The New Physician-Owned Endoscopy and Surgery Center Opened with Ample-Sized

question 15

Multiple Choice

The new physician-owned endoscopy and surgery center opened with ample-sized procedure rooms and a large sterile storage core.The gastroenterologists had a busy practice.They used the best and most expensive reusable endoscopic biopsy forceps on every gastroscopy and colonoscopy.The endoscope processing and decontamination room used the same manufacturer's endoscopic cleaning brushes on every scope.These devices received considerable use and abuse and were often discarded after one or a few uses.Based on the characteristics of the new center and the gastroenterology practice,what would be the best option for the biopsy forceps and cleaning brushes?

• A) Disinfect the forceps and brushes in the same high-level cycle with the scope for efficiency.
• B) Secure a contract with a repair company to facilitate ongoing repair of the brushes and forceps.
• C) Buy more reusable brushes and biopsy forceps and only open them when needed.
• D) Trial several manufacturers' single-use biopsy forceps and cleaning brushes.

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Definitions:

Alditol

A type of sugar alcohol resulting from the reduction of an aldose, wherein the aldehyde group is converted into a hydroxyl group.

Ruff Degradation

A chemical reaction used for the oxidation of aldoses to smaller aldoses.

NaBH4

Sodium borohydride, a reducing agent commonly used in the reduction of ketones and aldehydes to alcohols.

HNO3

Nitric acid, a highly corrosive and toxic strong acid used in the manufacture of fertilizers and explosives.