Is it acceptable to clean the scope below the water level?

Cleaning the scope below the water level during the manual cleaning process is considered an acceptable method because it helps to minimize the risk of contaminating the device further during cleaning. When the scope is submerged, the action of cleaning can be more effective in removing bioburden and other debris since the water helps to prevent the spread of contaminants into the surrounding environment.

Additionally, cleaning below the water line can facilitate the dislodging of soil and debris trapped in crevices of the endoscope, ensuring a more thorough cleaning. It's crucial to use appropriate detergents and follow manufacturer instructions to maximize the effectiveness of this method while ensuring the integrity of the scope.

In specific situations, some cleaning protocols and guidelines might dictate that this practice is limited or conditional; however, in general practice, cleaning below the water line is accepted due to its advantages in enhancing the cleaning efficacy of flexible endoscopes.