

Van Wicklin, S. (2016). Guideline for Reprocessing Flexible Endoscopes. In R. Conner (Ed.), Guidelines for perioperative practice 2017 edition, pp. 717-800). Denver, CO: AORN, Inc

Visrodia, K., & Petersen, B. T. (2018). Borescope examination: Is there value in visual assessment of endoscope channels?

Please visit Cantel at SGNA 2020 to obtain this module.

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