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a Sted"lization Procedures When a body art facility is equipped with a decontaminationn sterilization room and will be sterilizing usable instruments and body.a 1 following sterilization procedures must be #Olio . 1. Clean instruments to be sterilized shall first sealed in peel-packs that contain either a sterilizer indicator oi;internal to to indicator. The outside of the pack shall be labeled with the name of the instrument, the date sterilized, and the initials of the persono rtin a sterilizing equipment. 2. Sterilizers shall be loaded, n i at and maintainedaccording to manufacturer's directions, and shall meet all of the following standards: • Only equipment manufactured forthe sterilization of medical instruments shall be used. • Sterilization equipment shall be tested using a commercial biological indicator monitoring system er the initial installation, after any major repair, and at least once per month. The expiration date of the monitor shall be checked prior to each use. • Each sterilization load shall be monitoredmechanical indicators for time, temperature, pressure, and, ata minimum, Class integrators. The Classintegrator gives an immediate response on whether the sterilization has been achieved. c individual sterilization pack shall have an Indicator. • Biological indicator monitoring test results shall be recorded in a log that shall be kept on site for two years after the date of the results. • A written log of each sterilization cycle shall be retained on site for two years and shall include all of the following information: _ (a) The date of the load. (b)A list of the contents of the load. (c) The exposure time and temperature. ( )The results of the Class V integrator, (e) For cycles where the results of the biological indicator monitoring test are positive, how e items were cleaned, and proof of a negative test before reuse. . Clean instruments and sterilized instrument packs shall be placed in clean, dry, labeled containers, or stored in a labeled i t that is rotdust and moisture. Use clean gloves x to handle sterilized packages to prevent cross contamination of the sterilized item when the package is opened for use. 4. Sterilized instruments shall be stored in the intact peel-packs or in the sterilization equipment n cartridge until time of use. 5. Sterile instrument pa s shall be evaluated at the time of storage and before use. If the integrity of a pack is compromised, including, but not limited to, cases wherete pack is torn, punctured, wet, or displaying any evidence of moisture contamination, the pack shall be discardedor reprocessed before use. Page 8 of 10 t