Breaking News
HRTD Medical Institute
Dental Sterilizer

Dental Sterilization

Table of Contents

Dental Sterilization Summary

Dental Sterilization. Mobile Phone 01797522136, 01987073965. Dental Sterilization is a process that removes, kills, or deactivates all kinds of microorganisms such as bacteria, viruses, fungi, and protozoa. This process is important for all kinds of surgeries.

āĻĻāĻžāρāϤ⧇āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖāĨ¤ āĻŽā§‹āĻŦāĻžāχāϞ āĻĢā§‹āύ 01797522136, 01987073965āĨ¤ āĻĻāĻžāρāϤ⧇āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻšāϞ āĻāĻŽāύ āĻāĻ•āϟāĻŋ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āϝāĻž āĻŦā§āϝāĻžāĻ•āĻŸā§‡āϰāĻŋāϝāĻŧāĻž, āĻ­āĻžāχāϰāĻžāϏ, āĻ›āĻ¤ā§āϰāĻžāĻ• āĻāĻŦāĻ‚ āĻĒā§āϰ⧋āĻŸā§‹āĻœā§‹āϝāĻŧāĻžāϰ āĻŽāϤ⧋ āϏāĻŦ āϧāϰāύ⧇āϰ āĻ…āϪ⧁āĻœā§€āĻŦāϕ⧇ āĻ…āĻĒāϏāĻžāϰāĻŖ āĻ•āϰ⧇, āĻŽā§‡āϰ⧇ āĻĢ⧇āϞ⧇ āĻŦāĻž āύāĻŋāĻˇā§āĻ•ā§āϰāĻŋāϝāĻŧ āĻ•āϰ⧇āĨ¤ āĻāχ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϟāĻŋ āϏāĻŦ āϧāϰāύ⧇āϰ āϏāĻžāĻ°ā§āϜāĻžāϰāĻŋāϰ āϜāĻ¨ā§āϝ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖāĨ¤
Dental Sterilizer

Dental Instruments are reusable. So, Dental Instruments should be sterilized after surgical use of it. Dental Sterilization is a practical work. All Dental Courses provide these practicals. Dental Courses are a Dental Training Course, a Diploma in Dental Assistant, a Diploma in Dental Technology, and a Diploma in Dental. All Courses are available at HRTD Medical Institute.

āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āχāĻ¨ā§āϏāĻŸā§āϰ⧁āĻŽā§‡āĻ¨ā§āϟ āĻĒ⧁āύāϰāĻžāϝāĻŧ āĻŦā§āϝāĻŦāĻšāĻžāϰāϝ⧋āĻ—ā§āϝāĨ¤ āϏ⧁āϤāϰāĻžāĻ‚, āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āχāĻ¨ā§āϏāĻŸā§āϰ⧁āĻŽā§‡āĻ¨ā§āϟāϗ⧁āϞāĻŋ āĻ…āĻ¸ā§āĻ¤ā§āϰ⧋āĻĒāϚāĻžāϰ⧇āϰ āĻĒāϰ⧇ āĻāϟāĻŋāϕ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻž āωāϚāĻŋāϤāĨ¤ āĻĻāĻžāρāϤ⧇āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻāĻ•āϟāĻŋ āĻŦā§āϝāĻŦāĻšāĻžāϰāĻŋāĻ• āĻ•āĻžāϜāĨ¤ āϏāĻŽāĻ¸ā§āϤ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āϕ⧋āĻ°ā§āϏ āĻāχ āĻŦā§āϝāĻŦāĻšāĻžāϰāĻŋāĻ• āĻĒā§āϰāĻĻāĻžāύ āĻ•āϰ⧇āĨ¤ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āϕ⧋āĻ°ā§āϏ āĻšāϞ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āĻŸā§āϰ⧇āύāĻŋāĻ‚ āϕ⧋āĻ°ā§āϏ, āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āĻ…ā§āϝāĻžāϏāĻŋāĻ¸ā§āĻŸā§āϝāĻžāĻ¨ā§āĻŸā§‡ āĻĄāĻŋāĻĒā§āϞ⧋āĻŽāĻž, āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āĻŸā§‡āĻ•āύ⧋āϞāϜāĻŋāϤ⧇ āĻĄāĻŋāĻĒā§āϞ⧋āĻŽāĻž āĻāĻŦāĻ‚ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ⧇ āĻĄāĻŋāĻĒā§āϞ⧋āĻŽāĻžāĨ¤ HRTD āĻŽā§‡āĻĄāĻŋāϕ⧇āϞ āχāύāĻ¸ā§āϟāĻŋāϟāĻŋāωāĻŸā§‡ āϏāĻŽāĻ¸ā§āϤ āϕ⧋āĻ°ā§āϏ āĻĒāĻžāĻ“āϝāĻŧāĻž āϝāĻžāϝāĻŧāĨ¤

1. Define Sterilization.

Sterilization is a process that removes, kills, or deactivates all kinds of microorganisms such as bacteria, viruses, fungi, and protozoa. This process is very important for all kinds of surgery.


āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻāĻŽāύ āĻāĻ•āϟāĻŋ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āϝāĻž āĻŦā§āϝāĻžāĻ•āĻŸā§‡āϰāĻŋāϝāĻŧāĻž, āĻ­āĻžāχāϰāĻžāϏ, āĻ›āĻ¤ā§āϰāĻžāĻ• āĻāĻŦāĻ‚ āĻĒā§āϰ⧋āĻŸā§‹āĻœā§‹āϝāĻŧāĻžāϰ āĻŽāϤ⧋ āϏāĻŽāĻ¸ā§āϤ āϧāϰāϪ⧇āϰ āĻ…āϪ⧁āĻœā§€āĻŦāϕ⧇ āĻ…āĻĒāϏāĻžāϰāĻŖ āĻ•āϰ⧇, āĻŽā§‡āϰ⧇ āĻĢ⧇āϞ⧇ āĻŦāĻž āύāĻŋāĻˇā§āĻ•ā§āϰāĻŋāϝāĻŧ āĻ•āϰ⧇āĨ¤ āĻāχ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϟāĻŋ āϏāĻŦ āϧāϰāύ⧇āϰ āϏāĻžāĻ°ā§āϜāĻžāϰāĻŋāϰ āϜāĻ¨ā§āϝ āϖ⧁āĻŦāχ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖāĨ¤

2. What are the 3 types of sterilization?

Three primary methods of medical sterilization occur from high temperature/pressure and chemical processes.

āωāĻšā§āϚ āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻž/āϚāĻžāĻĒ āĻāĻŦāĻ‚ āϰāĻžāϏāĻžāϝāĻŧāύāĻŋāĻ• āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻĨ⧇āϕ⧇ āϚāĻŋāĻ•āĻŋā§ŽāϏāĻž āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻ•āϰāĻžāϰ āϤāĻŋāύāϟāĻŋ āĻĒā§āϰāĻžāĻĨāĻŽāĻŋāĻ• āĻĒāĻĻā§āϧāϤāĻŋ āϘāĻŸā§‡āĨ¤

  • Plasma Gas Sterilization (By Plasma Gas Sterilizers)
  • Autoclave Sterilization ( Sterilization by Autoclaves)
  • Vaporized Hydrogen Peroxide Sterilization (Sterilization by Vaporized Hydrogen Peroxide Sterilizers)

3. Define Dental Sterilization.

Sterilization is an essential step in reprocessing reusable dental instruments that have become contaminated or are potentially contaminated with saliva blood or other biological fluids. This includes dental handpieces.

āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻšāϞ āĻĒ⧁āύāσāĻŦā§āϝāĻŦāĻšāĻžāϰāϝ⧋āĻ—ā§āϝ āĻĻāĻžāρāϤ⧇āϰ āϝāĻ¨ā§āĻ¤ā§āϰāĻĒāĻžāϤāĻŋ āϝ⧇āϗ⧁āϞāĻŋ āĻĻā§‚āώāĻŋāϤ āĻšāϝāĻŧ⧇ āϗ⧇āϛ⧇ āĻŦāĻž āϞāĻžāϞāĻž āϰāĻ•ā§āϤ ​​āĻŦāĻž āĻ…āĻ¨ā§āϝāĻžāĻ¨ā§āϝ āϜ⧈āĻŦāĻŋāĻ• āϤāϰāϞ āĻĻā§āĻŦāĻžāϰāĻž āϏāĻŽā§āĻ­āĻžāĻŦā§āϝ āĻĻā§‚āώāĻŋāϤ āĻšāϝāĻŧ⧇āϛ⧇ āĻĒ⧁āύāσāĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāĻ•āϰāϪ⧇āϰ āĻāĻ•āϟāĻŋ āĻ…āĻĒāϰāĻŋāĻšāĻžāĻ°ā§āϝ āĻĒāĻĻāĻ•ā§āώ⧇āĻĒāĨ¤ āĻāϰ āĻŽāĻ§ā§āϝ⧇ āϰāϝāĻŧ⧇āϛ⧇ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏāĨ¤

4. Why Dental Sterilization is important?

Importance of Dental Sterilization (āĻĻāĻžāρāϤ⧇āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āϗ⧁āϰ⧁āĻ¤ā§āĻŦ) :

Dental equipment sterilization protects dentists and patients. Sound dental sterilization practices in dentistry protect patients dentists and the whole team. They prevent the growth of bacteria on instruments and surfaces throughout the dental practice.

āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āϏāϰāĻžā§āϜāĻžāĻŽ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻĄā§‡āĻ¨ā§āϟāĻŋāĻ¸ā§āϟ āĻāĻŦāĻ‚ āϰ⧋āĻ—ā§€āĻĻ⧇āϰ āϰāĻ•ā§āώāĻž āĻ•āϰ⧇āĨ¤ āĻĻāĻ¨ā§āϤāϚāĻŋāĻ•āĻŋā§ŽāϏāĻžāϝāĻŧ āϏāĻžāωāĻ¨ā§āĻĄ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻ…āύ⧁āĻļā§€āϞāύ āϰ⧋āĻ—ā§€āĻĻ⧇āϰ āĻĄā§‡āĻ¨ā§āϟāĻŋāĻ¸ā§āϟ āĻāĻŦāĻ‚ āĻĒ⧁āϰ⧋ āĻĻāϞāϕ⧇ āϰāĻ•ā§āώāĻž āĻ•āϰ⧇āĨ¤ āϤāĻžāϰāĻž āĻĻāĻžāρāϤ⧇āϰ āĻ…āύ⧁āĻļā§€āϞāύ āϜ⧁āĻĄāĻŧ⧇ āϝāĻ¨ā§āĻ¤ā§āϰ āĻāĻŦāĻ‚ āĻĒ⧃āĻˇā§āĻ āϗ⧁āϞāĻŋāϤ⧇ āĻŦā§āϝāĻžāĻ•āĻŸā§‡āϰāĻŋāϝāĻŧāĻž āĻŦ⧃āĻĻā§āϧāĻŋ āϰ⧋āϧ āĻ•āϰ⧇āĨ¤

Sterilization of Dental Instruments

1. Introduction-

Decontamination Into Practice is part of a national initiative to promote and standardize good decontamination practice in dental primary care.

Part 1: Cleaning of Dental Instrument(Published in 2007) deals with how to clean dental instruments thoroughly, including thermal disinfection using a washer disinfector, and advice about rinsing drying, and inspection of the instruments after cleaning.

āĻĒāĻžāĻ°ā§āϟ 1: āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āχāĻ¨ā§āϏāĻŸā§āϰ⧁āĻŽā§‡āĻ¨ā§āĻŸā§‡āϰ āĻ•ā§āϞāĻŋāύāĻŋāĻ‚ āĻ…āĻĢ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āχāĻ¨ā§āϏāĻŸā§āϰ⧁āĻŽā§‡āĻ¨ā§āϟ (2007 āϏāĻžāϞ⧇ āĻĒā§āϰāĻ•āĻžāĻļāĻŋāϤ) āĻāĻ•āϟāĻŋ āĻ“āϝāĻŧāĻžāĻļāĻžāϰ āĻĄāĻŋāϏāχāύāĻĢ⧇āĻ•ā§āϟāϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇ āĻĨāĻžāĻ°ā§āĻŽāĻžāϞ āĻĄāĻŋāϏāχāύāĻĢ⧇āĻ•āĻļāύ āϏāĻš āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āχāĻ¨ā§āϏāĻŸā§āϰ⧁āĻŽā§‡āĻ¨ā§āϟāϗ⧁āϞāĻŋāϕ⧇ āϕ⧀āĻ­āĻžāĻŦ⧇ āĻ­āĻžāϞāĻ­āĻžāĻŦ⧇ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻž āϝāĻžāϝāĻŧ, āĻāĻŦāĻ‚ āĻļ⧁āĻˇā§āĻ• āĻ•āϰāĻžāϰ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻāĻŦāĻ‚ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ⧇āϰ āĻĒāϰ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻĒāϰāĻŋāĻĻāĻ°ā§āĻļāύ āĻ•āϰāĻžāϰ āĻŦāĻŋāώāϝāĻŧ⧇ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻĻ⧇āϝāĻŧāĨ¤

Part 2: Sterilization of Dental Instruments focuses on how to sterilize dental instruments after cleaning, using small steam sterilizers. It provides advice that is based on health and safety regulations and current technical guidance on sterilization within healthcare. It has been developed through consultation with various experts and end users.

āĻĒāĻžāĻ°ā§āϟ 2: āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āχāĻ¨ā§āϏāĻŸā§āϰ⧁āĻŽā§‡āĻ¨ā§āĻŸā§‡āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϛ⧋āϟ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ⧇āϰ āĻĒāϰ⧇ āĻĻāĻžāρāϤ⧇āϰ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āϕ⧀āĻ­āĻžāĻŦ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻž āϝāĻžāϝāĻŧ āϤāĻžāϰ āωāĻĒāϰ āĻĢā§‹āĻ•āĻžāϏ āĻ•āϰ⧇āĨ¤ āĻāϟāĻŋ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻĒā§āϰāĻĻāĻžāύ āĻ•āϰ⧇ āϝāĻž āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝ āĻ“ āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻž āĻĒā§āϰāĻŦāĻŋāϧāĻžāύ⧇āϰ āωāĻĒāϰ āĻ­āĻŋāĻ¤ā§āϤāĻŋ āĻ•āϰ⧇ āĻāĻŦāĻ‚ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝāϏ⧇āĻŦāĻžāϰ āĻŽāĻ§ā§āϝ⧇ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϏāĻ‚āĻ•ā§āϰāĻžāĻ¨ā§āϤ āĻŦāĻ°ā§āϤāĻŽāĻžāύ āĻĒā§āϰāϝ⧁āĻ•ā§āϤāĻŋāĻ—āϤ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻŋāĻ•āĻžāĨ¤ āĻāϟāĻŋ āĻŦāĻŋāĻ­āĻŋāĻ¨ā§āύ āĻŦāĻŋāĻļ⧇āώāĻœā§āĻž āĻāĻŦāĻ‚ āĻļ⧇āώ āĻŦā§āϝāĻŦāĻšāĻžāϰāĻ•āĻžāϰ⧀āĻĻ⧇āϰ āϏāĻžāĻĨ⧇ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ⧇āϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ āϤ⧈āϰāĻŋ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇āĨ¤

The advice in this document aims to be practical and achievable with the equipment most commonly used in the primary care dental practice environment. There are risks associated with the reuse of instruments. By adopting procedures consistent with this guidance in dental practices in Scotland, a very significant risk reduction and an improvement in decontamination and patient safety will be achieved. As new knowledge and technology develop it may be necessary to update this guidance.

āĻāχ āύāĻĨāĻŋāϰ āωāĻĒāĻĻ⧇āĻļāϟāĻŋ āĻĒā§āϰāĻžāĻĨāĻŽāĻŋāĻ• āϝāĻ¤ā§āύ⧇āϰ āĻĻāĻžāρāϤ⧇āϰ āĻ…āύ⧁āĻļā§€āϞāύ āĻĒāϰāĻŋāĻŦ⧇āĻļ⧇ āϏāĻžāϧāĻžāϰāĻŖāϤ āĻŦā§āϝāĻŦāĻšā§ƒāϤ āϏāϰāĻžā§āϜāĻžāĻŽāϗ⧁āϞāĻŋāϰ āϏāĻžāĻĨ⧇ āĻŦā§āϝāĻŦāĻšāĻžāϰāĻŋāĻ• āĻāĻŦāĻ‚ āĻ…āĻ°ā§āϜāύāϝ⧋āĻ—ā§āϝ āĻšāĻ“āϝāĻŧāĻžāϰ āϞāĻ•ā§āĻˇā§āϝāĨ¤ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āĻĒ⧁āύāσāĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āϏāĻžāĻĨ⧇ āϝ⧁āĻ•ā§āϤ āĻā§āρāĻ•āĻŋ āφāϛ⧇āĨ¤ āĻ¸ā§āĻ•āϟāĻ˛ā§āϝāĻžāĻ¨ā§āĻĄā§‡ āĻĻāĻžāρāϤ⧇āϰ āĻ…āύ⧁āĻļā§€āϞāύ⧇ āĻāχ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāύāĻžāϰ āϏāĻžāĻĨ⧇ āϏāĻžāĻŽāĻžā§āϜāĻ¸ā§āϝāĻĒā§‚āĻ°ā§āĻŖ āĻĒāĻĻā§āϧāϤāĻŋāϗ⧁āϞāĻŋ āĻ—ā§āϰāĻšāĻŖ āĻ•āϰāĻžāϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡, āĻāĻ•āϟāĻŋ āĻ…āĻ¤ā§āϝāĻ¨ā§āϤ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ āĻā§āρāĻ•āĻŋ āĻšā§āϰāĻžāϏ āĻāĻŦāĻ‚ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻāĻŦāĻ‚ āϰ⧋āĻ—ā§€āϰ āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻžāϰ āωāĻ¨ā§āύāϤāĻŋ āϏāĻžāϧāĻŋāϤ āĻšāĻŦ⧇āĨ¤ āύāϤ⧁āύ āĻœā§āĻžāĻžāύ āĻāĻŦāĻ‚ āĻĒā§āϰāϝ⧁āĻ•ā§āϤāĻŋāϰ āĻŦāĻŋāĻ•āĻžāĻļ⧇āϰ āϏāĻžāĻĨ⧇ āϏāĻžāĻĨ⧇ āĻāχ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻŋāĻ•āĻž āφāĻĒāĻĄā§‡āϟ āĻ•āϰāĻžāϰ āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻšāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤

Supplementary information is provided in the introduction and appendices of the Decontamination Into Practice series. Many of the web links included can be accessed via the Decontamination section of the Scottish Dental website: www.scottishdental.org. Notably, the following Scottish Health Technical Memoranda (SHTM) has detailed information on how to choose, use, and validate equipment for decontamination processes.

