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• A written log of each sterilization cycle shall be retained on site 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 /> (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 /> 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 /> 4. 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 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 /> 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 /> OPERATING CONDITIONS FOR AUTOCLAVE <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 /> Packaging: Package the instruments with hinges in the open position to ensure that the ridges and <br /> crevices of the instruments are sterilized. <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 /> Page 9 of 11 <br />