Similarly, the reprocessing of semicritical instruments (ie, highlevel disinfected instruments) including flexible endoscopes must be rigorous and routinely assessed according to published guidelines. While this is not within the scope of the IP, but rather SP professionals, IPs should be informed and able to assess key steps in the process during an RCA of infections and during visits or rounds of these departments. Key areas of focus might include point-of-use decontamination, disposable versus reusable cleaning brushes, quality assessment of scope cleanliness after reprocessing, alcohol flushing after disinfection/rinsing, and appropriate storage techniques. Inadequately cleaned and disinfected flexible endoscopes have been implicated in more outbreaks than any other medical device.