Definitions

For the purpose of this document, SGNA has adopted the following definitions:

Reprocessing refers to the sequence of cleaning, lubricating (if necessary), and sterilizing (ASTM, 2000) or high-level disinfecting steps that will assure an endoscopic accessory is patient ready.

Water Bottle refers to the water container, cap, and tubing that attaches to a flexible endoscope.

Background

There is little to no research available on the proper cleaning and reprocessing of water bottles used in endoscopy. SGNA encourages research on the topic to better define guidelines for the proper reprocessing of the water bottle.

Position

The Society of Gastroenterology Nurses and Associates, Inc. supports the following position:

A. Water bottles should be manually cleaned and high-level disinfected or sterilized (according to manufacturer's recommendations) on a daily basis.Prior to storage, there should be no residual fluid or moisture remaining in the water bottle assembly. Thoroughly dry all water bottle surfaces to reduce the potential for bacterial colonization.

B. Sterile water should be used in the water bottle for all endoscopic procedures.

C. Pending further research, it is recommended that the water bottle be reprocessed prior to each ERCP.

References