āĻĒāϰāĻŋāĻĒā§‚āϰāĻ• āϤāĻĨā§āϝ āĻĄāĻŋāĻ•āύāϟāĻžāĻŽāĻŋāύ⧇āĻļāύ āχāύāϟ⧁ āĻĒā§āĻ°ā§āϝāĻžāĻ•āϟāĻŋāϏ āϏāĻŋāϰāĻŋāĻœā§‡āϰ āĻ­ā§‚āĻŽāĻŋāĻ•āĻž āĻāĻŦāĻ‚ āĻĒāϰāĻŋāĻļāĻŋāĻˇā§āĻŸā§‡ āĻĒā§āϰāĻĻāĻžāύ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇āĨ¤ āĻ…āĻ¨ā§āϤāĻ°ā§āϭ⧁āĻ•ā§āϤ āĻ…āύ⧇āĻ• āĻ“āϝāĻŧ⧇āĻŦ āϞāĻŋāĻ™ā§āĻ• āĻ¸ā§āĻ•āϟāĻŋāĻļ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āĻ“āϝāĻŧ⧇āĻŦāϏāĻžāχāϟ: www.scottishdental.org-āĻāϰ āĻĄāĻŋāĻ•āύāϟāĻžāĻŽāĻŋāύ⧇āĻļāύ āĻŦāĻŋāĻ­āĻžāϗ⧇āϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ āĻ…ā§āϝāĻžāĻ•ā§āϏ⧇āϏ āĻ•āϰāĻž āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇āĨ¤ āωāĻ˛ā§āϞ⧇āĻ–āϝ⧋āĻ—ā§āϝāĻ­āĻžāĻŦ⧇, āύāĻŋāĻŽā§āύ⧋āĻ•ā§āϤ āĻ¸ā§āĻ•āϟāĻŋāĻļ āĻšā§‡āϞāĻĨ āĻŸā§‡āĻ•āύāĻŋāĻ•ā§āϝāĻžāϞ āĻŽā§‡āĻŽā§‹āϰāĻžāĻ¨ā§āĻĄāĻž (SHTM)-āĻ āϕ⧀āĻ­āĻžāĻŦ⧇ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϰ āϜāĻ¨ā§āϝ āϏāϰāĻžā§āϜāĻžāĻŽ āύāĻŋāĻ°ā§āĻŦāĻžāϚāύ, āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻāĻŦāĻ‚ āϝāĻžāϚāĻžāχ āĻ•āϰāĻž āϝāĻžāϝāĻŧ āϏ⧇ āϏāĻŽā§āĻĒāĻ°ā§āϕ⧇ āĻŦāĻŋāĻ¸ā§āϤāĻžāϰāĻŋāϤ āϤāĻĨā§āϝ āϰāϝāĻŧ⧇āϛ⧇āĨ¤
  • SHTM 2010 Sterilization
  • SHTM 2030 Washer-disinfectors (includes ultrasonic cleaners )

As Sterilization is a highly technical activity, on occasion it may be necessary to consult an Authorising Engineer (Decontamination ) for specific advice concerning validation, periodic testing, maintenance, and operational management as defined in SHTM 2010. The Authorising Engineer (Decontamination) service for NHS Scotland is provided by Health Facilities Scotland (see Appendix 5 ). Note that at the time of writing, there are relatively few of these specialists to advise both secondary and primary care services.

āϝ⧇āĻšā§‡āϤ⧁ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻāĻ•āϟāĻŋ āĻ…āĻ¤ā§āϝāĻ¨ā§āϤ āĻĒā§āϰāϝ⧁āĻ•ā§āϤāĻŋāĻ—āϤ āĻ•ā§āϰāĻŋāϝāĻŧāĻžāĻ•āϞāĻžāĻĒ, āϏ⧇āĻšā§‡āϤ⧁ SHTM 2010-āĻ āϏāĻ‚āĻœā§āĻžāĻžāϝāĻŧāĻŋāϤ āĻŦ⧈āϧāĻ•āϰāĻŖ, āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž, āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ āĻāĻŦāĻ‚ āĻ…āĻĒāĻžāϰ⧇āĻļāύāĻžāϞ āĻŽā§āϝāĻžāύ⧇āϜāĻŽā§‡āĻ¨ā§āϟ āϏāĻŽā§āĻĒāĻ°ā§āĻ•āĻŋāϤ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ⧇āϰ āϜāĻ¨ā§āϝ āĻ•āĻ–āύāĻ“ āĻ•āĻ–āύāĻ“ āĻ…āύ⧁āĻŽā§‹āĻĻāύ āĻĒā§āϰāĻ•ā§ŒāĻļāϞ⧀ (āĻĄāĻŋāĻ•āύāϟāĻžāĻŽāĻŋāύ⧇āĻļāύ) āĻāϰ āϏāĻžāĻĨ⧇ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻ•āϰāĻžāϰ āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻšāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤ āĻāύāĻāχāϚāĻāϏ āĻ¸ā§āĻ•āϟāĻ˛ā§āϝāĻžāĻ¨ā§āĻĄ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝ āϏ⧁āĻŦāĻŋāϧāĻž āĻ¸ā§āĻ•āϟāĻ˛ā§āϝāĻžāĻ¨ā§āĻĄ āĻĻā§āĻŦāĻžāϰāĻž āϏāϰāĻŦāϰāĻžāĻš āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ (āĻĒāϰāĻŋāĻļāĻŋāĻˇā§āϟ 5 āĻĻ⧇āϖ⧁āύ)āĨ¤ āωāĻ˛ā§āϞ⧇āĻ–ā§āϝ āϝ⧇ āϞ⧇āĻ–āĻžāϰ āϏāĻŽāϝāĻŧ, āĻŽāĻžāĻ§ā§āϝāĻŽāĻŋāĻ• āĻāĻŦāĻ‚ āĻĒā§āϰāĻžāĻĨāĻŽāĻŋāĻ• āωāĻ­āϝāĻŧ āĻĒāϰāĻŋāϚāĻ°ā§āϝāĻž āĻĒāϰāĻŋāώ⧇āĻŦāĻžāϰ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻĻ⧇āĻ“āϝāĻŧāĻžāϰ āϜāĻ¨ā§āϝ āĻāχ āĻŦāĻŋāĻļ⧇āώāĻœā§āĻžāĻĻ⧇āϰ āĻŽāĻ§ā§āϝ⧇ āϤ⧁āϞāύāĻžāĻŽā§‚āϞāĻ•āĻ­āĻžāĻŦ⧇ āϖ⧁āĻŦ āĻ•āĻŽāχ āφāϛ⧇āύāĨ¤

Sterilization in the Dental Practice-

The decontamination of reusable dental instruments includes:

  • cleaning (āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻž)
  • rinsing ( āϧ⧇⧗āϤ āĻ•āϰāĻž )
  • drying (āĻļ⧁āĻ•āĻžāύ⧋)
  • inspection for dryness, functionality, and cleanliness (āĻļ⧁āĻˇā§āĻ•āϤāĻž, āĻ•āĻžāĻ°ā§āϝāĻ•āĻžāϰāĻŋāϤāĻž āĻāĻŦāĻ‚ āĻĒāϰāĻŋāĻšā§āĻ›āĻ¨ā§āύāϤāĻžāϰ āϜāĻ¨ā§āϝ āĻĒāϰāĻŋāĻĻāĻ°ā§āĻļāύ)
  • wrapping before sterilization when using a vacuum sterilizer
    (āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻ•āϰāĻžāϰ āφāϗ⧇ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋)
  • sterilization (āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ)
  • wrapping after sterilization when using a non-vacuum sterilizer (āĻāĻ•āϟāĻŋ āύāύ-āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻ•āϰāĻžāϰ āĻĒāϰ⧇ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋)

Sterilization is an essential step in the reprocessing of reusable dental instruments that have become contaminated or are potentially contaminated with saliva, blood, or other biological fluids. This includes dental handpieces. The aim of sterilization is to break the chain of potential cross-infection between patients by killing microorganisms, including spores. However, prion proteins are not fully deactivated by the sterilization process. Therefore effective instrument cleaning is particularly important to physically remove contamination, including prion proteins, prior to sterilization.

āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻšāϞ āĻĒ⧁āύāσāĻŦā§āϝāĻŦāĻšāĻžāϰāϝ⧋āĻ—ā§āϝ āĻĻāĻžāρāϤ⧇āϰ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϰ āĻĒ⧁āύāσāĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāĻ•āϰāϪ⧇āϰ āĻāĻ•āϟāĻŋ āĻ…āĻĒāϰāĻŋāĻšāĻžāĻ°ā§āϝ āĻĒāĻĻāĻ•ā§āώ⧇āĻĒ āϝāĻž āĻĻā§‚āώāĻŋāϤ āĻšāϝāĻŧ⧇ āϗ⧇āϛ⧇ āĻŦāĻž āϞāĻžāϞāĻž, āϰāĻ•ā§āϤ ​​āĻŦāĻž āĻ…āĻ¨ā§āϝāĻžāĻ¨ā§āϝ āϜ⧈āĻŦāĻŋāĻ• āϤāϰāϞ āĻĻā§āĻŦāĻžāϰāĻž āϏāĻŽā§āĻ­āĻžāĻŦā§āϝ āĻĻā§‚āώāĻŋāϤāĨ¤ āĻāϰ āĻŽāĻ§ā§āϝ⧇ āϰāϝāĻŧ⧇āϛ⧇ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏāĨ¤ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āϞāĻ•ā§āĻˇā§āϝ āĻš'āϞ āĻ¸ā§āĻĒā§‹āϰ āϏāĻš āĻ…āϪ⧁āĻœā§€āĻŦāϗ⧁āϞāĻŋāϕ⧇ āĻšāĻ¤ā§āϝāĻž āĻ•āϰ⧇ āϰ⧋āĻ—ā§€āĻĻ⧇āϰ āĻŽāĻ§ā§āϝ⧇ āϏāĻŽā§āĻ­āĻžāĻŦā§āϝ āĻ•ā§āϰāϏ-āϏāĻ‚āĻ•ā§āϰāĻŽāϪ⧇āϰ āĻļ⧃āĻ™ā§āĻ–āϞāϟāĻŋ āϭ⧇āϙ⧇ āĻĻ⧇āĻ“āϝāĻŧāĻžāĨ¤ āϝāĻžāχāĻšā§‹āĻ•, āĻĒā§āϰāĻžāύ āĻĒā§āϰ⧋āϟāĻŋāύāϗ⧁āϞāĻŋ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻĻā§āĻŦāĻžāϰāĻž āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖāϰ⧂āĻĒ⧇ āύāĻŋāĻˇā§āĻ•ā§āϰāĻŋāϝāĻŧ āĻšāϝāĻŧ āύāĻžāĨ¤ āϤāĻžāχ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āφāϗ⧇ āĻļāĻžāϰ⧀āϰāĻŋāĻ•āĻ­āĻžāĻŦ⧇ āĻĻā§‚āώāĻŖ āĻĻā§‚āϰ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻ•āĻžāĻ°ā§āϝāĻ•āϰ⧀ āϝāĻ¨ā§āĻ¤ā§āϰ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻž āĻŦāĻŋāĻļ⧇āώāĻ­āĻžāĻŦ⧇ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖāĨ¤

Sterilization using a steam sterilizer is recommended as the most efficient, cost-effective, and safe method of sterilizing dental instruments in primary care dental practices. The sterilization process must be validated to ensure that instruments are reliably and consistently sterilized using predetermined and reproducible conditions.

āĻĒā§āϰāĻžāĻĨāĻŽāĻŋāĻ• āϝāĻ¤ā§āύ⧇āϰ āĻĻāĻžāρāϤ⧇āϰ āĻ…āύ⧁āĻļā§€āϞāύ⧇ āĻĻāĻžāρāϤ⧇āϰ āϝāĻ¨ā§āĻ¤ā§āϰāĻĒāĻžāϤāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āĻ•āĻžāĻ°ā§āϝāĻ•āϰ, āϏāĻžāĻļā§āϰāϝāĻŧā§€ āĻāĻŦāĻ‚ āύāĻŋāϰāĻžāĻĒāĻĻ āĻĒāĻĻā§āϧāϤāĻŋ āĻšāĻŋāϏāĻžāĻŦ⧇ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϏ⧁āĻĒāĻžāϰāĻŋāĻļ āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤ āĻĒā§‚āĻ°ā§āĻŦāύāĻŋāĻ°ā§āϧāĻžāϰāĻŋāϤ āĻāĻŦāĻ‚ āĻĒ⧁āύāĻ°ā§ā§ŽāĻĒāĻžāĻĻāύāϝ⧋āĻ—ā§āϝ āĻļāĻ°ā§āϤāϗ⧁āϞāĻŋ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āύāĻŋāĻ°ā§āĻ­āϰāϝ⧋āĻ—ā§āϝāĻ­āĻžāĻŦ⧇ āĻāĻŦāĻ‚ āϧāĻžāϰāĻžāĻŦāĻžāĻšāĻŋāĻ•āĻ­āĻžāĻŦ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻšāϝāĻŧ āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϟāĻŋ āĻ…āĻŦāĻļā§āϝāχ āϝāĻžāϚāĻžāχ āĻ•āϰāĻž āωāϚāĻŋāϤāĨ¤

To kill microorganisms, the instruments need to be exposed to steam at a specified temperature for a specific holding time. Although other options exist, the preferred temperature-pressure-time relationship for all small steam sterilizers is 134-137C, 2.1-2.25 bar gauge pressure for at least a 3-minute holding time.

āĻ…āϪ⧁āĻœā§€āĻŦāϕ⧇ āĻŽā§‡āϰ⧇ āĻĢ⧇āϞāĻžāϰ āϜāĻ¨ā§āϝ, āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āĻāĻ•āϟāĻŋ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻžāϝāĻŧ āĻāĻ•āϟāĻŋ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āϧāϰ⧇ āϰāĻžāĻ–āĻžāϰ āϏāĻŽāϝāĻŧ⧇āϰ āϜāĻ¨ā§āϝ āĻŦāĻžāĻˇā§āĻĒ⧇āϰ āϏāĻ‚āĻ¸ā§āĻĒāĻ°ā§āĻļ⧇ āφāϏāϤ⧇ āĻšāĻŦ⧇āĨ¤ āϝāĻĻāĻŋāĻ“ āĻ…āĻ¨ā§āϝāĻžāĻ¨ā§āϝ āĻŦāĻŋāĻ•āĻ˛ā§āĻĒāϗ⧁āϞāĻŋ āĻŦāĻŋāĻĻā§āϝāĻŽāĻžāύ, āϏāĻŽāĻ¸ā§āϤ āϛ⧋āϟ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀āϰ āϜāĻ¨ā§āϝ āĻĒāĻ›āĻ¨ā§āĻĻ⧇āϰ āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻž-āϚāĻžāĻĒ-āϏāĻŽāϝāĻŧ āϏāĻŽā§āĻĒāĻ°ā§āĻ• āĻšāϞ 134-137C, 2.1-2.25 āĻŦāĻžāϰ āϗ⧇āϜ āϚāĻžāĻĒ āĻ•āĻŽāĻĒāĻ•ā§āώ⧇ 3-āĻŽāĻŋāύāĻŋāϟ āϧāϰ⧇ āϰāĻžāĻ–āĻžāϰ āϜāĻ¨ā§āϝāĨ¤

It is preferable to use reusable instruments that can withstand both an automated cleaning/disinfection process and steam sterilization or to use single-use instruments. Reusable instruments that cannot withstand steam sterilization must be decontaminated as recommended by the instrument manufacturer.

