iLearning Recorded Webinar
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Preparing for an Accreditation Audit

Overview

General

When preparing for an Endoscopy Suite audit, current methods of logbooks, printouts and data management systems still fall short in integrating all the required documentation. This recorded webinar continuing education activity will explore critical touchpoints that may be requested during an accreditation survey and explain the use of risk analysis and guidelines in the preparation process.

Target Audience

This CNE activity is intended primarily for RNs with a responsibility for or an interest in endoscope processing and ensuring safe patient care in the endoscopy suite. The presentation will also be of interest to allied healthcare personnel and MDs involved in endoscopy.

Learner Objectives

Upon completion of this presentation, participants will be able to:

  1. Discuss preparation needed to pass an accreditation audit.
  2. Identify resources available for preparing and passing an accreditation audit.
  3. Review processes for identifying practice gaps to improve practice for flexible endoscope reprocessing.
Teaching Methodology

Participants will complete the recorded webinar learning activity. They will view the presentation, then register to complete the evaluation the post-test and take the post-test on the website. 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 1.5 contact hours. No partial credit will be granted.

Accreditation

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 Registered 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.

ABCGN: According to the criteria of the American Board of Certification for Gastroenterology Nurses, the approved hours in this activity are are considered GI Specific (Category 5) for the purpose of recertification by contact hours through the ABCGN.  

CBSPD: This program has been pre-approved by the Certification Board for Sterile Processing and Distribution for 1.5 contact hour.

IAHCSMM: This program has been approved by the International Association of Healthcare Central Service Materiel Management for 1.5contact hour.

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

Disclosures
  1. Successful completion: Participants will view the module, then register online, achieve a score of 80% on the post-test and submit required documentation. An active printer connection is required to print the certificate of completion. 
  2. Conflict of interest: Planners disclose no conflict of interest. The author is a consultant working independently to provide nursing education in endoscopy and infection prevention. As a paid consultant, the author has declared affiliations that could be perceived as posing a potential conflict of interest. In the interest of quality CNE, the author has signed a statement agreeing to present information 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
  6.  
Certificate Issue / Replacement

Participants successfully completing the activity and submitting required documentation will be permitted to print a certificate of completion. Participants are advised to retain the certificate for eight years following activity completion.

Replacement of misplaced certificate is available from Educational Dimensions. There is a fee for this service. Request a replacement by contacting us.

Guide to Study

Detailed instructions for completing this Recorded Webinar activity

The following steps will assist you in your successful completion of this eLearning Activity.

  1. Read the content or view the recorded presentation. If you want contact hours at the completion of studying the eLearning material, you will be required to register, complete an evaluation and take a post-test prior to printing your Certificate of Completion. We urge you to complete the eLearning activity once you have started. However, if you do need to come back later, you can sign in with your email and eLearning ID.
  2. First Time Visitors will be asked to register using an email address as your User Name. Make a note which email address you have used. Then you will create an eLearning ID using a combination of at least 6-10 letters or numbers. Please make a note of your eLearning ID and if for some reason you forget, you may request that your eLearning ID be sent to you. The web site is secured by Trustwave.
  3. Return Visitors: If you have registered already you do not need to register again. Just Sign In using your email and eLearning ID.
  4. Evaluation Form: Once you have registered or signed in you will be asked to complete an evaluation form and submit it. This is required to obtain the Certificate of Completion.
  5. Post-test: A post-test, based on the content of the eLearning activity, will need to be taken. A passing score of 80% is required. This is required to obtain the Certificate of Completion.
  6. Printing Your Certificate of Completion: Once you have successfully passed the post-test you will be able to print your Certificate of Completion. You will be given an opportunity to verify the information that will be printed on your certificate. Please make sure your printer is ready to print. You will not have access to the certificate page on later visits unless you contact us. Once you choose to print the Certificate of Completion, it will not be possible to make corrections. To obtain a corrected certificate you will need to contact Educational Dimensions. Fees may apply.
  7. Browser recommendations: We require using an up-to-date browser with JavaScript enabled. You must enable cookies from this site in order to access the secure areas.
  8. If you encounter any technical problems during this eLearning activity, please contact us.

 

Recorded Webinar Video

Suggested Readings

Alfa MJ, Sepehri S, Olson N, Wald A. Establishing a clinically relevant bioburden benchmark: a quality indicator for adequate reprocessing and storage of flexible gastrointestinal endoscopes. Am J Infect Control. 2012;40(3):233-236.

ASGE Quality Assurance In Endoscopy Committee; Petersen BT, Chennat J, et al. Multisociety guidelines on reprocessing flexible gastrointestinal endoscopes: 2011. Gastrointest Endosc. 2011;73(6):1075-1084.

Guideline for cleaning and care of surgical instruments. In: Guidelines for Perioperative Practice. Denver, CO: AORN, Inc; 2015:615-650

IC.03.01.01: The hospital evaluates the effectiveness of its infection prevention and control plan. In: Com-prehensive Accreditation Manual for Hospitals e-dition. Washington, DC: The Joint Commission; August 2014.

EC.02.04.03: The hospital inspects, tests, and maintains medical equipment. In: Hospital Accreditation Standards. 2015 ed. Oakbrook Terrace, IL: Joint Commission Resources; 2015.

Mean M, Mallaret MR, Bichard P, Shum J, Zarski JP. Gastrointestinal endoscopes cleaned without detergent substance following an automated endoscope washer/disinfector dysfunction. Gastroenterol Clin Biol. 2006;30(5):665-668.

Muscarella LF. Application of environmental sampling to flexible endoscope reprocessing: the importance of monitoring the rinse water. Infect Control Hosp Epidemiol. 2002;23(5):285-289.

Supplemental measures to enhance duodenoscope reprocessing: FDA safety communication. US Food and Drug Administration. http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm454766.htm. Accessed December 9, 2015.

Weber DJ. Managing and preventing exposure events from inappropriately reprocessed endoscopes. Infect Control Hosp Epidemiol. 2012;33(7):657-660.

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