Reprocessing Flexible Endoscopes

Reprocessing Flexible Endoscopes 

This course is designed to educate staff about the essential steps for ensuring that flexible endoscopes are safe for patient use, factors that affect the quality of reprocessing, and the consequences of faulty reprocessing. It is applicable to central service professionals working in various types of healthcare facilities where endoscopy reprocessing occurs. 


Hours: 1.00


Certificates provided by accrediting body (1 Match)

Certification Board for Sterile Processing and Distribution, Inc.


This in-service has been Approved by the CBSPD, Inc. for 1.00 CEUs.

Course Details

Course Code: REL-ACU-0-HRFS
Hours: 1
Type: Online Course
Content Expiration Date: 6/30/2022
Learning Objectives:
Describe potential consequences of faulty reprocessing of endoscopes.
Identify the Spaulding classification for various types of endoscopes.
Describe the 6 essential steps for reprocessing flexible endoscopes and accessories.
Identify documentation required for reprocessing of flexible endoscopes.
Describe 4 supplemental measures for duodenoscope reprocessing and the rationale for their use.

Section 1: Introduction

About This Course

Learning Objectives

Section 2: Consequences of Faulty Endoscope Reprocessing

Infections and Tissue Irritation


Virus, Parasite, and Fungus Transmission

Endoscope Damage



Section 3: Flexible Endoscope Reprocessing

What are Endoscopes

Types of Endoscopes

Spaulding Classification

Personal Protective Equipment


Reprocessing Steps


Leak Testing


High-Level Disinfection / Sterilization



Reprocessing Breaches



Section 4: Best Practices and Supplemental Measures for Duodenoscope Reprocessing

Problems with Duodenoscopes

Duodenoscope Reprocessing Best Practices

Supplemental Measures

Microbiological Culturing

Ethylene Oxide Sterilization Following Cleaning and High-Level Disinfection

Use of a Liquid Chemical Sterilant Processing System

Repeat High-level Disinfection



Section 5: Conclusion


Course Contributors



Instructor: Rebecca Smallwood, MBA, RN
Rebecca Smallwood, MBA, RN, has extensive experience across a wide spectrum of healthcare settings including: rural and urban acute care hospitals, public health, ambulatory surgery, higher education, and commercial healthcare learning organizations. Her roles have included: medical/surgical, ED, and OR staff and charge nurse; Director of School Health Services/school nurse; Public Health Epidemiology and Bioterrorism Preparedness Specialist; Infection control practitioner; Quality Management Specialist; Organizational Development Specialist; and Educator. Prior to joining Relias as a SME writer, she provided healthcare learning and development consultation to Swank Healthcare and was the Director of Education Services for, a division of Texas Tech University Health Sciences Center. Rebecca earned a diploma in nursing from Methodist Hospital School of Nursing in Lubbock, Texas and an MBA from Wayland Baptist University.  Disclosure: Rebecca Smallwood, MBA, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Expert Reviewer: Sherry Hughes CRCST, CHL, CIS

Sherry Hughes CRCST, CHL, CIS. Sherry has 36 years of experience in healthcare, 35 of which have been at Wilson Health in the sterile processing department. Since 2011, she has been a team lead and supervisor. She has a love and passion for the challenging, rewarding, and always changing field of sterile processing. During her tenure in the field, she has developed an effective SP tech training and orientation program and has organized and implemented a sterile processing networking forum for SP professionals from area hospitals to gather and participate in educational presentations and round table discussions. Sherry serves on several hospital committees, including employee health and infection control, the department of surgical services, and quality assurance and performance improvement. She has earned several certifications from the International Association of Healthcare Central Service Materials Management, including CRCST (Certified Registered Central Service Technician), CHL (Certification in Healthcare Leadership), and CIS (Certified Instrument Specialist). She is very self-driven and finds great satisfaction using her knowledge, skills, and due diligence as a part of every surgical procedure performed in her local hospital to keep patients safe and facilitate the best possible outcomes.

Disclosure: Sherry Hughes CRCST, CHL, CIS has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Central Sterile Personnel; in the following settings: Acute Care Facility.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.