āĻĒ⧁āύāσāĻŦā§āϝāĻŦāĻšāĻžāϰāϝ⧋āĻ—ā§āϝ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻŦāĻžāĻžā§āĻ›āύ⧀āϝāĻŧ āϝāĻž āĻāĻ•āϟāĻŋ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ/āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻāĻŦāĻ‚ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āωāĻ­āϝāĻŧāχ āϏāĻšā§āϝ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āĻŦāĻž āĻāĻ•āĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āϝāĻ¨ā§āĻ¤ā§āϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇⧎ āĻĒ⧁āύāσāĻŦā§āϝāĻŦāĻšāĻžāϰāϝ⧋āĻ—ā§āϝ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āϝāĻž āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϏāĻšā§āϝ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āύāĻž āϏ⧇āϗ⧁āϞāĻŋāϕ⧇ āϝāĻ¨ā§āĻ¤ā§āϰ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āϏ⧁āĻĒāĻžāϰāĻŋāĻļ āĻ…āύ⧁āϏāĻžāϰ⧇ āĻĻā§‚āώāĻŋāϤ āĻ•āϰāĻž āφāĻŦāĻļā§āϝāϕ⧎

Sterilization cycles in small steam sterilizers-

The sterilization cycle in a small steam sterilizer is a pre-programmed sequence of operating stages. There are three types of sterilization cycles, Type N, Type B, and Type S. These cycles differ in the manner in which air is removed, the types of load they can sterilize, and whether or not items can be

āĻāĻ•āϟāĻŋ āϛ⧋āϟ āĻ¸ā§āϟāĻŋāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϚāĻ•ā§āϰ āĻšāϞ āĻ…āĻĒāĻžāϰ⧇āϟāĻŋāĻ‚ āĻĒāĻ°ā§āϝāĻžāϝāĻŧ⧇āϰ āĻāĻ•āϟāĻŋ āĻĒā§‚āĻ°ā§āĻŦ-āĻĒā§āϰ⧋āĻ—ā§āϰāĻžāĻŽ āĻ•āϰāĻž āĻ•ā§āϰāĻŽāĨ¤ āϤāĻŋāύ āϧāϰāύ⧇āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϚāĻ•ā§āϰ āϰāϝāĻŧ⧇āϛ⧇, āϟāĻžāχāĻĒ āĻāύ, āϟāĻžāχāĻĒ āĻŦāĻŋ āĻāĻŦāĻ‚ āϟāĻžāχāĻĒ āĻāϏāĨ¤ āĻāχ āϚāĻ•ā§āϰāϗ⧁āϞāĻŋ āϝ⧇āĻ­āĻžāĻŦ⧇ āĻŦāĻžāϝāĻŧ⧁ āĻ…āĻĒāϏāĻžāϰāĻŖ āĻ•āϰāĻž āĻšāϝāĻŧ, āϕ⧀ āϧāϰāύ⧇āϰ āϞ⧋āĻĄ āϤāĻžāϰāĻž āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āĻāĻŦāĻ‚ āφāχāĻŸā§‡āĻŽāϗ⧁āϞāĻŋ āĻšāϤ⧇ āĻĒāĻžāϰ⧇ āĻ•āĻŋ āύāĻž āϤāĻžāϰ āĻŽāĻ§ā§āϝ⧇ āĻĒāĻžāĻ°ā§āĻĨāĻ•ā§āϝ āϰāϝāĻŧ⧇āϛ⧇āĨ¤

As some sterilizers can perform more than one type of sterilization cycle, it is more correct to refer to the type of cycle performed rather than the type of machine. However, the following terms are often used for convenience.

āϝ⧇āĻšā§‡āϤ⧁ āĻ•āĻŋāϛ⧁ āĻœā§€āĻŦāĻžāϪ⧁ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āĻāĻ•āĻžāϧāĻŋāĻ• āϧāϰāϪ⧇āϰ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϚāĻ•ā§āϰ āϏāĻŽā§āĻĒāĻžāĻĻāύ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇, āϤāĻžāχ āĻŽā§‡āĻļāĻŋāύ⧇āϰ āĻĒā§āϰāĻ•āĻžāϰ⧇āϰ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤ⧇ āϏāĻžā§āϚāĻžāϞāĻŋāϤ āϚāĻ•ā§āϰ⧇āϰ āϧāϰāĻŖ āωāĻ˛ā§āϞ⧇āĻ– āĻ•āϰāĻž āφāϰāĻ“ āϏāĻ āĻŋāĻ•āĨ¤ āϝāĻžāχāĻšā§‹āĻ•, āύāĻŋāĻŽā§āύāϞāĻŋāĻ–āĻŋāϤ āĻĒāĻĻāϗ⧁āϞāĻŋ āĻĒā§āϰāĻžāϝāĻŧāχ āϏ⧁āĻŦāĻŋāϧāĻžāϰ āϜāĻ¨ā§āϝ āĻŦā§āϝāĻŦāĻšā§ƒāϤ āĻšāϝāĻŧāĨ¤
  • Non-vacuum sterilizer or type N sterilizer
  • Vacuum sterilizer or type B sterilizer

This guidance describes the sterilization of unwrapped instruments in any type of sterilizer and wrapped instruments in a vacuum sterilizer, but not specifically a type S sterilizer. This is because the various makes of type S sterilizers differ in the type of load they can be used for and some may not be suitable for sterilizing wrapped instruments. Refer to the manufactures instructions for advice on the use of type S sterilizers.

āĻāχ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻŋāĻ•āĻžāϟāĻŋ āϝ⧇āϕ⧋āύ āϧāϰāϪ⧇āϰ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻāĻŦāĻ‚ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āϝāĻ¨ā§āĻ¤ā§āϰ⧇ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖāϕ⧇ āĻŦāĻ°ā§āĻŖāύāĻž āĻ•āϰ⧇, āϤāĻŦ⧇ āĻŦāĻŋāĻļ⧇āώāĻ­āĻžāĻŦ⧇ āĻāĻ•āϟāĻŋ āϟāĻžāχāĻĒ āĻāϏ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āύāϝāĻŧāĨ¤ āĻ•āĻžāϰāĻŖ āĻāϏ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇āϰ āĻŦāĻŋāĻ­āĻŋāĻ¨ā§āύ āϧāϰāύ⧇āϰ āϞ⧋āĻĄā§‡āϰ āĻŽāĻ§ā§āϝ⧇ āĻĒāĻžāĻ°ā§āĻĨāĻ•ā§āϝ āϰāϝāĻŧ⧇āϛ⧇ āϝ⧇āϗ⧁āϞāĻŋāϰ āϜāĻ¨ā§āϝ āϤāĻžāϰāĻž āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇ āĻāĻŦāĻ‚ āĻ•āĻŋāϛ⧁ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āωāĻĒāϝ⧁āĻ•ā§āϤ āύāĻžāĻ“ āĻšāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤ āϟāĻžāχāĻĒ āĻāϏ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ⧇āϰ āϜāĻ¨ā§āϝ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻĒāĻĄāĻŧ⧁āύāĨ¤

Sterilized versus sterile

Instruments are regarded as sterilized when they

have been cleaned, and inspected when wrapped before being sterilized in a sterilizer designed to process wrapped instruments (e. g a vacuum sterilizer) to maintain sterility these instruments must be stored with the wrapping intact until immediately before use

āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇, āĻāĻŦāĻ‚ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āφāϗ⧇ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰ⧇ (āϝ⧇āĻŽāύ āĻāĻ•āϟāĻŋ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ•) āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāĻ•āϰāϪ⧇āϰ āϜāĻ¨ā§āϝ āĻĒāϰāĻŋāĻ•āĻ˛ā§āĻĒāĻŋāϤ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ āĻĒāϰāĻŋāĻĻāĻ°ā§āĻļāύ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ āĻŦāĻ¨ā§āĻ§ā§āϝāĻžāĻ¤ā§āĻŦ āĻŦāϜāĻžāϝāĻŧ āϰāĻžāĻ–āĻžāϰ āϜāĻ¨ā§āϝ āĻāχ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻžāϰ āĻ…āĻŦāĻŋāϞāĻŽā§āĻŦ⧇ āφāϗ⧇ āĻĒāĻ°ā§āϝāĻ¨ā§āϤ āĻ°â€Œā§āϝāĻžāĻĒāĻŋāĻ‚ āĻ…āĻ•ā§āώāϤ āĻ…āĻŦāĻ¸ā§āĻĨāĻžāϝāĻŧ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰāϤ⧇ āĻšāĻŦ⧇

or,

are bought as sterile single-use items and used in accordance with manufacturer instructions. (i. e. used immediately on removal from the sterile pack and used only once)

āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻāĻ•āĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āφāχāĻŸā§‡āĻŽ āĻšāĻŋāϏāĻžāĻŦ⧇ āϕ⧇āύāĻž āĻšāϝāĻŧ āĻāĻŦāĻ‚ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻ…āύ⧁āϏāĻžāϰ⧇ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤

Sterilization of Dental Handpieces-

There is currently no agreed method for the effective decontamination of dental handpieces. Research to assess the effectiveness of various methods of handpiece decontamination is ongoing. At present, it is best practice to follow manufactures instructions for handpiece cleaning. After cleaning it is then essential to sterilize handpieces in a steam sterilizer. Although the effectiveness of sterilization of the internal structures is unclear, processing in a sterilizer ensures that the external surfaces are sterilized and may also contribute to risk reduction through further thermal disinfection of the internal structures.

āĻĻāĻžāρāϤ⧇āϰ āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏ āĻ•āĻžāĻ°ā§āϝāĻ•āϰāĻ­āĻžāĻŦ⧇ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻŦāĻ°ā§āϤāĻŽāĻžāύ⧇ āϕ⧋āύ⧋ āϏāĻŽā§āĻŽāϤ āĻĒāĻĻā§āϧāϤāĻŋ āύ⧇āχāĨ¤ āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āĻŦāĻŋāĻ­āĻŋāĻ¨ā§āύ āĻĒāĻĻā§āϧāϤāĻŋāϰ āĻ•āĻžāĻ°ā§āϝāĻ•āĻžāϰāĻŋāϤāĻž āĻŽā§‚āĻ˛ā§āϝāĻžāϝāĻŧāύ⧇āϰ āϜāĻ¨ā§āϝ āĻ—āĻŦ⧇āώāĻŖāĻž āϚāϞāϛ⧇āĨ¤ āĻŦāĻ°ā§āϤāĻŽāĻžāύ⧇, āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ⧇āϰ āϜāĻ¨ā§āϝ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻ…āύ⧁āϏāϰāĻŖ āĻ•āϰāĻž āϏāĻ°ā§āĻŦā§‹āĻ¤ā§āϤāĻŽ āĻ…āύ⧁āĻļā§€āϞāύāĨ¤ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻžāϰ āĻĒāϰ⧇ āĻāϟāĻŋ āĻāĻ•āϟāĻŋ āĻŦāĻžāĻˇā§āĻĒ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āĻšāĻžāϤ⧇āϰ āϟ⧁āĻ•āϰāĻž āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻž āĻ…āĻĒāϰāĻŋāĻšāĻžāĻ°ā§āϝāĨ¤ āϝāĻĻāĻŋāĻ“ āĻ…āĻ­ā§āϝāĻ¨ā§āϤāϰ⧀āĻŖ āĻ•āĻžāĻ āĻžāĻŽā§‹āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āĻ•āĻžāĻ°ā§āϝāĻ•āĻžāϰāĻŋāϤāĻž āĻ¸ā§āĻĒāĻˇā§āϟ āύāϝāĻŧ, āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāĻ•āϰāĻŖ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧇ āϝ⧇ āĻŦāĻžāĻšā§āϝāĻŋāĻ• āĻĒ⧃āĻˇā§āĻ āϗ⧁āϞāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ āĻāĻŦāĻ‚ āĻ…āĻ­ā§āϝāĻ¨ā§āϤāϰ⧀āĻŖ āĻ•āĻžāĻ āĻžāĻŽā§‹āϰ āφāϰāĻ“ āϤāĻžāĻĒā§€āϝāĻŧ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ āĻā§āρāĻ•āĻŋ āĻšā§āϰāĻžāϏ⧇ āĻ…āĻŦāĻĻāĻžāύ āϰāĻžāĻ–āϤ⧇ āĻĒāĻžāϰ⧇āĨ¤
  • When purchasing new handpieces, ensure that they can withstand thermal disinfection and steam sterilization.
  • Always process dental handpieces in a steam sterilizer as part of their decontamination. Replace existing handpieces that cannot withstand steam sterilization.
  • Follow the handpiece manufacturer’s decontamination instructions.
  • If necessary, contact the handpiece manufacturer to request clarification of their instructions.
  • Lubricate handpieces before and/or after sterilization as recommended by the manufacturer. If lubrication is required both before and after sterilization, use separate designated cleaned only and sterilized canisters of lubricant labeled accordingly.
  • Automated ‘handpiece cleaning machines’ can be used to lubricate handpieces. These machines are not validated for cleaning and do not disinfect. However, their use may prolong handpiece life and can be particularly useful if handpieces are cleaned in a washer disinfector. See also cleaning of dental instruments for advice on alternative methods for cleaning handpieces and care of handpieces after cleaning.
āύāϤ⧁āύ āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏ āϕ⧇āύāĻžāϰ āϏāĻŽāϝāĻŧ, āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āϤāĻžāϰāĻž āϤāĻžāĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻāĻŦāĻ‚ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϏāĻšā§āϝ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤

āĻĻāĻžāρāϤ⧇āϰ āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏāϗ⧁āϞāĻŋāϕ⧇ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āĻ…āĻ‚āĻļ āĻšāĻŋāϏāĻžāĻŦ⧇ āϏāĻ°ā§āĻŦāĻĻāĻž āĻāĻ•āϟāĻŋ āĻ¸ā§āϟāĻŋāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻ•āϰ⧁āύāĨ¤ āĻŦāĻŋāĻĻā§āϝāĻŽāĻžāύ āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏāϗ⧁āϞāĻŋ āĻĒā§āϰāϤāĻŋāĻ¸ā§āĻĨāĻžāĻĒāύ āĻ•āϰ⧁āύ āϝāĻž āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϏāĻšā§āϝ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āύāĻžāĨ¤

āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻ…āύ⧁āϏāϰāĻŖ āĻ•āϰ⧁āύāĨ¤

āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧇, āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āϏāĻžāĻĨ⧇ āϝ⧋āĻ—āĻžāϝ⧋āĻ— āĻ•āϰ⧁āύ āϤāĻžāĻĻ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀āϰ āĻŦā§āϝāĻžāĻ–ā§āϝāĻžāϰ āϜāĻ¨ā§āϝ āĻ…āύ⧁āϰ⧋āϧ āĻ•āϰ⧁āύāĨ¤

āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āϏ⧁āĻĒāĻžāϰāĻŋāĻļ āĻ…āύ⧁āϝāĻžāϝāĻŧā§€ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āφāϗ⧇ āĻāĻŦāĻ‚/āĻŦāĻž āĻĒāϰ⧇ āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏāϗ⧁āϞāĻŋāϕ⧇ āϞ⧁āĻŦā§āϰāĻŋāϕ⧇āϟ āĻ•āϰ⧁āύāĨ¤ āϝāĻĻāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āφāϗ⧇ āĻāĻŦāĻ‚ āĻĒāϰ⧇ āωāĻ­āϝāĻŧ āĻ•ā§āώ⧇āĻ¤ā§āϰ⧇āχ āϤ⧈āϞāĻžāĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻšāϝāĻŧ, āϤāĻŦ⧇ āĻĒ⧃āĻĨāĻ• āĻŽāύ⧋āύ⧀āϤ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻž āĻāĻŦāĻ‚ āϏ⧇āχ āĻ…āύ⧁āϝāĻžāϝāĻŧā§€ āϞ⧇āĻŦ⧇āϞāϝ⧁āĻ•ā§āϤ āϞ⧁āĻŦā§āϰāĻŋāϕ⧇āĻ¨ā§āĻŸā§‡āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•ā§āϝāĻžāύāĻŋāĻ¸ā§āϟāĻžāϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧁āύāĨ¤

āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ 'āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏ āĻ•ā§āϞāĻŋāύāĻŋāĻ‚ āĻŽā§‡āĻļāĻŋāύ' āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏ āϞ⧁āĻŦā§āϰāĻŋāϕ⧇āϟ āĻ•āϰāϤ⧇ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇āĨ¤ āĻāχ āĻŽā§‡āĻļāĻŋāύāϗ⧁āϞāĻŋ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ⧇āϰ āϜāĻ¨ā§āϝ āĻŦ⧈āϧ āύāϝāĻŧ āĻāĻŦāĻ‚ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰ⧇ āύāĻžāĨ¤ āϝāĻžāχāĻšā§‹āĻ•, āϤāĻžāĻĻ⧇āϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏ⧇āϰ āĻœā§€āĻŦāύāϕ⧇ āĻĻā§€āĻ°ā§āϘāĻžāϝāĻŧāĻŋāϤ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āĻāĻŦāĻ‚ āĻŦāĻŋāĻļ⧇āώāĻ­āĻžāĻŦ⧇ āĻ•āĻžāĻ°ā§āϝāĻ•āϰ āĻšāϤ⧇ āĻĒāĻžāϰ⧇ āϝāĻĻāĻŋ āĻšāĻžāϤ⧇āϰ āϟ⧁āĻ•āϰāĻžāϗ⧁āϞāĻŋāϕ⧇ āĻāĻ•āϟāĻŋ āĻ“āϝāĻŧāĻžāĻļāĻžāϰ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻĻāĻŋāϝāĻŧ⧇ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤ āĻāĻ›āĻžāĻĄāĻŧāĻžāĻ“ āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻžāϰ āĻŦāĻŋāĻ•āĻ˛ā§āĻĒ āĻĒāĻĻā§āϧāϤāĻŋ āĻāĻŦāĻ‚ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ⧇āϰ āĻĒāϰ⧇ āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏāϗ⧁āϞāĻŋāϰ āϝāĻ¤ā§āύ⧇āϰ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ⧇āϰ āϜāĻ¨ā§āϝ āĻĻāĻžāρāϤ⧇āϰ āϝāĻ¨ā§āĻ¤ā§āϰ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻž āĻĻ⧇āϖ⧁āύāĨ¤
  • 2. Organising Sterilization Within the Decontamination Area-,./;

Purchasing a small steam sterilizer-

Before purchasing a small steam sterilizer, to ensure that it is suitable for your sure:

āĻāĻ•āϟāĻŋ āϛ⧋āϟ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āϕ⧇āύāĻžāϰ āφāϗ⧇, āĻāϟāĻŋ āφāĻĒāύāĻžāϰ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āωāĻĒāϝ⧁āĻ•ā§āϤ āĻ•āĻŋāύāĻž āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāϤ⧇:

Specify clearly to the supplier the Type of loads that you intend to reprocess including:

āφāĻĒāύāĻŋ āϝ⧇ āϧāϰāύ⧇āϰ āϞ⧋āĻĄāϗ⧁āϞāĻŋ āĻĒ⧁āύāσāĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻ•āϰāϤ⧇ āϚāĻžāύ āϤāĻž āϏāϰāĻŦāϰāĻžāĻšāĻ•āĻžāϰ⧀āϰ āĻ•āĻžāϛ⧇ āĻ¸ā§āĻĒāĻˇā§āϟāĻ­āĻžāĻŦ⧇ āωāĻ˛ā§āϞ⧇āĻ– āĻ•āϰ⧁āύ:
  • The quantities of instruments you are likely to reprocess per load and per day.
  • āĻĒā§āϰāϤāĻŋ āϞ⧋āĻĄ āĻāĻŦāĻ‚ āĻĒā§āϰāϤāĻŋ āĻĻāĻŋāύ⧇ āφāĻĒāύāĻŋ āϝ⧇ āĻĒāϰāĻŋāĻŽāĻžāĻŖ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻĒ⧁āύāϰāĻžāϝāĻŧ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āύāĨ¤

Ensure the sterilizer carries the CE mark. This indicates that the manufacturer claims compliance with the Essential requirements of the Medical Device Directive.

āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ•āϟāĻŋ āϏāĻŋāχ āϚāĻŋāĻšā§āύ āĻŦāĻšāύ āĻ•āϰ⧇āĨ¤ āĻāϟāĻŋ āχāĻ™ā§āĻ—āĻŋāϤ āĻ•āϰ⧇ āϝ⧇ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāĻ• āĻŽā§‡āĻĄāĻŋāϕ⧇āϞ āĻĄāĻŋāĻ­āĻžāχāϏ āύāĻŋāĻ°ā§āĻĻ⧇āĻļ⧇āϰ āĻ…āĻĒāϰāĻŋāĻšāĻžāĻ°ā§āϝ āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧāϤāĻžāϗ⧁āϞāĻŋāϰ āϏāĻžāĻĨ⧇ āϏāĻŽā§āĻŽāϤāĻŋ āĻĻāĻžāĻŦāĻŋ āĻ•āϰ⧇āϛ⧇āύāĨ¤

Ensure that the sterilizer complies with British Standards (BS EN 13060) And SHTM 2010.

āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āĻŦā§āϰāĻŋāϟāĻŋāĻļ āĻ¸ā§āĻŸā§āϝāĻžāĻ¨ā§āĻĄāĻžāĻ°ā§āĻĄ (BS EN 13060) āĻāĻŦāĻ‚ SHTM 2010 āĻŽā§‡āύ⧇ āϚāϞāϛ⧇ āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύāĨ¤

Check with the supplier that-

  • they can install the sterilizer to be consistent with SHTM 2010 requirements and provide certification of this.
  • āϤāĻžāϰāĻž SHTM 2010 āĻāϰ āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧāϤāĻžāϰ āϏāĻžāĻĨ⧇ āϏāĻžāĻŽāĻžā§āϜāĻ¸ā§āϝāĻĒā§‚āĻ°ā§āĻŖ āĻšāĻ“āϝāĻŧāĻžāϰ āϜāĻ¨ā§āϝ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āĻžāϰ⧀ āχāύāĻ¸ā§āϟāϞ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āĻāĻŦāĻ‚ āĻāϟāĻŋāϰ āĻļāĻ‚āϏāĻžāĻĒāĻ¤ā§āϰ āĻĒā§āϰāĻĻāĻžāύ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤
  • they will provide written operating instructions nd training.
  • āϤāĻžāϰāĻž āϞāĻŋāĻ–āĻŋāϤ āĻ…āĻĒāĻžāϰ⧇āϟāĻŋāĻ‚ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻāĻŦāĻ‚ āĻĒā§āϰāĻļāĻŋāĻ•ā§āώāĻŖ āĻĒā§āϰāĻĻāĻžāύ āĻ•āϰāĻŦ⧇āĨ¤
  • they can guarantee an efficient repair service and response time can provide replacement equipment if necessary.
  • āϤāĻžāϰāĻž āĻāĻ•āϟāĻŋ āĻĻāĻ•ā§āώ āĻŽā§‡āϰāĻžāĻŽāϤ āĻĒāϰāĻŋāώ⧇āĻŦāĻžāϰ āĻ—ā§āϝāĻžāϰāĻžāĻ¨ā§āϟāĻŋ āĻĻāĻŋāϤ⧇ āĻĒāĻžāϰ⧇ āĻāĻŦāĻ‚ āĻĒā§āϰāϤāĻŋāĻ•ā§āϰāĻŋāϝāĻŧāĻž āϏāĻŽāϝāĻŧ āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻšāϞ⧇ āĻĒā§āϰāϤāĻŋāĻ¸ā§āĻĨāĻžāĻĒāύ āϏāϰāĻžā§āϜāĻžāĻŽ āϏāϰāĻŦāϰāĻžāĻš āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤
  • they can supply a contract for maintenance and testing in accordance with the manufactures instruction.
  • āϤāĻžāϰāĻž āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļ āĻ…āύ⧁āϏāĻžāϰ⧇ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ āĻāĻŦāĻ‚ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āϜāĻ¨ā§āϝ āĻāĻ•āϟāĻŋ āϚ⧁āĻ•ā§āϤāĻŋ āϏāϰāĻŦāϰāĻžāĻš āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤
  • The Sterilizer performs a cycle that can be validated (see section 6).
  • āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āĻāĻ•āϟāĻŋ āϚāĻ•ā§āϰ āϏāĻŽā§āĻĒāĻžāĻĻāύ āĻ•āϰ⧇ āϝāĻž āϝāĻžāϚāĻžāχ āĻ•āϰāĻž āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇ (āĻŦāĻŋāĻ­āĻžāĻ— 6 āĻĻ⧇āϖ⧁āύ)āĨ¤

Ask the supplier to provide details in writing of –

āϏāϰāĻŦāϰāĻžāĻšāĻ•āĻžāϰ⧀āϕ⧇ āϞāĻŋāĻ–āĻŋāϤāĻ­āĻžāĻŦ⧇ āĻŦāĻŋāĻ¸ā§āϤāĻžāϰāĻŋāϤ āϜāĻžāύāĻžāϤ⧇ āĻŦāϞ⧁āύ-
  • how many instrument trays, cassettes or rocks the sterilizer can process in one cycle.
  • āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻāĻ• āϚāĻ•ā§āϰ⧇ āĻ•āϤāϗ⧁āϞāĻŋ āωāĻĒāĻ•āϰāĻŖ āĻŸā§āϰ⧇, āĻ•ā§āϝāĻžāϏ⧇āϟ āĻŦāĻž āĻļāĻŋāϞāĻž āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤
  • how long a cycle takes.
  • āĻāĻ•āϟāĻŋ āϚāĻ•ā§āϰ āĻ•āϤāĻ•ā§āώāĻŖ āϞāĻžāϗ⧇āĨ¤
  • the number of different cycles the sterilizer can perform.
  • āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āϏāĻžā§āϚāĻžāϞāύ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āĻŦāĻŋāĻ­āĻŋāĻ¨ā§āύ āϚāĻ•ā§āϰ⧇āϰ āϏāĻ‚āĻ–ā§āϝāĻžāĨ¤
  • dimensions and door orientation.
  • āĻŽāĻžāĻ¤ā§āϰāĻž āĻāĻŦāĻ‚ āĻĻāϰāϜāĻž āĻ…āĻ­āĻŋāϝ⧋āϜāύāĨ¤
  • a local servicing agent.
  • āĻāĻ•āϟāĻŋ āĻ¸ā§āĻĨāĻžāύ⧀āϝāĻŧ āϏāĻžāĻ°ā§āĻ­āĻŋāϏāĻŋāĻ‚ āĻāĻœā§‡āĻ¨ā§āϟāĨ¤
  • the costs involved for installation , validation, periodic testing and maintenance.
  • āχāύāĻ¸ā§āϟāϞ⧇āĻļāύ, āĻŦ⧈āϧāϤāĻž, āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž āĻāĻŦāĻ‚ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāϪ⧇āϰ āϜāĻ¨ā§āϝ āϜāĻĄāĻŧāĻŋāϤ āĻ–āϰāϚāĨ¤
  • periodic tests, including whether the machine can perform these tests automatically or whether the user can perform them,
  • āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž, āĻŽā§‡āĻļāĻŋāύ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧāĻ­āĻžāĻŦ⧇ āĻāχ āĻĒāϰ⧀āĻ•ā§āώāĻžāϗ⧁āϞāĻŋ āϏāĻŽā§āĻĒāĻžāĻĻāύ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āĻ•āĻŋāύāĻž āĻŦāĻž āĻŦā§āϝāĻŦāĻšāĻžāϰāĻ•āĻžāϰ⧀ āϏ⧇āϗ⧁āϞāĻŋ āϏāĻŽā§āĻĒāĻžāĻĻāύ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āĻ•āĻŋāύāĻž
  • how long the machine is out of action foe maintenance and how many times per year.
  • āĻŽā§‡āĻļāĻŋāύāϟāĻŋ āĻ•āϤāĻ•ā§āώāĻŖ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāϪ⧇āϰ āĻŦāĻžāχāϰ⧇ āĻĨāĻžāϕ⧇ āĻāĻŦāĻ‚ āĻŦāĻ›āϰ⧇ āĻ•āϤāĻŦāĻžāϰāĨ¤
  • the electrical and/or plumbing requirements.
  • āĻŦ⧈āĻĻā§āϝ⧁āϤāĻŋāĻ• āĻāĻŦāĻ‚/āĻ…āĻĨāĻŦāĻž āύāĻĻā§€āϰ āĻ—āĻ­ā§€āϰāϤāĻžāύāĻŋāĻ°ā§āĻŖāϝāĻŧ āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧāϤāĻžāĨ¤
  • any other specific requirements (e.g. water quality and quantity required per cycle)
  • āĻ…āĻ¨ā§āϝ āϕ⧋āύ⧋ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧāϤāĻž (āϝ⧇āĻŽāύ āϜāϞ⧇āϰ āϗ⧁āĻŖāĻŽāĻžāύ āĻāĻŦāĻ‚ āϏāĻžāχāϕ⧇āϞ āĻĒā§āϰāϤāĻŋ āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧ āĻĒāϰāĻŋāĻŽāĻžāĻŖ)
  • whether the machine has a printer installed or an electronic data logger and if so whether this records temperature , pressure and sterilization hold time.
  • āĻŽā§‡āĻļāĻŋāύ⧇ āĻāĻ•āϟāĻŋ āĻĒā§āϰāĻŋāĻ¨ā§āϟāĻžāϰ āχāύāĻ¸ā§āϟāϞ āĻ•āϰāĻž āφāϛ⧇ āĻ•āĻŋāύāĻž āĻŦāĻž āĻāĻ•āϟāĻŋ āχāϞ⧇āĻ•āĻŸā§āϰāύāĻŋāĻ• āĻĄā§‡āϟāĻž āϞāĻ—āĻžāϰ āφāϛ⧇ āĻ•āĻŋāύāĻž āĻāĻŦāĻ‚ āϝāĻĻāĻŋ āϤāĻž āĻšāϝāĻŧ āϤāĻŦ⧇ āĻāϟāĻŋ āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻž, āϚāĻžāĻĒ āĻāĻŦāĻ‚ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧇ āĻ•āĻŋāύāĻžāĨ¤
  • whether other attachments or accessories are required and whether they have been included in the costs.
  • āĻ…āĻ¨ā§āϝāĻžāĻ¨ā§āϝ āϏāĻ‚āϝ⧁āĻ•ā§āϤāĻŋ āĻŦāĻž āφāύ⧁āώāĻžāĻ™ā§āĻ—āĻŋāĻ• āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻ•āĻŋāύāĻž āĻāĻŦāĻ‚ āϏ⧇āϗ⧁āϞāĻŋ āĻ–āϰāĻšā§‡āϰ āĻŽāĻ§ā§āϝ⧇ āĻ…āĻ¨ā§āϤāĻ°ā§āϭ⧁āĻ•ā§āϤ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ āĻ•āĻŋāύāĻžāĨ¤

The resource requirements (e.g. costs and time for testing, level of staff training) will differ significantly depending on the type of sterilizer. In 20111, following an assessment of the current literature, the Scottish Health Technologies Group determined that there is a lack of evidence to conclude that the provision of benchtop steam vacuum sterilizers in primary care dental practices in Scotland would increase patient safety and thereby justify the cost (Advice statement 003/11, which will be subject to periodic review). While cost is a concern, it is essential to follow the manufacturer’s reprocessing instructions for both sterilizer and instruments to inform your decisions about the purchase of a small steam sterilizer.

āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāϕ⧇āϰ āĻĒā§āϰāĻ•āĻžāϰ⧇āϰ āωāĻĒāϰ āύāĻŋāĻ°ā§āĻ­āϰ āĻ•āϰ⧇ āϏāĻŽā§āĻĒāĻĻ⧇āϰ āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧāϤāĻžāϗ⧁āϞāĻŋ (āϝ⧇āĻŽāύ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āϜāĻ¨ā§āϝ āĻ–āϰāϚ āĻāĻŦāĻ‚ āϏāĻŽāϝāĻŧ, āĻ•āĻ°ā§āĻŽā§€āĻĻ⧇āϰ āĻĒā§āϰāĻļāĻŋāĻ•ā§āώāϪ⧇āϰ āĻ¸ā§āϤāϰ) āωāĻ˛ā§āϞ⧇āĻ–āϝ⧋āĻ—ā§āϝāĻ­āĻžāĻŦ⧇ āφāϞāĻžāĻĻāĻž āĻšāĻŦ⧇āĨ¤ 20111 āϏāĻžāϞ⧇, āĻŦāĻ°ā§āϤāĻŽāĻžāύ āϏāĻžāĻšāĻŋāĻ¤ā§āϝ⧇āϰ āĻāĻ•āϟāĻŋ āĻŽā§‚āĻ˛ā§āϝāĻžāϝāĻŧāύ⧇āϰ āĻĒāϰ, āĻ¸ā§āĻ•āϟāĻŋāĻļ āĻšā§‡āϞāĻĨ āĻŸā§‡āĻ•āύ⧋āϞāϜāĻŋāϏ āĻ—ā§āϰ⧁āĻĒ āύāĻŋāĻ°ā§āϧāĻžāϰāĻŖ āĻ•āϰ⧇ āϝ⧇ āĻ¸ā§āĻ•āϟāĻ˛ā§āϝāĻžāĻ¨ā§āĻĄā§‡ āĻĒā§āϰāĻžāĻĨāĻŽāĻŋāĻ• āϝāĻ¤ā§āύ⧇āϰ āĻĻāĻžāρāϤ⧇āϰ āĻ…āύ⧁āĻļā§€āϞāύ⧇ āĻŦ⧇āĻžā§āϚāϟāĻĒ āĻ¸ā§āϟāĻŋāĻŽ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇āϰ āĻŦāĻŋāϧāĻžāύ āϰ⧋āĻ—ā§€āϰ āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻž āĻŦ⧃āĻĻā§āϧāĻŋ āĻ•āϰāĻŦ⧇ āĻāĻŦāĻ‚ āĻāϰ āĻĢāϞ⧇ āĻ–āϰāϚāϕ⧇ āĻ¨ā§āϝāĻžāĻ¯ā§āϝāϤāĻž āĻĻ⧇āĻŦ⧇ ( āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻŦāĻŋāĻŦ⧃āϤāĻŋ 003/11, āϝāĻž āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāĻ°ā§āϝāĻžāϞ⧋āϚāύāĻž āϏāĻžāĻĒ⧇āĻ•ā§āώ⧇ āĻšāĻŦ⧇)āĨ¤ āϝāĻĻāĻŋāĻ“ āĻ–āϰāϚ āĻāĻ•āϟāĻŋ āωāĻĻā§āĻŦ⧇āϗ⧇āϰ āĻŦāĻŋāώāϝāĻŧ, āĻāĻ•āϟāĻŋ āϛ⧋āϟ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āϕ⧇āύāĻžāϰ āĻŦāĻŋāώāϝāĻŧ⧇ āφāĻĒāύāĻžāϰ āϏāĻŋāĻĻā§āϧāĻžāĻ¨ā§āϤ āϜāĻžāύāĻžāϤ⧇ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻāĻŦāĻ‚ āϝāĻ¨ā§āĻ¤ā§āϰ āωāĻ­āϝāĻŧ⧇āϰ āϜāĻ¨ā§āϝ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āĻĒ⧁āύāσāĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāĻ•āϰāĻŖ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻ…āύ⧁āϏāϰāĻŖ āĻ•āϰāĻž āĻ…āĻĒāϰāĻŋāĻšāĻžāĻ°ā§āϝāĨ¤

The NHSScotland National Contract for Decontamination Equipment-

āĻāύāĻāχāϚāĻāϏāĻāϏāϕ⧋āϟāĻ˛ā§āϝāĻžāĻ¨ā§āĻĄ āĻ¨ā§āϝāĻžāĻļāύāĻžāϞ āĻ•āĻ¨ā§āĻŸā§āϰāĻžāĻ•ā§āϟ āĻĢāϰ āĻĄāĻŋāĻ•āύāĻŸā§āϝāĻžāĻŽāĻŋāύ⧇āĻļāύ āχāϕ⧁āχāĻĒāĻŽā§‡āĻ¨ā§āϟ-

NHSScotland has a national contract for local decontamination unit (LDU) equipment that was created following a period of equipment testing. The contract includes the purchase price of several small steam sterilizers and gives details of the additional costs for installation, commissioning, testing, and maintenance. A full support package which includes both the equipment and the additional costs is also listed.

