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hello everyone welcome to my presentation this morning advances and techniques in cleaning monitoring my name is jacqueline daly and i am the senior manager for infection prevention at providence mission hospital in mission behavior california on your screen you will see my disclosures and today our learning objectives will be to explore the role of endoscope contamination in infection transmission as well as have some discussion around the use of rapid testing monitoring methods for manual cleaning compliance of those same endoscopes and employ monitoring manual cleaning compliance during some of the rapid testing markers so letamp;#39;s start with our first objective which is to explore the role of endoscope contamination infection transmission a few years ago the news media got a hold of the outbreaks related to endoscopes and multiple channels carried the superbug outbreak at various institutions and the fda posed questions to manufacturers around the methods used for clea