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(e) For cycles where the results of the biological indicator monitoring test are positive, how <br />the items were cleaned, and proof of a negative test before reuse. <br /> <br />3. Clean instruments and sterilized instrument packs shall be placed in clean, dry, labeled <br />containers, or stored in a labeled cabinet that is protected from dust and moisture. Use clean gloves <br />to handle sterilized packages to prevent cross contamination of the sterilized item when the package <br />is opened for use. <br /> <br />4. Sterilized instruments shall be stored in the intact peel-packs or in the sterilization equipment <br />cartridge until time of use. <br /> <br />5. Sterile instrument packs shall be evaluated at the time of storage and before use. If the integrity of <br />a pack is compromised, including, but not limited to, cases where the pack is torn, punctured, wet, or <br />displaying any evidence of moisture contamination, the pack shall be discarded or reprocessed <br />before use. <br /> <br />Page 7 of 9 <br />6. A body art facility that does not afford access to a decontamination and sterilization area that <br />meets the standards of subdivision (c) of Section 119314 of the California Health and Safety Code or <br />that does not have sterilization equipment shall use only purchased disposable, single -use, pre <br />sterilized instruments. In place of the requirements for maintaining sterilization records, the following <br />records shall be kept and maintained for a minimum of 90 days following the use of the instruments at <br />the site of practice for the purpose of verifying the use of disposable, single-use, pre-sterilized <br />instruments: <br />∙ A record of purchase and use of all single-use instruments. <br />∙ A log of all procedures, including the names of the practitioner and client and the date of the <br />procedure. <br /> <br /> <br /> <br />OPERATING CONDITIONS FOR AUTOCLAVE (NOT APPLICABLE) <br /> <br /> <br />Cleaning: Remove all material on the instruments during the cleaning process to ensure that the <br />sterilization process is achieved. The cleaning process can be a manual cleaning or by use of an <br />ultrasonic machine. <br /> <br />Packaging: Package the instruments with hinges in the open position to ensure that the ridges and <br />crevices of the instruments are sterilized. <br /> <br />Loading: Load the autoclave with the packages upright on their sides. Peel packs should be on <br />edge with the plastic side next to a paper side to allow for steam penetration. Do not overload the <br />autoclave to allow proper flow of the steam to achieve sterilization. <br /> <br />Steam Sterilization: Temperature should be 121°C or 250° F; pressure should be 106kPa <br />(15lbs/in2); 30 minutes for packaged items. At a higher temperature of 132° C or 279° F, pressure <br />should be 30 lbs/in2; 15 minutes for packaged items. <br /> <br />Allow all items to dry before removing them from the autoclave. Use clean gloves to handle