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• 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 /> Steam Sterilization: Temperature should be 121'C or 250° F; pressure should be 106kPa (15lbs/ <br /> in2); 30 minutes for packaged items. At a higher temperature of 132° C or 279° F, pressure should be <br /> 30 lbs/in2; 15 minutes for packaged items. <br /> Allow all items to dry before removing them from the autoclave. Use clean gloves to handle <br /> packaged items. <br /> Pressure settings (kPa or lbs/in2) may vary slightly depending on the autoclave used. Follow <br /> manufacturer's recommendations for your autoclave. <br /> Exposure time begins only after the autoclave has reached the target temperature. <br /> Source.Adopted from Principles and Methods of Sterilization in Health Sciences. <br /> JJ Perkins. 1983 <br /> Sterilization Log <br /> Date Load# Contents Operator '� Time Temp Psi Temp— Attach Integrator Here Spore Action Taken <br /> Indicator Test due to Failed <br /> 4 Results Results Result <br /> Page 9 of 10 <br />