Endoscope Reprocessing Daily QA

AAMI ST91 daily QA for high-level disinfection (HLD) of endoscopes. Verifies leak test, manual cleaning, AER cycle parameters, and traceability.

Pre-Reprocessing Receipt and Identification

• Endoscope identifier matches procedure log and reprocessing record
• Point-of-use pre-cleaning completed before transport
• Transport container clean, closed, and designated for contaminated devices
• Leak test performed per manufacturer instructions before immersion
• Leak test result documented as pass or fail

Manual Cleaning and Inspection

• All channels brushed, flushed, and cleaned per IFU
• Detergent concentration within manufacturer-specified range
• Manual cleaning sink, brushes, and accessories visibly clean and available
• External surfaces and distal end visually free of soil and debris before HLD
• Manual cleaning inspection completed and documented by trained staff

AER / HLD Cycle Parameters

• AER cycle selected matches approved endoscope model and IFU
• Cycle temperature within validated range
• Cycle contact time met or exceeded validated minimum
• High-level disinfectant concentration verified within acceptable range
• AER cycle completed without alarm, interruption, or error code

Rinse, Drying, and Storage

• Post-disinfection rinse completed per IFU
• Drying completed with filtered air or approved method
• Scope stored in designated clean storage area with channels hanging or positioned per policy
• Storage cabinet or area clean, dry, and free of visible contamination

Traceability and Documentation

• Reprocessing record includes patient/procedure linkage or unique scope tracking ID
• Operator initials or electronic user ID documented for each major step
• Chemical lot numbers, test strips, and expiration dates recorded
• Any non-conformance, deviation, or corrective action documented