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failed. N/A No sterilization machine in use. All procedure tools are single use. <br /> <br /> <br /> <br /> <br />Maintain a copy of this document in your files. Submit one copy to the local enforcement agency. <br /> <br />I hereby certify that to the best of my knowledge and belief, the statements made herein are correct <br />and true. <br /> <br /> <br />Signature: Date: <br /> <br /> <br />Sterilization Procedures (NOT APPLICABLE) <br /> <br />When a body art facility is equipped with a decontamination and sterilization room and will be <br />sterilizing reusable instruments and body art jewelry, the following sterilization procedures must be <br />followed: <br /> <br />1. Clean instruments to be sterilized shall first be sealed in peel-packs that contain either a sterilizer <br />indicator or internal temperature indicator. The outside of the pack shall be labeled with the name of <br />the instrument, the date sterilized, and the initials of the person operating the sterilizing equipment. <br /> <br />2. Sterilizers shall be loaded, operated, decontaminated and maintained according to manufacturer’s <br />directions, and shall meet all of the following standards: <br /> <br />∙ Only equipment manufactured for the sterilization of medical instruments shall be used. <br />∙ Sterilization equipment shall be tested using a commercial biological indicator monitoring <br />system after the initial installation, after any major repair, and at least o nce per month. The <br />expiration date of the monitor shall be checked prior to each use. <br /> <br />∙ Each sterilization load shall be monitored with mechanical indicators for time, temperature, <br />pressure, and, at a minimum, Class V integrators. The Class V integrator gives an immediate <br />response on whether the sterilization has been achieved. Each individua l sterilization pack <br />shall have an indicator. <br /> <br />∙ Biological indicator monitoring test results shall be recorded in a log that shall be kept on site <br />for two years after the date of the results. <br /> <br />∙ A written log of each sterilization cycle shall be retained on s ite for two years and shall include <br />all of the following information: <br />(a) The date of the load. <br />(b) A list of the contents of the load. <br />(c) The exposure time and temperature. <br />(d) The results of the Class V integrator. <br />08/05/2022