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N , 9 <br />I <br />Mr. Doug Wilson <br />September 8, 1992 <br />Page Two <br />2. In order to ensure that sterilization of each load of infectious <br />waste has been achieved according to current regulations, a log <br />shall be kept showing that each of the following parameters have <br />been met: <br />a) 2500 F has been maintained for 30 minutes according to the <br />circular graph records after completion of each steriliza- <br />tion cycle. <br />b) the temperature indicator on each autoclaveable bag has <br />turned the appropriate color; the indicator strip may be <br />of two types - the band on the bag which turns brown, or <br />externally applied tape which becomes striped with dark <br />brown (or black) stripes. <br />After it has been noted that each parameter has been met, the load <br />may be compacted into the regular garbage bin. If any parameter has <br />not been met, the load shall be rejected and not compacted. It <br />shall be retrieved. No further loads shall be sterilized until the <br />problem has been resolved. <br />These actions are based on our initial evaluation. On-going assessment will <br />occur and adjustments made based on newer information and technologies to <br />further improve the handling and treatment of infectious waste. <br />Thank you for your assistance in this matter. <br />Sincerely yours, <br />DAMERON HOSPITAL ASSOCIATION <br />/V <br />i a nowles, R. ., M.S., C.I C. <br />Nurse Epidemiologist <br />LK:af <br />Enclosure <br />cc: Ron Valinoti, Environmental Health Division <br />Kasey Foley, Environmental Health Division <br />Stephen Chen, City of Stockton <br />Luis Arismendi, M.D, Dameron Hospital Association <br />Mark Koenig, Dameron Hospital Association <br />Margaret Parrott, Dameron Hospital Association <br />