NHSScotland āĻ¸ā§āĻĨāĻžāύ⧀āϝāĻŧ āĻĄāĻŋāĻ•āύāϟāĻžāĻŽāĻŋāύ⧇āĻļāύ āχāωāύāĻŋāϟ (LDU) āϏāϰāĻžā§āϜāĻžāĻŽāϗ⧁āϞāĻŋāϰ āϜāĻ¨ā§āϝ āĻāĻ•āϟāĻŋ āϜāĻžāϤ⧀āϝāĻŧ āϚ⧁āĻ•ā§āϤāĻŋ āϰāϝāĻŧ⧇āϛ⧇ āϝāĻž āϏāϰāĻžā§āϜāĻžāĻŽ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āϏāĻŽāϝāĻŧāĻ•āĻžāϞ⧇āϰ āĻĒāϰ⧇ āϤ⧈āϰāĻŋ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āĻ›āĻŋāϞāĨ¤ āϚ⧁āĻ•ā§āϤāĻŋāϤ⧇ āĻŦ⧇āĻļ āĻ•āϝāĻŧ⧇āĻ•āϟāĻŋ āϛ⧋āϟ āĻ¸ā§āϟāĻŋāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇āϰ āĻ•ā§āϰāϝāĻŧ āĻŽā§‚āĻ˛ā§āϝ āĻ…āĻ¨ā§āϤāĻ°ā§āϭ⧁āĻ•ā§āϤ āϰāϝāĻŧ⧇āϛ⧇ āĻāĻŦāĻ‚ āχāύāĻ¸ā§āϟāϞ⧇āĻļāύ, āĻ•āĻŽāĻŋāĻļāύāĻŋāĻ‚, āĻĒāϰ⧀āĻ•ā§āώāĻž āĻāĻŦāĻ‚ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāϪ⧇āϰ āϜāĻ¨ā§āϝ āĻ…āϤāĻŋāϰāĻŋāĻ•ā§āϤ āĻ–āϰāĻšā§‡āϰ āĻŦāĻŋāĻŦāϰāĻŖ āĻĻ⧇āϝāĻŧāĨ¤ āĻāĻ•āϟāĻŋ āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āϏāĻŽāĻ°ā§āĻĨāύ āĻĒā§āϝāĻžāϕ⧇āϜ āϝāĻž āωāĻ­āϝāĻŧ āϏāϰāĻžā§āϜāĻžāĻŽ āĻāĻŦāĻ‚ āĻ…āϤāĻŋāϰāĻŋāĻ•ā§āϤ āĻ–āϰāϚāĻ“ āĻ…āĻ¨ā§āϤāĻ°ā§āϭ⧁āĻ•ā§āϤ āĻ•āϰ⧇āĨ¤

Note that the current national contract does not include any type of S sterilizer. Further items are added periodically and, therefore, it is important to check the contract for the latest information.

āωāĻ˛ā§āϞ⧇āĻ–ā§āϝ āϝ⧇ āĻŦāĻ°ā§āϤāĻŽāĻžāύ āϜāĻžāϤ⧀āϝāĻŧ āϚ⧁āĻ•ā§āϤāĻŋāϤ⧇ āϕ⧋āύ⧋ āĻĒā§āϰāĻ•āĻžāϰ S āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻ…āĻ¨ā§āϤāĻ°ā§āϭ⧁āĻ•ā§āϤ āύ⧇āχāĨ¤ āφāϰāĻ“ āφāχāĻŸā§‡āĻŽ āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽā§‡ āϝ⧋āĻ— āĻ•āϰāĻž āĻšāϝāĻŧ āĻāĻŦāĻ‚ āϤāĻžāχ, āϏāĻ°ā§āĻŦāĻļ⧇āώ āϤāĻĨā§āϝ⧇āϰ āϜāĻ¨ā§āϝ āϚ⧁āĻ•ā§āϤāĻŋ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖāĨ¤

All GDC registered dentists in Scotland can view the contract at the NHS National procurement website, CDSnet: www.scotcat.nhs.uk/cdsnet/cdsnet.asp (see Appendix 6 for further details.)

āĻ¸ā§āĻ•āϟāĻ˛ā§āϝāĻžāĻ¨ā§āĻĄā§‡āϰ āϏāĻŽāĻ¸ā§āϤ GDC āύāĻŋāĻŦāĻ¨ā§āϧāĻŋāϤ āĻĻāĻžāρāϤ⧇āϰ āĻĄāĻžāĻ•ā§āϤāĻžāϰāϰāĻž NHS āϜāĻžāϤ⧀āϝāĻŧ āϏāĻ‚āĻ—ā§āϰāĻšā§‡āϰ āĻ“āϝāĻŧ⧇āĻŦāϏāĻžāχāϟ, CDSnet: www.scotcat.nhs.uk/cdsnet/cdsnet.asp-āĻ āϚ⧁āĻ•ā§āϤāĻŋāϟāĻŋ āĻĻ⧇āĻ–āϤ⧇ āĻĒāĻžāϰ⧇āύ (āφāϰ⧋ āĻŦāĻŋāĻļāĻĻ āĻŦāĻŋāĻŦāϰāϪ⧇āϰ āϜāĻ¨ā§āϝ āĻĒāϰāĻŋāĻļāĻŋāĻˇā§āϟ 6 āĻĻ⧇āϖ⧁āύāĨ¤)

Health Facilities Scotland and the chief Dental Officer recommend that all decontamination equipment (ultrasonic cleaners, washer disinfectors, and sterilizers) is purchased using the national contract as a guide. A sterilizer purchased via the contract will meet the specifications included in the points listed in Section. Provided that the additional installation commissioning, testing, and maintenance package is also purchased. The supplies are listed on CDSnet and need to be contacted directly to purchase equipment.

āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝ āϏ⧁āĻŦāĻŋāϧāĻž āĻ¸ā§āĻ•āϟāĻ˛ā§āϝāĻžāĻ¨ā§āĻĄ āĻāĻŦāĻ‚ āĻĒā§āϰāϧāĻžāύ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āĻ…āĻĢāĻŋāϏāĻžāϰ āϏ⧁āĻĒāĻžāϰāĻŋāĻļ āĻ•āϰ⧇āύ āϝ⧇ āϏāĻŽāĻ¸ā§āϤ āĻĄāĻŋāĻ•āύāĻŸā§āϝāĻžāĻŽāĻŋāύ⧇āĻļāύ āϏāϰāĻžā§āϜāĻžāĻŽ (āφāĻ˛ā§āĻŸā§āϰāĻžāϏāύāĻŋāĻ• āĻ•ā§āϞāĻŋāύāĻžāϰ, āĻ“āϝāĻŧāĻžāĻļāĻžāϰ āĻĄāĻŋāϏāχāύāĻĢ⧇āĻ•ā§āϟāϰ āĻāĻŦāĻ‚ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ) āĻāĻ•āϟāĻŋ āĻ—āĻžāχāĻĄ āĻšāĻŋāϏāĻžāĻŦ⧇ āϜāĻžāϤ⧀āϝāĻŧ āϚ⧁āĻ•ā§āϤāĻŋ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇ āϕ⧇āύāĻž āĻšāϝāĻŧāĨ¤ āϚ⧁āĻ•ā§āϤāĻŋāϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ āϕ⧇āύāĻž āĻāĻ•āϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻ…āύ⧁āĻšā§āϛ⧇āĻĻ⧇ āϤāĻžāϞāĻŋāĻ•āĻžāϭ⧁āĻ•ā§āϤ āĻĒāϝāĻŧ⧇āĻ¨ā§āϟāϗ⧁āϞāĻŋāϤ⧇ āĻ…āĻ¨ā§āϤāĻ°ā§āϭ⧁āĻ•ā§āϤ āĻŦ⧈āĻļāĻŋāĻˇā§āĻŸā§āϝāϗ⧁āϞāĻŋ āĻĒā§‚āϰāĻŖ āĻ•āϰāĻŦ⧇⧎ āĻļāĻ°ā§āϤ āĻĨāĻžāϕ⧇ āϝ⧇ āĻ…āϤāĻŋāϰāĻŋāĻ•ā§āϤ āχāύāĻ¸ā§āϟāϞ⧇āĻļāύ āĻ•āĻŽāĻŋāĻļāύāĻŋāĻ‚, āĻŸā§‡āĻ¸ā§āϟāĻŋāĻ‚ āĻāĻŦāĻ‚ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ āĻĒā§āϝāĻžāϕ⧇āϜāĻ“ āϕ⧇āύāĻž āĻšāϝāĻŧāĨ¤ āϏāϰāĻŦāϰāĻžāĻšāϗ⧁āϞāĻŋ CDSnet-āĻ āϤāĻžāϞāĻŋāĻ•āĻžāϭ⧁āĻ•ā§āϤ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ āĻāĻŦāĻ‚ āϏāϰāĻžā§āϜāĻžāĻŽ āϕ⧇āύāĻžāϰ āϜāĻ¨ā§āϝ āϏāϰāĻžāϏāϰāĻŋ āϝ⧋āĻ—āĻžāϝ⧋āĻ— āĻ•āϰāϤ⧇ āĻšāĻŦ⧇āĨ¤

Consult the LDU equipment contract at www.scotcat.scot.nhs.uk/cdsnet/cdsnet.asp to inform purchasing decisions and consider quoting it when purchasing new equipment.

āϕ⧇āύāĻžāϰ āϏāĻŋāĻĻā§āϧāĻžāĻ¨ā§āϤ āϜāĻžāύāĻžāϤ⧇ www.scotcat.scot.nhs.uk/cdsnet/cdsnet.asp-āĻ LDU āϏāϰāĻžā§āϜāĻžāĻŽ āϚ⧁āĻ•ā§āϤāĻŋāϰ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āύāĻŋāύ āĻāĻŦāĻ‚ āύāϤ⧁āύ āϏāϰāĻžā§āϜāĻžāĻŽ āϕ⧇āύāĻžāϰ āϏāĻŽāϝāĻŧ āĻāϟāĻŋ āωāĻĻā§āϧ⧃āϤ āĻ•āϰāĻžāϰ āĻ•āĻĨāĻž āĻŦāĻŋāĻŦ⧇āϚāύāĻž āĻ•āϰ⧁āύāĨ¤

Failure to comply with the manufacturer’s instructions can adversely affect the safety of an instrument and affect product guarantees on warranties.

āωāĻ¤ā§āĻĒāĻžāĻĻāύ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻŽā§‡āύ⧇ āϚāϞāϤ⧇ āĻŦā§āϝāĻ°ā§āĻĨāϤāĻž āĻāĻ•āϟāĻŋ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻžāϕ⧇ āĻŦāĻŋāϰ⧂āĻĒāĻ­āĻžāĻŦ⧇ āĻĒā§āϰāĻ­āĻžāĻŦāĻŋāϤ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āĻāĻŦāĻ‚ āĻ“āϝāĻŧāĻžāϰ⧇āĻ¨ā§āϟāĻŋāϤ⧇ āĻĒāĻŖā§āϝ⧇āϰ āĻ—ā§āϝāĻžāϰāĻžāĻ¨ā§āϟāĻŋāϕ⧇ āĻĒā§āϰāĻ­āĻžāĻŦāĻŋāϤ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇

Check the manufacturer’s instructions before purchase to ensure that instruments are suitable, that is:

āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āωāĻĒāϝ⧁āĻ•ā§āϤ āĻ•āĻŋāύāĻž āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāϤ⧇ āĻ•ā§āϰāϝāĻŧ⧇āϰ āφāϗ⧇ āύāĻŋāĻ°ā§āĻŽāĻžāϤāĻžāĻĻ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧇ āĻĻ⧇āϖ⧁āύ, āĻ…āĻ°ā§āĻĨāĻžā§Ž:
  • they are good qualities and CE marked.
  • āϤāĻžāϰāĻž āĻ­āĻžāϞ āϗ⧁āĻŖāĻžāĻŦāϞ⧀ āĻāĻŦāĻ‚ CE āϚāĻŋāĻšā§āύāĻŋāϤ.
  • they can withstand the temperature and pressure applied during the steam sterilization cycle used in your sterilization.
  • āϤāĻžāϰāĻž āφāĻĒāύāĻžāϰ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ⧇ āĻŦā§āϝāĻŦāĻšā§ƒāϤ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϚāĻ•ā§āϰ⧇āϰ āϏāĻŽāϝāĻŧ āĻĒā§āϰāϝāĻŧā§‹āĻ— āĻ•āϰāĻž āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻž āĻāĻŦāĻ‚ āϚāĻžāĻĒ āϏāĻšā§āϝ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤
  • Whether there is a limit to how many times an instrument can be sterilized (e. g. electrosurgery tips).
  • āĻāĻ•āϟāĻŋ āϝāĻ¨ā§āĻ¤ā§āϰ āĻ•āϤāĻŦāĻžāϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻž āϝāĻžāϝāĻŧ āϤāĻžāϰ āĻāĻ•āϟāĻŋ āϏ⧀āĻŽāĻž āφāϛ⧇ āĻ•āĻŋāύāĻž (āϝ⧇āĻŽāύ āχāϞ⧇āĻ•ā§āĻŸā§āϰ⧋āϏāĻžāĻ°ā§āϜāĻžāϰāĻŋ āϟāĻŋāĻĒāϏ)āĨ¤

If there are reusable instruments in use that cannot withstand sterilization, source alternatives that can be sterilized or that are single-use.

āϝāĻĻāĻŋ āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇ āĻĒ⧁āύāσāĻŦā§āϝāĻŦāĻšāĻžāϰāϝ⧋āĻ—ā§āϝ āϝāĻ¨ā§āĻ¤ā§āϰ āĻĨāĻžāϕ⧇ āϝāĻž āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻĒā§āϰāϤāĻŋāϰ⧋āϧ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āύāĻž, āĻ‰ā§ŽāϏ āĻŦāĻŋāĻ•āĻ˛ā§āĻĒ āϝāĻž āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻž āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇ āĻŦāĻž āϝāĻž āĻāĻ•āĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰāĨ¤

Staff Roles-

Appendix 4 details the personnel necessary for validation and quality assurance. This includes both staff in the practice and external personnel.

āĻĒāϰāĻŋāĻļāĻŋāĻˇā§āϟ 4 āĻŦ⧈āϧāϤāĻž āĻāĻŦāĻ‚ āϗ⧁āĻŖāĻŽāĻžāύ āύāĻŋāĻļā§āϚāĻŋāϤāĻ•āϰāϪ⧇āϰ āϜāĻ¨ā§āϝ āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧ āĻ•āĻ°ā§āĻŽā§€āĻĻ⧇āϰ āĻŦāĻŋāĻŦāϰāĻŖāĨ¤ āĻāϰ āĻŽāĻ§ā§āϝ⧇ āĻ…āύ⧁āĻļā§€āϞāύ⧇āϰ āĻ•āĻ°ā§āĻŽā§€ āĻāĻŦāĻ‚ āĻŦāĻšāĻŋāϰāĻžāĻ—āϤ āĻ•āĻ°ā§āĻŽā§€ āωāĻ­āϝāĻŧāχ āĻ…āĻ¨ā§āϤāĻ°ā§āϭ⧁āĻ•ā§āϤāĨ¤

Appoint a user as the named person responsible for appointing operators and ensuring their competence, and for the day to day management of each sterilize, its use, maintenance and testing and relevant documentation. In a dental practice, this role could be delegated to a suitably trained member of staff, for example, a senior dental nurse or practice manager.

āĻ…āĻĒāĻžāϰ⧇āϟāϰ āύāĻŋāϝāĻŧā§‹āĻ— āĻāĻŦāĻ‚ āϤāĻžāĻĻ⧇āϰ āĻĻāĻ•ā§āώāϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻāĻŦāĻ‚ āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ, āĻāϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ, āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ āĻāĻŦāĻ‚ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻāĻŦāĻ‚ āĻĒā§āϰāĻžāϏāĻ™ā§āĻ—āĻŋāĻ• āĻĄāϕ⧁āĻŽā§‡āĻ¨ā§āĻŸā§‡āĻļāύ⧇āϰ āĻĻ⧈āύāĻ¨ā§āĻĻāĻŋāύ āĻŦā§āϝāĻŦāĻ¸ā§āĻĨāĻžāĻĒāύāĻžāϰ āϜāĻ¨ā§āϝ āĻĻāĻžāϝāĻŧā§€ āύāĻžāĻŽāϝ⧁āĻ•ā§āϤ āĻŦā§āϝāĻ•ā§āϤāĻŋ āĻšāĻŋāϏāĻžāĻŦ⧇ āĻāĻ•āϜāύ āĻŦā§āϝāĻŦāĻšāĻžāϰāĻ•āĻžāϰ⧀āϕ⧇ āύāĻŋāϝāĻŧā§‹āĻ— āĻ•āϰ⧁āύāĨ¤ āĻāĻ•āϟāĻŋ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āĻ…āύ⧁āĻļā§€āϞāύ⧇, āĻāχ āĻ­ā§‚āĻŽāĻŋāĻ•āĻžāϟāĻŋ āωāĻĒāϝ⧁āĻ•ā§āϤāĻ­āĻžāĻŦ⧇ āĻĒā§āϰāĻļāĻŋāĻ•ā§āώāĻŋāϤ āĻ•āĻ°ā§āĻŽā§€āĻĻ⧇āϰ āĻāĻ•āϜāύ āϏāĻĻāĻ¸ā§āϝāϕ⧇ āĻ…āĻ°ā§āĻĒāĻŖ āĻ•āϰāĻž āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇, āωāĻĻāĻžāĻšāϰāĻŖāĻ¸ā§āĻŦāϰ⧂āĻĒ, āĻāĻ•āϜāύ āϏāĻŋāύāĻŋāϝāĻŧāϰ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āύāĻžāĻ°ā§āϏ āĻŦāĻž āĻ…āύ⧁āĻļā§€āϞāύ āĻŦā§āϝāĻŦāĻ¸ā§āĻĨāĻžāĻĒāĻ•āĨ¤

Appoint Operators to operate each sterilize, including performing basic housekeeping duties.

āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻ…āĻĒāĻžāϰ⧇āϟāϰ āύāĻŋāϝāĻŧā§‹āĻ— āĻ•āϰ⧁āύ, āϝāĻžāϰ āĻŽāĻ§ā§āϝ⧇ āĻ—ā§ƒāĻšāĻ¸ā§āĻĨāĻžāϞāĻŋāϰ āĻŽā§ŒāϞāĻŋāĻ• āĻĻāĻžāϝāĻŧāĻŋāĻ¤ā§āĻŦ āĻĒāĻžāϞāύ āĻ•āϰāĻžāĨ¤

Staff Training for Sterilization-

It is a requirement of the provision and use of work Equipment Regulations 1998,Glennie Technical Requirements, HPS LDU Guidance and MDA DB 2002(06) that all staff manage, supervise or operate sterilizer are trained in their use and maintenance. The practice owner (Management refer to Appendix 4 for personnel) is responsible for ensuring that systems are in place for ongoing staff training.

āĻ•āĻžāĻœā§‡āϰ āϏāϰāĻžā§āϜāĻžāĻŽ āϰ⧇āϗ⧁āϞ⧇āĻļāύ 1998, āĻ—ā§āϞ⧇āύāĻŋ āĻŸā§‡āĻ•āύāĻŋāĻ•ā§āϝāĻžāϞ āϰāĻŋāϕ⧋āϝāĻŧāĻžāϰāĻŽā§‡āĻ¨ā§āϟāϏ, HPS LDU āĻ—āĻžāχāĻĄā§‡āĻ¨ā§āϏ āĻāĻŦāĻ‚ MDA DB 2002(06) āĻāϰ āĻŦāĻŋāϧāĻžāύ āĻāĻŦāĻ‚ āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āϜāĻ¨ā§āϝ āĻāϟāĻŋ āĻāĻ•āϟāĻŋ āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧāϤāĻž āϝ⧇ āϏāĻŽāĻ¸ā§āϤ āĻ¸ā§āϟāĻžāĻĢ āϤāĻžāĻĻ⧇āϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻāĻŦāĻ‚ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāϪ⧇āϰ āĻŦāĻŋāώāϝāĻŧ⧇ āĻĒā§āϰāĻļāĻŋāĻ•ā§āώāĻŋāϤ āĻšāϝāĻŧāĨ¤ āĻ…āύ⧁āĻļā§€āϞāύ⧇āϰ āĻŽāĻžāϞāĻŋāĻ• (āĻŦā§āϝāĻŦāĻ¸ā§āĻĨāĻžāĻĒāύāĻž āĻ•āĻ°ā§āĻŽā§€āĻĻ⧇āϰ āϜāĻ¨ā§āϝ āĻĒāϰāĻŋāĻļāĻŋāĻˇā§āϟ 4 āĻĻ⧇āϖ⧁āύ) āϚāϞāĻŽāĻžāύ āĻ•āĻ°ā§āĻŽā§€āĻĻ⧇āϰ āĻĒā§āϰāĻļāĻŋāĻ•ā§āώāϪ⧇āϰ āϜāĻ¨ā§āϝ āϏāĻŋāĻ¸ā§āĻŸā§‡āĻŽāϗ⧁āϞāĻŋ āϰāϝāĻŧ⧇āϛ⧇ āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻĻāĻžāϝāĻŧā§€āĨ¤

Ensure all members of the dental team who undertake decontamination of dental instruments are competent, supervised and trained. For sterilization the should-

āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āϟāĻŋāĻŽā§‡āϰ āϏāĻ•āϞ āϏāĻĻāĻ¸ā§āϝ āϝāĻžāϰāĻž āĻĄā§‡āĻ¨ā§āϟāĻžāϞ āχāĻ¨ā§āϏāĻŸā§āϰ⧁āĻŽā§‡āĻ¨ā§āϟāϗ⧁āϞāĻŋāϕ⧇ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤ āĻ•āϰ⧇āύ āϤāĻžāϰāĻž āĻĻāĻ•ā§āώ, āϤāĻ¤ā§āĻ¤ā§āĻŦāĻžāĻŦāϧāĻžāύ⧇ āĻāĻŦāĻ‚ āĻĒā§āϰāĻļāĻŋāĻ•ā§āώāĻŋāϤāĨ¤ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āωāϚāĻŋāϤ-
  • understand the procedures during the guidance.
  • āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻŋāĻ•āĻž āϚāϞāĻžāĻ•āĻžāϞ⧀āύ āĻĒāĻĻā§āϧāϤāĻŋāϗ⧁āϞāĻŋ āĻŦ⧁āĻā§āύāĨ¤
  • know what kind of sterilizers are in the practice and what type of cycle is used in each sterilizer.
  • āĻ…āύ⧁āĻļā§€āϞāύ⧇ āϕ⧀ āϧāϰāϪ⧇āϰ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āϰāϝāĻŧ⧇āϛ⧇ āĻāĻŦāĻ‚ āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇ āϕ⧀ āϧāϰāϪ⧇āϰ āϚāĻ•ā§āϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ āϤāĻž āϜāĻžāύ⧁āύāĨ¤
  • know how to prepare the range of instruments used in practice correctly for sterilization, including new instruments, loading configuration, lubrication, inspection, wrapping, labelling.
  • āύāϤ⧁āύ āϝāĻ¨ā§āĻ¤ā§āϰ, āϞ⧋āĻĄāĻŋāĻ‚ āĻ•āύāĻĢāĻŋāĻ—āĻžāϰ⧇āĻļāύ, āϤ⧈āϞāĻžāĻ•ā§āϤāĻ•āϰāĻŖ, āĻĒāϰāĻŋāĻĻāĻ°ā§āĻļāύ, āĻŽā§‹āĻĄāĻŧāĻžāύ⧋, āϞ⧇āĻŦ⧇āϞāĻŋāĻ‚ āϏāĻš āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āϜāĻ¨ā§āϝ āĻ…āύ⧁āĻļā§€āϞāύ⧇ āĻŦā§āϝāĻŦāĻšā§ƒāϤ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āĻĒāϰāĻŋāϏāϰ āϏāĻ āĻŋāĻ•āĻ­āĻžāĻŦ⧇ āϕ⧀āĻ­āĻžāĻŦ⧇ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤ āĻ•āϰāϤ⧇ āĻšāϝāĻŧ āϤāĻž āϜāĻžāύ⧁āύāĨ¤
  • know how to store instruments after sterilization.
  • āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āĻĒāϰ⧇ āϕ⧀āĻ­āĻžāĻŦ⧇ āϝāĻ¨ā§āĻ¤ā§āϰ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰāϤ⧇ āĻšāϝāĻŧ āϤāĻž āϜāĻžāύ⧁āύāĨ¤

Refer to section of cleaning of dental instruments for general information about staff training, Hepatitis B vaccination and use of Personal Protective Equipment (PPE).

āĻ•āĻ°ā§āĻŽā§€āĻĻ⧇āϰ āĻĒā§āϰāĻļāĻŋāĻ•ā§āώāĻŖ, āĻšā§‡āĻĒāĻžāϟāĻžāχāϟāĻŋāϏ āĻŦāĻŋ āϟāĻŋāĻ•āĻž āĻāĻŦāĻ‚ āĻŦā§āϝāĻ•ā§āϤāĻŋāĻ—āϤ āϏ⧁āϰāĻ•ā§āώāĻžāĻŽā§‚āϞāĻ• āϏāϰāĻžā§āϜāĻžāĻŽ (āĻĒāĻŋāĻĒāĻŋāχ) āĻŦā§āϝāĻŦāĻšāĻžāϰ āϏāĻŽā§āĻĒāĻ°ā§āϕ⧇ āϏāĻžāϧāĻžāϰāĻŖ āϤāĻĨā§āϝ⧇āϰ āϜāĻ¨ā§āϝ āĻĻāĻžāρāϤ⧇āϰ āϝāĻ¨ā§āĻ¤ā§āϰāĻĒāĻžāϤāĻŋ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ⧇āϰ āĻŦāĻŋāĻ­āĻžāĻ—āϟāĻŋ āĻĒāĻĄāĻŧ⧁āύāĨ¤

Sterilization Workflow-

The decontamination process is carried out as a dirty-to-clean workflow within the Local Decontamination Unit (LDU). SHPN 13 Part 2 provides guidance on LDU design, including workflow.

āϞ⧋āĻ•āĻžāϞ āĻĄāĻŋāĻ•āύāĻŸā§āϝāĻžāĻŽāĻŋāύ⧇āĻļāύ āχāωāύāĻŋāϟ (LDU)-āĻāϰ āĻŽāĻ§ā§āϝ⧇ āĻĒāϰāĻŋāĻšā§āĻ›āĻ¨ā§āύ āĻ•āĻ°ā§āĻŽāĻĒā§āϰāĻŦāĻžāĻš āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āύ⧋āĻ‚āϰāĻž āĻšāĻŋāϏāĻžāĻŦ⧇ āĻŦāĻŋāĻļ⧁āĻĻā§āϧāĻ•āϰāĻŖ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤ SHPN 13 āĻĒāĻžāĻ°ā§āϟ 2 āĻ•āĻ°ā§āĻŽāĻĒā§āϰāĻŦāĻžāĻš āϏāĻš LDU āĻĄāĻŋāϜāĻžāχāύ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻŋāĻ•āĻž āĻĒā§āϰāĻĻāĻžāύ āĻ•āϰ⧇āĨ¤

After instrument cleaning, ensure the decontamination area has the following items for sterilization arranged in the order listed-

āϝāĻ¨ā§āĻ¤ā§āϰ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻžāϰ āĻĒāϰ⧇, āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻāϞāĻžāĻ•āĻžāϝāĻŧ āϤāĻžāϞāĻŋāĻ•āĻžāϭ⧁āĻ•ā§āϤ āĻ•ā§āϰāĻŽāĻžāύ⧁āϏāĻžāϰ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āύāĻŋāĻŽā§āύāϞāĻŋāĻ–āĻŋāϤ āφāχāĻŸā§‡āĻŽāϗ⧁āϞāĻŋ āϰāϝāĻŧ⧇āϛ⧇-
  • an area for loading unwrapped instruments into trays or cassettes for sterilization or for pre-sterilization wrapping or bagging instruments if using a vacuum sterilizer.
  • āĻāĻ•āϟāĻŋ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāϞ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āϜāĻ¨ā§āϝ āĻŦāĻž āĻĒā§āϰāĻŋ-āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāĻœā§‡āĻļāύ āĻ°â€Œā§āϝāĻžāĻĒāĻŋāĻ‚ āĻŦāĻž āĻŦā§āϝāĻžāĻ—āĻŋāĻ‚ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āϜāĻ¨ā§āϝ āĻŸā§āϰ⧇ āĻŦāĻž āĻ•ā§āϝāĻžāϏ⧇āĻŸā§‡ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰ āϞ⧋āĻĄ āĻ•āϰāĻžāϰ āĻāĻ•āϟāĻŋ āĻāϞāĻžāĻ•āĻžāĨ¤
  • a steam sterilizer.
  • āĻāĻ•āϟāĻŋ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀āĨ¤
  • an area for set down and cooling following removal from the sterilizer and for wrapping or bagging instruments that have been sterilized unwrapped.
  • āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻĨ⧇āϕ⧇ āĻ…āĻĒāϏāĻžāϰāϪ⧇āϰ āĻĒāϰ⧇ āϏ⧇āϟ āĻĄāĻžāωāύ āĻāĻŦāĻ‚ āĻļā§€āϤāϞ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻāĻ•āϟāĻŋ āĻāϞāĻžāĻ•āĻž āĻāĻŦāĻ‚ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āĻŦāĻž āĻŦā§āϝāĻžāĻ—āĻŋāĻ‚ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āϜāĻ¨ā§āϝ āϝ⧇āϗ⧁āϞāĻŋāϕ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇āĨ¤
  • a dedicated, clean, rigid, labelled box with a lid to transport instruments to the clinical or storage area safety and securely.
  • āĻ•ā§āϞāĻŋāύāĻŋāĻ•āĻžāϞ āĻŦāĻž āĻ¸ā§āĻŸā§‹āϰ⧇āϜ āĻāϞāĻžāĻ•āĻžāϝāĻŧ āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻž āĻāĻŦāĻ‚ āύāĻŋāϰāĻžāĻĒāĻĻ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāĻĒāĻžāϤāĻŋ āĻĒāϰāĻŋāĻŦāĻšāύ⧇āϰ āϜāĻ¨ā§āϝ āĻāĻ•āϟāĻŋ āĻĄā§‡āĻĄāĻŋāϕ⧇āĻŸā§‡āĻĄ, āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ, āĻ…āύāĻŽāύ⧀āϝāĻŧ, āĻĸāĻžāĻ•āύāĻžāϝ⧁āĻ•ā§āϤ āϞ⧇āĻŦ⧇āϞāϝ⧁āĻ•ā§āϤ āĻŦāĻžāĻ•ā§āϏāĨ¤

Ensure instrument storage is clean, orderly, enclosed (e. g. in trays, cassettes or pouches) and is not on open shelving.

āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āϏāĻžā§āϚāϝāĻŧāĻ¸ā§āĻĨāĻžāύ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ, āϏ⧁āĻļ⧃āĻ™ā§āĻ–āϞ, āφāĻŦāĻĻā§āϧ (āϝ⧇āĻŽāύ āĻŸā§āϰ⧇, āĻ•ā§āϝāĻžāϏ⧇āϟ āĻŦāĻž āĻĒāĻžāωāĻšā§‡) āĻāĻŦāĻ‚ āĻ–ā§‹āϞāĻž āϤāĻžāĻ• āύāĻžāĨ¤
  • Ideally, instruments are stored in an area that is separate from the decontamination unit, well-lit, secure, dry and away from direct sunlight.
  • āφāĻĻāĻ°ā§āĻļāĻ­āĻžāĻŦ⧇, āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻāĻŽāύ āĻāĻ•āϟāĻŋ āĻāϞāĻžāĻ•āĻžāϝāĻŧ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰāĻž āĻšāϝāĻŧ āϝāĻž āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āχāωāύāĻŋāϟ āĻĨ⧇āϕ⧇ āĻĒ⧃āĻĨāĻ•, āĻ­āĻžāϞāĻ­āĻžāĻŦ⧇ āφāϞ⧋āĻ•āĻŋāϤ, āύāĻŋāϰāĻžāĻĒāĻĻ, āĻļ⧁āĻˇā§āĻ• āĻāĻŦāĻ‚ āϏāϰāĻžāϏāϰāĻŋ āϏ⧂āĻ°ā§āϝāĻžāϞ⧋āĻ• āĻĨ⧇āϕ⧇ āĻĻā§‚āϰ⧇āĨ¤

Ensure storage is arranged so that sterile and sterilized instruments cannot be confused.

āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āĻ¸ā§āĻŸā§‹āϰ⧇āϜ āĻŦā§āϝāĻŦāĻ¸ā§āĻĨāĻž āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ āϝāĻžāϤ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻāĻŦāĻ‚ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻŦāĻŋāĻ­ā§āϰāĻžāĻ¨ā§āϤ āĻšāϤ⧇ āύāĻž āĻĒāĻžāϰ⧇āĨ¤

3. Important Factors in Effective Sterilization-

3.1 Health & Safety Requirements for Small Steam Sterilizers

āϛ⧋āϟ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀āϰ āϜāĻ¨ā§āϝ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝ āĻ“ āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻžāϰ āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧāϤāĻž-

The particular hazards associated with the use of steam sterilizers include burns from steam or hot metalwork (including instruments), explosive displacement of a door if not properly secured, and infection resulting from inadequate instrument processing. The Pressure System Safety Regulations 2000(PSSR) covers the installation and use of steam sterilizers. As a legal requirement, each sterilizer must have-

āĻŦāĻžāĻˇā§āĻĒ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āϏāĻžāĻĨ⧇ āϏāĻŽā§āĻĒāĻ°ā§āĻ•āĻŋāϤ āĻŦāĻŋāĻļ⧇āώ āĻŦāĻŋāĻĒāĻĻāϗ⧁āϞāĻŋāϰ āĻŽāĻ§ā§āϝ⧇ āϰāϝāĻŧ⧇āϛ⧇ āĻŦāĻžāĻˇā§āĻĒ āĻŦāĻž āĻ—āϰāĻŽ āϧāĻžāϤāĻŦ āĻ•āĻžāϜ (āϝāĻ¨ā§āĻ¤ā§āϰ āϏāĻš) āĻĨ⧇āϕ⧇ āĻĒā§‹āĻĄāĻŧāĻž, āϏāĻ āĻŋāĻ•āĻ­āĻžāĻŦ⧇ āϏ⧁āϰāĻ•ā§āώāĻŋāϤ āύāĻž āĻšāϞ⧇ āĻĻāϰāϜāĻžāϰ āĻŦāĻŋāĻ¸ā§āĻĢā§‹āϰāĻ• āĻ¸ā§āĻĨāĻžāύāĻšā§āϝ⧁āϤāĻŋ āĻāĻŦāĻ‚ āĻ…āĻĒāĻ°ā§āϝāĻžāĻĒā§āϤ āϝāĻ¨ā§āĻ¤ā§āϰ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāĻ•āϰāϪ⧇āϰ āĻĢāϞ⧇ āϏāĻ‚āĻ•ā§āϰāĻŽāĻŖāĨ¤ āĻĒā§āϰ⧇āϏāĻžāϰ āϏāĻŋāĻ¸ā§āĻŸā§‡āĻŽ āϏ⧇āĻĢāϟāĻŋ āϰ⧇āϗ⧁āϞ⧇āĻļāύāϏ 2000(PSSR) āĻ¸ā§āϟāĻŋāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇āϰ āχāύāĻ¸ā§āϟāϞ⧇āĻļāύ āĻ“ āĻŦā§āϝāĻŦāĻšāĻžāϰāϕ⧇ āĻ•āĻ­āĻžāϰ āĻ•āϰ⧇āĨ¤ āĻāĻ•āϟāĻŋ āφāχāύāĻŋ āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻšāĻŋāϏāĻžāĻŦ⧇, āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āĻžāϰ⧀āϰ āĻ…āĻŦāĻļā§āϝāχ āĻĨāĻžāĻ•āϤ⧇ āĻšāĻŦ⧇-
  • a written scheme of examination.
  • āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āĻāĻ•āϟāĻŋ āϞāĻŋāĻ–āĻŋāϤ āĻ¸ā§āĻ•āĻŋāĻŽāĨ¤
  • a periodic examination of the pressure system.
  • āϚāĻžāĻĒ āϏāĻŋāĻ¸ā§āĻŸā§‡āĻŽā§‡āϰ āĻāĻ•āϟāĻŋ āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻžāĨ¤
  • third-party liability insurance.
  • āϤ⧃āϤ⧀āϝāĻŧ āĻĒāĻ•ā§āώ⧇āϰ āĻĻāĻžāϝāĻŧ āĻŦā§€āĻŽāĻžāĨ¤
  • a record of repairs and maintenance of the pressure system.
  • āϚāĻžāĻĒ āϏāĻŋāĻ¸ā§āĻŸā§‡āĻŽā§‡āϰ āĻŽā§‡āϰāĻžāĻŽāϤ āĻāĻŦāĻ‚ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāϪ⧇āϰ āĻāĻ•āϟāĻŋ āϰ⧇āĻ•āĻ°ā§āĻĄāĨ¤

Following installation and before use, obtain a written examination scheme for each sterilizer from the manufacturer, supplier, or insurer that has been prepared by a competent person (pressure vessels).

