Is it better to leave a scope soaking longer in a scope solution to really kill the microbes?
Linda Clement: You should always follow the chemistry manufacturer’s instructions for use, including chemical concentration, temperature and contact (soaking) time. Each chemistry manufacturer performs required testing to define their label claims; any variant outside those limits will not give you “better kill.” Q: What are the best methods for cleaning scopes? John Kurowski: Thorough cleaning is extremely important because an endoscope cannot be disinfected or sterilized without adequate precleaning. Endoscopes can be cleaned manually and by using automated methods; however, manual cleaning must always precede automated cleaning methods. The process for cleaning flexible endoscopes is a two-step process. It begins immediately after patient use, with bedside precleaning. When the scope exits the body, gross debris is wiped off the outside surface while fluid is pulled through the channels. Bedside precleaning should always be done to remove and loosen debris before manual cleaning is