What is the first step in the reprocessing of flexible endoscopes?

The first step in the reprocessing of flexible endoscopes is pre-cleaning at the point of use. This initial action is crucial because it significantly reduces the bioburden, which is the number of viable microorganisms on the instrument, before it is transported to the reprocessing area. By promptly cleaning the endoscope after use, you minimize the risk of biofilm formation and ensure that any organic material or bodily fluids are removed, making subsequent cleaning and disinfection processes more effective.

Starting the reprocessing with pre-cleaning helps establish a clean baseline for the flexibility and functionality of the endoscope and protects it from damage that might occur during later stages if debris is allowed to dry onto the instrument surface. This emphasizes the importance of immediate care in the lifecycle of endoscope reprocessing, leading to enhanced patient safety and instrument longevity.