āχāύāĻ¸ā§āϟāϞ⧇āĻļāύ⧇āϰ āĻĒāϰ⧇ āĻāĻŦāĻ‚ āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āφāϗ⧇, āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāĻ•, āϏāϰāĻŦāϰāĻžāĻšāĻ•āĻžāϰ⧀ āĻŦāĻž āĻŦā§€āĻŽāĻžāĻ•āĻžāϰ⧀āϰ āĻ•āĻžāĻ› āĻĨ⧇āϕ⧇ āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāϕ⧇āϰ āϜāĻ¨ā§āϝ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āĻāĻ•āϟāĻŋ āϞāĻŋāĻ–āĻŋāϤ āĻ¸ā§āĻ•āĻŋāĻŽ āύāĻŋāύ āϝāĻž āĻāĻ•āϜāύ āĻĻāĻ•ā§āώ āĻŦā§āϝāĻ•ā§āϤāĻŋ (āϚāĻžāĻĒ āϜāĻžāĻšāĻžāϜ) āĻĻā§āĻŦāĻžāϰāĻž āĻĒā§āϰāĻ¸ā§āϤ⧁āϤ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇āĨ¤

Arrange for a competent person (pressure vessels) to conduct safety examinations in accordance with the written scheme of examination for the sterilizer, and retain a certificate as proof of each inspection. This examination is in addition to regular and routine maintenance.

āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āϞāĻŋāĻ–āĻŋāϤ āĻ¸ā§āĻ•āĻŋāĻŽ āĻ…āύ⧁āϝāĻžāϝāĻŧā§€ āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž āĻĒāϰāĻŋāϚāĻžāϞāύāĻž āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻāĻ•āϜāύ āĻĻāĻ•ā§āώ āĻŦā§āϝāĻ•ā§āϤāĻŋāϰ (āϚāĻžāĻĒ āϜāĻžāĻšāĻžāϜ) āĻŦā§āϝāĻŦāĻ¸ā§āĻĨāĻž āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻĒāϰāĻŋāĻĻāĻ°ā§āĻļāύ⧇āϰ āĻĒā§āϰāĻŽāĻžāĻŖ āĻšāĻŋāϏāĻžāĻŦ⧇ āĻāĻ•āϟāĻŋ āĻļāĻ‚āϏāĻžāĻĒāĻ¤ā§āϰ āϰāĻžāϖ⧁āύāĨ¤ āĻāχ āĻĒāϰ⧀āĻ•ā§āώāĻž āύāĻŋāϝāĻŧāĻŽāĻŋāϤ āĻāĻŦāĻ‚ āύāĻŋāϝāĻŧāĻŽāĻŋāϤ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ āĻ›āĻžāĻĄāĻŧāĻžāĻ“āĨ¤

obtain third-party liability insurance that specifically covers risks associated with the operation of pressure vessels. Such as risks may not be covered by practice insurance.

āϤ⧃āϤ⧀āϝāĻŧ āĻĒāĻ•ā§āώ⧇āϰ āĻĻāĻžāϝāĻŧāĻŦāĻĻā§āϧāϤāĻž āĻŦā§€āĻŽāĻž āĻĒā§āϰāĻžāĻĒā§āϤ āĻ•āϰ⧁āύ āϝāĻž āĻŦāĻŋāĻļ⧇āώāĻ­āĻžāĻŦ⧇ āϚāĻžāĻĒāĻŦāĻžāĻšā§€ āϜāĻžāĻšāĻžāϜ āĻĒāϰāĻŋāϚāĻžāϞāύāĻžāϰ āϏāĻžāĻĨ⧇ āϏāĻŽā§āĻĒāĻ°ā§āĻ•āĻŋāϤ āĻā§āρāĻ•āĻŋāϗ⧁āϞāĻŋāϕ⧇ āĻ•āĻ­āĻžāϰ āĻ•āϰ⧇āĨ¤ āϝ⧇āĻŽāύ āĻā§āρāĻ•āĻŋ āĻ…āύ⧁āĻļā§€āϞāύ āĻŦā§€āĻŽāĻž āĻĻā§āĻŦāĻžāϰāĻž āφāĻšā§āĻ›āĻžāĻĻāĻŋāϤ āύāĻžāĻ“ āĻšāϤ⧇ āĻĒāĻžāϰ⧇.

To comply with legislation, keep records of all examinations and repairs to the pressure system.

āφāχāύ āĻŽā§‡āύ⧇ āϚāϞāĻžāϰ āϜāĻ¨ā§āϝ, āϚāĻžāĻĒ āĻŦā§āϝāĻŦāĻ¸ā§āĻĨāĻžāϰ āϏāĻŽāĻ¸ā§āϤ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āĻāĻŦāĻ‚ āĻŽā§‡āϰāĻžāĻŽāϤ⧇āϰ āϰ⧇āĻ•āĻ°ā§āĻĄ āϰāĻžāϖ⧁āύāĨ¤

Your insurance company may provide details of competent persons (pressure vessels) or advice can be sought from an Authorising Engineer (Decontamination). The HSE leaflet Written schemes of examination provide further information. The competent person (pressure vessels) can also advise how frequently the safety examination is required for each sterilizer (typically at least once every 14 months).

āφāĻĒāύāĻžāϰ āĻŦā§€āĻŽāĻž āϕ⧋āĻŽā§āĻĒāĻžāύ⧀ āωāĻĒāϝ⧁āĻ•ā§āϤ āĻŦā§āϝāĻ•ā§āϤāĻŋāĻĻ⧇āϰ (āϚāĻžāĻĒ⧇āϰ āϜāĻžāĻšāĻžāϜ) āĻŦāĻŋāĻļāĻĻ āĻŦāĻŋāĻŦāϰāĻŖ āĻĻāĻŋāϤ⧇ āĻĒāĻžāϰ⧇ āĻŦāĻž āĻ…āύ⧁āĻŽā§‹āĻĻāύāĻ•āĻžāϰ⧀ āĻĒā§āϰāĻ•ā§ŒāĻļāϞ⧀āϰ (āĻĄāĻŋāĻ•āύāϟāĻžāĻŽāĻŋāύ⧇āĻļāύ) āĻ•āĻžāĻ› āĻĨ⧇āϕ⧇ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āϚāĻžāĻ“āϝāĻŧāĻž āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇āĨ¤ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ HSE āϞāĻŋāĻĢāϞ⧇āϟ āϞāĻŋāĻ–āĻŋāϤ āĻ¸ā§āĻ•āĻŋāĻŽ āφāϰāĻ“ āϤāĻĨā§āϝ āĻĒā§āϰāĻĻāĻžāύ āĻ•āϰ⧇āĨ¤ āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• (āϏāĻžāϧāĻžāϰāĻŖāϤ āĻĒā§āϰāϤāĻŋ 14 āĻŽāĻžāϏ⧇ āĻ…āĻ¨ā§āϤāϤ āĻāĻ•āĻŦāĻžāϰ) āϜāĻ¨ā§āϝ āĻ•āϤ āϘāύ āϘāύ āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āĻĒā§āϰāϝāĻŧā§‹āϜāύ āϤāĻžāĻ“ āωāĻĒāϝ⧁āĻ•ā§āϤ āĻŦā§āϝāĻ•ā§āϤāĻŋ (āϚāĻžāĻĒāĻŦāĻžāĻšā§€ āϜāĻžāĻšāĻžāϜ) āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻĻāĻŋāϤ⧇ āĻĒāĻžāϰ⧇āύāĨ¤

3.2 Installation and Validation of Small Steam Sterilizers

āϛ⧋āϟ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āχāύāĻ¸ā§āϟāϞ⧇āĻļāύ āĻāĻŦāĻ‚ āĻŦ⧈āϧāϤāĻž-

To ensure that a small steam sterilizer reliably sterilizes each load, it is particularly important that the sterilizer is installed and commissioned correctly and that the sterilization process is validated for the specified load.

āĻāĻ•āϟāĻŋ āϛ⧋āϟ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āύāĻŋāĻ°ā§āĻ­āϰāϝ⧋āĻ—ā§āϝāĻ­āĻžāĻŦ⧇ āĻĒā§āϰāϤāĻŋāϟāĻŋ āϞ⧋āĻĄāϕ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰ⧇ āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ, āĻāϟāĻŋ āĻŦāĻŋāĻļ⧇āώāĻ­āĻžāĻŦ⧇ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ āϝ⧇ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ•āϟāĻŋ āϏāĻ āĻŋāĻ•āĻ­āĻžāĻŦ⧇ āχāύāĻ¸ā§āϟāϞ āĻ•āϰāĻž āĻāĻŦāĻ‚ āϚāĻžāϞ⧁ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ āĻāĻŦāĻ‚ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āϞ⧋āĻĄā§‡āϰ āϜāĻ¨ā§āϝ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϟāĻŋ āĻŦ⧈āϧ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇āĨ¤

Ensure that your supplier installs and commissions a new sterilizer and that a test personal (sterilizer) validates the sterilization process before use as specified in SHTM 2010 and MDA OB 2002 (06). Keep all records in the sterilizer logbook.

āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āφāĻĒāύāĻžāϰ āϏāϰāĻŦāϰāĻžāĻšāĻ•āĻžāϰ⧀ āĻāĻ•āϟāĻŋ āύāϤ⧁āύ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āχāύāĻ¸ā§āϟāϞ āĻāĻŦāĻ‚ āĻ•āĻŽāĻŋāĻļāύ āĻ•āϰ⧇ āĻāĻŦāĻ‚ SHTM 2010 āĻāĻŦāĻ‚ MDA OB 2002 (06) āϤ⧇ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āĻ•āϰāĻž āĻšāĻŋāϏāĻžāĻŦ⧇ āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āφāϗ⧇ āĻāĻ•āϟāĻŋ āĻŸā§‡āĻ¸ā§āϟ āĻŦā§āϝāĻ•ā§āϤāĻŋāĻ—āϤ (āĻ¸ā§āĻŸā§āϝāĻžāϰāĻŋāϞāĻžāχāϜāĻžāϰ) āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϟāĻŋāϕ⧇ āϝāĻžāϚāĻžāχ āĻ•āϰ⧇⧎ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āϞāĻ—āĻŦ⧁āϕ⧇ āϏāĻŽāĻ¸ā§āϤ āϰ⧇āĻ•āĻ°ā§āĻĄ āϰāĻžāϖ⧁āύ⧎

3.3 Testing and Maintenance of Small Steam Sterilizers

āϛ⧋āϟ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻāĻŦāĻ‚ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ-

Ensure that each sterilizer 8s subject to a documented, planned maintenance program and periodic testing schedule, for example, through a service contract with your supplier or test person, or maintenance person.

āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• 8āϗ⧁āϞāĻŋ āĻāĻ•āϟāĻŋ āύāĻĨāĻŋāϭ⧁āĻ•ā§āϤ, āĻĒāϰāĻŋāĻ•āĻ˛ā§āĻĒāĻŋāϤ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ āĻĒā§āϰ⧋āĻ—ā§āϰāĻžāĻŽ āĻāĻŦāĻ‚ āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āϏāĻŽāϝāĻŧāϏ⧂āĻšā§€āϰ āϏāĻžāĻĒ⧇āĻ•ā§āώ⧇, āωāĻĻāĻžāĻšāϰāĻŖāĻ¸ā§āĻŦāϰ⧂āĻĒ, āφāĻĒāύāĻžāϰ āϏāϰāĻŦāϰāĻžāĻšāĻ•āĻžāϰ⧀ āĻŦāĻž āĻĒāϰ⧀āĻ•ā§āώāĻžāĻ•āĻžāϰ⧀ āĻŦā§āϝāĻ•ā§āϤāĻŋ āĻŦāĻž āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖāĻ•āĻžāϰ⧀ āĻŦā§āϝāĻ•ā§āϤāĻŋāϰ āϏāĻžāĻĨ⧇ āĻāĻ•āϟāĻŋ āĻĒāϰāĻŋāώ⧇āĻŦāĻž āϚ⧁āĻ•ā§āϤāĻŋāϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ā§ˇ

Record in the logbook details of all testing and maintenance carried out on each sterilizer.

āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇ āĻ•āϰāĻž āϏāĻŽāĻ¸ā§āϤ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻāĻŦāĻ‚ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāϪ⧇āϰ āĻŦāĻŋāĻŦāϰāĻŖ āϞāĻ—āĻŦ⧁āϕ⧇ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧁āύāĨ¤

3.4 Cleanliness of Instruments’

āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āĻĒāϰāĻŋāĻšā§āĻ›āĻ¨ā§āύāϤāĻž-

Contamination of instruments with residual tissue, body fluids, oil, or other deposits such as cement can prevent the direct contact between the steam and surfaces of the instruments that is necessary for effective sterilization. Also, any deposits left on instruments before sterilization might become fixed to the instruments making them more difficult to remove later. These deposits can also enter the water in the sterilizer reservoir and encourage the growth of microorganisms or accumulation of endotoxins, which could contaminate instruments processed subsequently.

āĻ…āĻŦāĻļāĻŋāĻˇā§āϟ āϟāĻŋāĻ¸ā§āϝ⧁, āĻļāϰ⧀āϰ⧇āϰ āϤāϰāϞ, āϤ⧇āϞ āĻŦāĻž āĻ…āĻ¨ā§āϝāĻžāĻ¨ā§āϝ āφāĻŽāĻžāύāϤ āϝ⧇āĻŽāύ āϏāĻŋāĻŽā§‡āĻ¨ā§āϟ āϏāĻš āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āĻĻā§‚āώāĻŖ āĻ•āĻžāĻ°ā§āϝāĻ•āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āϜāĻ¨ā§āϝ āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϰ āĻŦāĻžāĻˇā§āĻĒ āĻāĻŦāĻ‚ āĻĒ⧃āĻˇā§āϠ⧇āϰ āĻŽāĻ§ā§āϝ⧇ āϏāϰāĻžāϏāϰāĻŋ āϝ⧋āĻ—āĻžāϝ⧋āĻ— āϰ⧋āϧ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤ āĻāĻ›āĻžāĻĄāĻŧāĻžāĻ“ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āφāϗ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϤ⧇ āĻĨāĻžāĻ•āĻž āϝ⧇ āϕ⧋āύāĻ“ āφāĻŽāĻžāύāϤ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϤ⧇ āĻ¸ā§āĻĨāĻŋāϰ āĻšāϝāĻŧ⧇ āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇ āϝāĻž āĻĒāϰ⧇ āĻ…āĻĒāϏāĻžāϰāĻŖ āĻ•āϰāĻž āφāϰāĻ“ āĻ•āĻ āĻŋāύ āĻ•āϰ⧇ āϤ⧋āϞ⧇āĨ¤ āĻāχ āφāĻŽāĻžāύāϤāϗ⧁āϞāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āϜāϞāĻžāϧāĻžāϰ⧇āϰ āϜāϞ⧇ āĻĒā§āϰāĻŦ⧇āĻļ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āĻāĻŦāĻ‚ āĻ…āϪ⧁āĻœā§€āĻŦ⧇āϰ āĻŦ⧃āĻĻā§āϧāĻŋ āĻŦāĻž āĻāĻ¨ā§āĻĄā§‹āϟāĻ•ā§āϏāĻŋāύ āϜāĻŽāĻž āĻ•āϰāϤ⧇ āĻ‰ā§ŽāϏāĻžāĻšāĻŋāϤ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇, āϝāĻž āĻĒāϰāĻŦāĻ°ā§āϤ⧀āϤ⧇ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāĻ•ā§ƒāϤ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āĻĻā§‚āώāĻŋāϤ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤

Ensure all items to be sterilized are clean and dry before placing them in the sterilizer chamber (see cleaning of dental instruments).
āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āϏāĻŽāĻ¸ā§āϤ āφāχāĻŸā§‡āĻŽāϗ⧁āϞāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āĻšā§‡āĻŽā§āĻŦāĻžāϰ⧇ āϰāĻžāĻ–āĻžāϰ āφāϗ⧇ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻāĻŦāĻ‚ āĻļ⧁āĻ•āύ⧋ āĻ•āĻŋāύāĻž āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ (āĻĻāĻ¨ā§āϤ⧇āϰ āϝāĻ¨ā§āĻ¤ā§āϰāĻĒāĻžāϤāĻŋ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻž āĻĻ⧇āϖ⧁āύ)āĨ¤

3.5 Loading of Instruments

Air removal might be impeded if instruments are not loaded correctly and steam may not contact every surface of every instrument. This steam contact is essential for sterilization to occur.

