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3. Place Biological indicator test packs in autoclave bag with red bag trash and tie off the bag. <br /> 4. Pressure gauge on San-l-Pak/sterilizer must be checked and recorded before proceeding with the <br /> process. Pressure gauge reading should be above 72psi. San-I-Pak sterilizer recordings of <br /> temperature and pressure will be stored in EVS and kept for a minimum of three years. <br /> I <br /> 5. At the completion of sterilization cycle, biological indicator test indicator is taken to the in hospital <br /> Laboratory for incubation and results recorded in a 3MTM log book also located in the STCH <br /> Laboratory. Log is kept for three years <br /> 6. Incubation time for control test is 3 to 5 hours before reading and documented. <br /> 7. Control has to be kept for 24 hours after the test is completed for visual validation. <br /> B. Listing of specific materials needed for procedure <br /> I <br /> 1. Control sample(unsterilized indicator) <br /> 2. Actual biological indicator(placed in sterilizer) <br /> 3. 3M Attest TM Rapid Biological indicator log book <br /> i <br /> 4. 3M Attest TM Rapid Biological indicator incubator <br /> i <br /> i <br /> i A. Sources <br /> 1. National Standards and Recommended Practices for Sterilization.Association for the Advancement <br /> of Medical Instrumentation,Arlington,Virginia,Vol 1.1-1.2,1995. <br /> 2. CDC Control and prevention, Sterilization—Monitoring, March 4,2010 http://w�nNv„cdc.gOv/ <br /> oralhealth/infectioncontrol/fag/sterilization monitorina.htm <br /> 3. Waste Management Healthcare Solutions, Inc. <br /> 19966 Don Lee Place Ste. C <br /> Escondido, CA 92029 j <br /> i <br /> B. Reviewed and revised by Hawa Suah (author unknown); Judy Brown RN (interim OR manager) <br /> C. Related policies and procedures: <br /> 1. STCH PolicyStat Portal-> Environmental Services-> Disposition of Trash Procedure(ES.20.00.00) <br /> 2. Refer to EVS policies on PolicyStat j <br /> ATTACHMENTS <br /> A. None <br /> ,All revision dates: 4/1/2013 6/1/2012,4/10/2012,4/20/2010 <br /> tte_ ; No Attachments <br /> Biological Testing of Auto Clave,ES-81-35-05.Retrieved 12/27/2016.Official copy at http://sh-stch.policystat.com/policy/536373/. Page 2 of 2 <br /> Copyright 0 2016 Sutter Tracy Community Hospital <br />