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Sterilization Procedures <br /> 'When a body art facility is equipped with a decontamination and sterilization room and will be <br /> sterifizin g reusable instruments and body art jewelry, the following sterilization procedures must be <br /> followed: <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 /> 2. Sterilizers shall be loaded, operated, decontaminated and maintained according to manufacturer's <br /> directions, and shall meet all of the following standards: <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 installatioll, after any major repair, and at least once per month. The <br /> exoiration date of, the monitor shall be checked prior to each use. <br /> * Each sterilization load shall be monitored with mechanical indicators for time, temperature, <br /> ,oressure, and. at a minimum. Class V integrators. The Class V integrator gives an immediate <br /> response on whether the sterilization has been achieved. Each individual sterilization pack <br /> s',all have an indicator. <br /> * Biological in-dicato- monitoring test results shall be recorded in a log that shall be kept on site <br /> for two nears after the date of the results. <br /> * A wriffen log of) <br /> f each sterilization cycler shall be retained on site for two years and shall include <br /> al; (Ai.'he fol',Gwing if <br /> The date of the load. <br /> "b' A list of the contents of the load. <br /> (c) time The ex-osure t me and temperature. <br /> (d) The results of the t'-".Iass V integrator. <br /> ,,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 /> 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 /> ,s opened for use. <br /> Sterilized instruments shall be stored in the intact peel-packs or in the sterilization equipment <br /> cartridge until time of use. <br /> 5. Sterile instrument packs shall be evaluated at the time of storage and before use. If the integrity of <br /> a pac'K is cornprornised, :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 u,se. <br /> J;F:RB C,:\,IkdrrinNHAZVtA"Rr-ORMS'MEDICAi-',t.'ASTr V-911,DY ARTNInfecUon Prevention and^control Plan Page 7 of 9 <br />