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• All positive test results must be reported immediately to the Safety Manager or Safety Officer, and the Engineering Department. • Do not run additional loads until further testing shows a negative result. Recording the Results The Record Log Book and the the 3MTM AttestTM Auto -Reader are located in the Environmental Services Managers Office. Record the test results in the Record Log Book Record the lot number/expiration date of the biological indicator tube and control tube in the log book. After recording result, place tube into a red sharps container. Reviewed by Nursing Deparnnent Approved by Facility P&P Committee Meeting 5/13/04 P:\MyDocs\QualityUoAnn\Poheies\Updated Policies\Urgent-Emergent Triage 6.8 Kaiser Permanente Stockton Environmental Services FACILITY POLICY AND PROCEDURE TITLE: 3M Tm Attest Biological Indicator Sterile Approval Date: 5/13/04 Processing Policy and Procedure Approving Committee: Facilities P&P 1) ATTACHMENTS: None SUBJECT: SANI-PAK SPORE TESTING ORGINAL DATE: 5/13/04 LAST REVIEW DATE: REVIEW INTERVAL: Every Three years/As Needed Basis NEXT REVIEW DATE: LAST REVISED DATE: 7/29/04,07/05/06 • All positive test results must be reported immediately to the Safety Manager or Safety Officer, and the Engineering Department. • Do not run additional loads until further testing shows a negative result. Recording the Results The Record Log Book and the the 3MTM AttestTM Auto -Reader are located in the Environmental Services Managers Office. Record the test results in the Record Log Book Record the lot number/expiration date of the biological indicator tube and control tube in the log book. After recording result, place tube into a red sharps container. Reviewed by Nursing Deparnnent Approved by Facility P&P Committee Meeting 5/13/04 P:\MyDocs\QualityUoAnn\Poheies\Updated Policies\Urgent-Emergent Triage 6.8