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• All positive test results must be reported immediately to the Chief Engineer, the EH&S Manager, and the Environmental Services Manager. • Do not run additional loads until further testing shows a negative result. Recording the Results • The Record Log Book is located in the Engineering Office, and the 3MTM AttestTM Auto - Reader is located in the Laboratory Microbiology Section. • 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 Department Approved by Facility P&P Committee Meeting 5/13/04 P:\MyDocs\QualityUoAm\Pohcies\Updated Policies\Urgent-Etnergent 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: SAN I-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, 07/20/06 • All positive test results must be reported immediately to the Chief Engineer, the EH&S Manager, and the Environmental Services Manager. • Do not run additional loads until further testing shows a negative result. Recording the Results • The Record Log Book is located in the Engineering Office, and the 3MTM AttestTM Auto - Reader is located in the Laboratory Microbiology Section. • 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 Department Approved by Facility P&P Committee Meeting 5/13/04 P:\MyDocs\QualityUoAm\Pohcies\Updated Policies\Urgent-Etnergent Triage 6.8