a. Flexible endoscopes are inspected for damage and leak tested as part of each reprocessing cycle

b. Items are thoroughly pre-cleaned according to manufacturer instructions and visually inspected for residual soil prior to high-level disinfection (Note: For lumened instruments ,device channels and lumens must be cleaned using appropriately sized cleaning brushes)

c. Enzymatic cleaner or detergent is used and discarded according to manufacturer instructions(typically after each use)

d. Cleaning brushes are disposable or cleaned and high-level disinfected or sterilized (per manufacturer instructions) after each use.

e. For chemicals used in high-level disinfection, manufacturer instructions are followed for :1. Preparation

e. For chemicals used in high-level disinfection, manufacturer instructions are followed for :2. Testing for appropriate concentration, efficacy & record maintained

e. For chemicals used in high-level disinfection, manufacturer instructions are followed for :3.Replacement(i.e., prior to expiration or loss of efficacy)

f. If automated reprocessing equipment is used, proper connectors are used to assure that channels and lumens are appropriately disinfected

g. Devices are disinfected for the appropriate length of time as specified by manufacturer instructions

h. Devices are disinfected at the appropriate Temperature as specified by manufacturer instructions

i. After high-level disinfection, devices are rinsed with sterile water, or RO water.

j. Devices are dried thoroughly prior to reuse (Note: Lumened instruments (e.g. Endoscopes) require flushing channels with forcing air.

k. After high-level disinfection, devices are stored in a manner to protect from damage or contamination (Note: Endoscopes should be hung in a vertical position)