Hi! I am very grateful to have encountered such a good forum.
I am new in Endoscopy and have some things to ask. I was told ours was not an ideal set-up so I have to bear with it; however, I found out some things which doesnt seem right and made me ask if I made the right decision to transfer in this area.
First, our unit is not strict with HIV/ Hepatitis screening with the patients booked for endoscopy. There seemed to have no strict rule with it. They are more concerned of how much should a patient will pay for these tests since most of our patients are laborers who can't afford the cost. Thankfully, the procedure is still free of charge.
Second, if ever a patient is HBsAg or Hepa C reactive, the scope is just being disinfected using the washer-disinfector machine, just like what is done with the other scopes used in all patients.
Third, the biopsy forceps used for infected patients is also just being processed in the dinsinfector machine with the cidex.
We are the one doing all these things (aftercare of the scopes)
Since there are plenty of bookings we have per day, we will only disinfect the scope thru the machine then use it in the next lucky pt.
Things are never sent for sterilization, saying they have less equipments and they might need it during the call.
Can HIV/Hep B and C Virus be eliminated by cleaning and disinfecting with cidex and alcohol flush alone?
We are also using expired simethicone for flushing. Rationale: They are being suctioned anyway.
With these things I've observed, i will never recommend a friend to undergo endoscopy.