āϝāĻ¨ā§āĻ¤ā§āϰ āϞ⧋āĻĄ āĻšāĻšā§āϛ⧇

āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āϏāĻ āĻŋāĻ•āĻ­āĻžāĻŦ⧇ āϞ⧋āĻĄ āĻ•āϰāĻž āύāĻž āĻšāϞ⧇ āĻŦāĻžāϝāĻŧ⧁ āĻ…āĻĒāϏāĻžāϰāĻŖ āĻŦāĻžāϧāĻžāĻ—ā§āϰāĻ¸ā§āϤ āĻšāϤ⧇ āĻĒāĻžāϰ⧇ āĻāĻŦāĻ‚ āĻŦāĻžāĻˇā§āĻĒ āĻĒā§āϰāϤāĻŋāϟāĻŋ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻĒ⧃āĻˇā§āϠ⧇āϰ āϏāĻžāĻĨ⧇ āϝ⧋āĻ—āĻžāϝ⧋āĻ— āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āύāĻžāĨ¤ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻšāĻ“āϝāĻŧāĻžāϰ āϜāĻ¨ā§āϝ āĻāχ āĻŦāĻžāĻˇā§āĻĒ⧇āϰ āϝ⧋āĻ—āĻžāϝ⧋āĻ— āĻ…āĻĒāϰāĻŋāĻšāĻžāĻ°ā§āϝāĨ¤
  • Load the sterilizer according to the manufacturers instructions and as specified at validation.
  • āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āϞ⧋āĻĄ āĻ•āϰ⧁āύ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻ…āύ⧁āϝāĻžāϝāĻŧā§€ āĻāĻŦāĻ‚ āĻŦ⧈āϧāĻ•āϰāϪ⧇āϰ āϏāĻŽāϝāĻŧ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āĻ•āϰāĻžāĨ¤
  • Ensure instruments do not overlap.
  • āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻ“āĻ­āĻžāϰāĻ˛ā§āϝāĻžāĻĒ āύāĻž āĻšāϝāĻŧ āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύāĨ¤
  • open hinged instruments to expose all of the surface area to the steam.
  • āĻŦāĻžāĻˇā§āĻĒ⧇āϰ āϏāĻžāĻĨ⧇ āϏāĻŽāĻ¸ā§āϤ āĻĒ⧃āĻˇā§āϠ⧇āϰ āĻāϞāĻžāĻ•āĻž āωāĻ¨ā§āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻ•āĻŦā§āϜāĻžāϝ⧁āĻ•ā§āϤ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āϖ⧁āϞ⧁āύāĨ¤
  • Place instruments on perforated trays, cassettes or racks that have been validated for use with the selected sterilization cycle.
  • āĻ›āĻŋāĻĻā§āϰāϝ⧁āĻ•ā§āϤ āĻŸā§āϰ⧇, āĻ•ā§āϝāĻžāϏ⧇āϟ āĻŦāĻž āĻ°ā§āϝāĻžāĻ•āϗ⧁āϞāĻŋāϤ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āϰāĻžāϖ⧁āύ āϝāĻž āύāĻŋāĻ°ā§āĻŦāĻžāϚāĻŋāϤ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϚāĻ•ā§āϰ⧇āϰ āϏāĻžāĻĨ⧇ āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āϜāĻ¨ā§āϝ āĻŦ⧈āϧ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇āĨ¤
  • Do not overload the sterilizer chamber or individual trays or containers with instruments.
  • āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻšā§‡āĻŽā§āĻŦāĻžāϰ āĻŦāĻž āĻĒ⧃āĻĨāĻ• āĻŸā§āϰ⧇ āĻŦāĻž āϝāĻ¨ā§āĻ¤ā§āϰ āϏāĻš āĻĒāĻžāĻ¤ā§āϰ⧇ āĻ“āĻ­āĻžāϰāϞ⧋āĻĄ āĻ•āϰāĻŦ⧇āύ āύāĻžāĨ¤

3.6 Water for use in Steam Sterilizers-

Water used for sterilization must be essentially free of chemicals and endotoxins. In MDA DB2002(06), the MHRA recommends sterile water for irrigation BP though other forms of purified water of equivalent specification can be used, for example, certain freshly drawn reverse osmosis (RO) OR freshly prepared distilled waters. The use of tap water is not acceptable as this can lead to a build-up of contaminants that can be harmful and/or might damage the sterilizer.

āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻŦā§āϝāĻŦāĻšā§ƒāϤ āϜāϞ āĻ…āĻŦāĻļā§āϝāχ āϰāĻžāϏāĻžāϝāĻŧāύāĻŋāĻ• āĻāĻŦāĻ‚ āĻāĻ¨ā§āĻĄā§‹āϟāĻ•ā§āϏāĻŋāύ āĻŽā§āĻ•ā§āϤ āĻšāϤ⧇ āĻšāĻŦ⧇āĨ¤ MDA DB2002(06), MHRA āϏ⧇āϚ BP-āĻāϰ āϜāĻ¨ā§āϝ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āϜāϞ⧇āϰ āϏ⧁āĻĒāĻžāϰāĻŋāĻļ āĻ•āϰ⧇ āϝāĻĻāĻŋāĻ“ āϏāĻŽāϤ⧁āĻ˛ā§āϝ āĻ¸ā§āĻĒ⧇āϏāĻŋāĻĢāĻŋāϕ⧇āĻļāύ⧇āϰ āĻŦāĻŋāĻļ⧁āĻĻā§āϧ āϜāϞ⧇āϰ āĻ…āĻ¨ā§āϝāĻžāĻ¨ā§āϝ āϰ⧂āĻĒ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇, āωāĻĻāĻžāĻšāϰāĻŖāĻ¸ā§āĻŦāϰ⧂āĻĒ āĻ•āĻŋāϛ⧁ āϏāϤ⧇āϜ āϟāĻžāύāĻž āϰāĻŋāĻ­āĻžāĻ°ā§āϏ āĻ…āϏāĻŽā§‹āϏāĻŋāϏ (RO) āĻŦāĻž āϏāĻĻā§āϝ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤ āĻĒāĻžāϤāĻŋāϤ āϜāϞāĨ¤ āĻ•āϞ⧇āϰ āϜāϞ⧇āϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ—ā§āϰāĻšāĻŖāϝ⧋āĻ—ā§āϝ āύāϝāĻŧ āĻ•āĻžāϰāĻŖ āĻāϰ āĻĢāϞ⧇ āĻĻā§‚āώāĻŋāϤ āĻĒāĻĻāĻžāĻ°ā§āĻĨāϗ⧁āϞāĻŋ āϤ⧈āϰāĻŋ āĻšāϤ⧇ āĻĒāĻžāϰ⧇ āϝāĻž āĻ•ā§āώāϤāĻŋāĻ•āĻžāϰāĻ• āĻšāϤ⧇ āĻĒāĻžāϰ⧇ āĻāĻŦāĻ‚/āĻ…āĻĨāĻŦāĻž āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ•āϕ⧇ āĻ•ā§āώāϤāĻŋ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤
  • Fill the empty sterilizer reservoir with water of suitable quality. Do not use tap water.
  • āωāĻĒāϝ⧁āĻ•ā§āϤ āĻŽāĻžāύ⧇āϰ āϜāϞ āĻĻāĻŋāϝāĻŧ⧇ āĻ–āĻžāϞāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āϜāϞāĻžāϧāĻžāϰāϟāĻŋ āĻĒā§‚āϰāĻŖ āĻ•āϰ⧁āύāĨ¤ āĻ•āϞ⧇āϰ āϜāϞ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻŦ⧇āύ āύāĻžāĨ¤
  • Change the water at least once per day or sooner if the chamber water is visibly coloured or cloudy. Record when each water change is done.
  • āĻšā§‡āĻŽā§āĻŦāĻžāϰ⧇āϰ āϜāϞ āĻĻ⧃āĻļā§āϝāĻŽāĻžāύāĻ­āĻžāĻŦ⧇ āϰāĻ™āĻŋāύ āĻŦāĻž āĻŽā§‡āϘāϞāĻž āĻšāϞ⧇ āĻĻāĻŋāύ⧇ āĻ…āĻ¨ā§āϤāϤ āĻāĻ•āĻŦāĻžāϰ āĻŦāĻž āϤāĻžāϰ āφāϗ⧇ āϜāϞ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ āĻ•āϰ⧁āύāĨ¤ āĻĒā§āϰāϤāĻŋāϟāĻŋ āϜāϞ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ āĻ•āϰāĻž āĻšāϞ⧇ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧁āύāĨ¤
  • If considering purchasing a water purification system to produce distilled or reverse osmosis water within the practice, first seek advice from an Authorising Engineer (Decontamination).
  • āĻ…āύ⧁āĻļā§€āϞāύ⧇āϰ āĻŽāĻ§ā§āϝ⧇ āĻĒāĻžāϤāĻŋāϤ āĻŦāĻž āĻŦāĻŋāĻĒāϰ⧀āϤ āĻ…āϏāĻŽā§‹āϏāĻŋāϏ āϜāϞ āωāĻ¤ā§āĻĒāĻžāĻĻāύ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āϜāϞ āĻĒāϰāĻŋāĻļā§‹āϧāύ āĻŦā§āϝāĻŦāĻ¸ā§āĻĨāĻž āϕ⧇āύāĻžāϰ āĻ•āĻĨāĻž āĻŦāĻŋāĻŦ⧇āϚāύāĻž āĻ•āϰāϞ⧇, āĻĒā§āϰāĻĨāĻŽā§‡ āĻāĻ•āϜāύ āĻ…āĻĨāϰāĻžāχāϜāĻŋāĻ‚ āχāĻžā§āϜāĻŋāύāĻŋāϝāĻŧāĻžāϰ⧇āϰ (āĻĄāĻŋāĻ•āύāϟāĻžāĻŽāĻŋāύ⧇āĻļāύ) āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āύāĻŋāύāĨ¤

3.7 Sterilizer Logbook and Record Keeping-

A logbook is required for each sterilizer as a permanent record of the complete history of the sterilizer and could provide useful evidence in the event of an adverse incident. Alternative examples of pages of a sterilizer logbook are given in Appendix 7 and in MDA DB2002(06). Logbooks can also be purchased from Health Facilities Scotland.

āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāϕ⧇āϰ āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āχāϤāĻŋāĻšāĻžāϏ⧇āϰ āĻ¸ā§āĻĨāĻžāϝāĻŧā§€ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻšāĻŋāϏāĻžāĻŦ⧇ āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāϕ⧇āϰ āϜāĻ¨ā§āϝ āĻāĻ•āϟāĻŋ āϞāĻ—āĻŦ⧁āĻ• āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻāĻŦāĻ‚ āĻĒā§āϰāϤāĻŋāϕ⧂āϞ āϘāϟāύāĻžāϰ āĻ•ā§āώ⧇āĻ¤ā§āϰ⧇ āĻĻāϰāĻ•āĻžāϰ⧀ āĻĒā§āϰāĻŽāĻžāĻŖ āϏāϰāĻŦāϰāĻžāĻš āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āϞāĻ—āĻŦ⧁āϕ⧇āϰ āĻĒ⧃āĻˇā§āĻ āĻžāϗ⧁āϞāĻŋāϰ āĻŦāĻŋāĻ•āĻ˛ā§āĻĒ āωāĻĻāĻžāĻšāϰāĻŖāϗ⧁āϞāĻŋ āĻĒāϰāĻŋāĻļāĻŋāĻˇā§āϟ 7 āĻāĻŦāĻ‚ MDA DB2002(06) āĻ āĻĻ⧇āĻ“āϝāĻŧāĻž āĻšāϝāĻŧ⧇āϛ⧇⧎ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝ āϏ⧁āĻŦāĻŋāϧāĻž āĻ¸ā§āĻ•āϟāĻ˛ā§āϝāĻžāĻ¨ā§āĻĄ āĻĨ⧇āϕ⧇āĻ“ āϞāĻ—āĻŦ⧁āĻ•āϗ⧁āϞāĻŋ āϕ⧇āύāĻž āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇⧎

Keep the logbook near the sterilizer so that routine information can be recorded easily.

āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāϕ⧇āϰ āĻ•āĻžāϛ⧇ āϞāĻ—āĻŦ⧁āĻ•āϟāĻŋ āϰāĻžāϖ⧁āύ āϝāĻžāϤ⧇ āύāĻŋāϝāĻŧāĻŽāĻŋāϤ āϤāĻĨā§āϝ āϏāĻšāĻœā§‡āχ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻž āϝāĻžāϝāĻŧāĨ¤

Including in the logbook-

  • installation, commissioning and validation tests and checks.
  • āχāύāĻ¸ā§āϟāϞ⧇āĻļāύ, āĻ•āĻŽāĻŋāĻļāύāĻŋāĻ‚ āĻāĻŦāĻ‚ āĻŦ⧈āϧāϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž āĻāĻŦāĻ‚ āĻšā§‡āĻ•āĨ¤
  • the written scheme of examination under the pressure systems safety regulations 2000 (PSSR) (See Section3.1)
  • āĻĒā§āϰ⧇āϏāĻžāϰ āϏāĻŋāĻ¸ā§āĻŸā§‡āĻŽ āϏ⧇āĻĢāϟāĻŋ āϰ⧇āϗ⧁āϞ⧇āĻļāύāϏ 2000 (PSSR) āĻāϰ āĻ…āϧ⧀āύ⧇ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āϞāĻŋāĻ–āĻŋāϤ āĻ¸ā§āĻ•āĻŋāĻŽ (āĻŦāĻŋāĻ­āĻžāĻ— 3.1 āĻĻ⧇āϖ⧁āύ)
  • a record of inspection under the scheme of examination.
  • āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āĻĒā§āϰāĻ•āĻ˛ā§āĻĒ⧇āϰ āĻ…āϧ⧀āύ⧇ āĻĒāϰāĻŋāĻĻāĻ°ā§āĻļāύ⧇āϰ āĻāĻ•āϟāĻŋ āϰ⧇āĻ•āĻ°ā§āĻĄāĨ¤
  • results of periodic testing
  • āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āĻĢāϞāĻžāĻĢāϞ
  • a record of any cycle that fails and action taken, including what was done with the unsterilized load.
  • āϝ⧇āϕ⧋āύ āϚāĻ•ā§āϰ⧇āϰ āĻāĻ•āϟāĻŋ āϰ⧇āĻ•āĻ°ā§āĻĄ āϝāĻž āĻŦā§āϝāĻ°ā§āĻĨ āĻšāϝāĻŧ āĻāĻŦāĻ‚ āĻ—ā§ƒāĻšā§€āϤ āĻĒāĻĻāĻ•ā§āώ⧇āĻĒ, āϝāĻž āύāĻŋāĻ°ā§āĻŦā§€āϜāĻŋāϤ āϞ⧋āĻĄ āĻĻāĻŋāϝāĻŧ⧇ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āĻ›āĻŋāϞ,
  • a record of all maintenance, repairs or medifications.
  • āϏāĻŽāĻ¸ā§āϤ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ, āĻŽā§‡āϰāĻžāĻŽāϤ āĻŦāĻž āĻŽā§‡āĻĄāĻŋāĻĢāĻŋāϕ⧇āĻļāύ⧇āϰ āϰ⧇āĻ•āĻ°ā§āĻĄāĨ¤

Retain the logbook for inspection.

āĻĒāϰāĻŋāĻĻāĻ°ā§āĻļāύ⧇āϰ āϜāĻ¨ā§āϝ āϞāĻ—āĻŦ⧁āĻ•āϟāĻŋ āϰāĻžāϖ⧁āύāĨ¤

4. Sterilization Procedure

āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻĒāĻĻā§āϧāϤāĻŋ-

The key consideration when determining sterilization operating procedures is the type of sterilizer and sterilization cycle that is being used because this dictates whether or not the instruments can be wrapped before sterilization if using a vacuum (or compatible Type S )sterilizer designed for wrapped instruments.

āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻ…āĻĒāĻžāϰ⧇āϟāĻŋāĻ‚ āĻĒāĻĻā§āϧāϤāĻŋ āύāĻŋāĻ°ā§āϧāĻžāϰāĻŖ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ āĻŽā§‚āϞ āĻŦāĻŋāĻŦ⧇āĻšā§āϝ āĻšāϞ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻāĻŦāĻ‚ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϚāĻ•ā§āϰ⧇āϰ āϧāϰāύ āϝāĻž āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāĻšā§āϛ⧇ āĻ•āĻžāϰāĻŖ āĻāϟāĻŋ āύāĻŋāĻ°ā§āϧāĻžāϰāĻŖ āĻ•āϰ⧇ āϝ⧇ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϰ āϜāĻ¨ā§āϝ āĻĄāĻŋāϜāĻžāχāύ āĻ•āϰāĻž āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ (āĻŦāĻž āϏāĻžāĻŽāĻžā§āϜāĻ¸ā§āϝāĻĒā§‚āĻ°ā§āĻŖ āϟāĻžāχāĻĒ āĻāϏ) āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāϞ⧇ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻ•āϰāĻžāϰ āφāϗ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻžāĻŦ⧇ āĻ•āĻŋ āύāĻžāĨ¤

Some procedures are common to all sterilizers and are described in 4.1 specific procedures for sterilizing unwrapped and wrapped instruments are then described in section 4.2 and 4.3 respectively.

āĻ•āĻŋāϛ⧁ āĻĒāĻĻā§āϧāϤāĻŋ āϏāĻŦ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ•āĻĻ⧇āϰ āϜāĻ¨ā§āϝ āϏāĻžāϧāĻžāϰāĻŖ āĻāĻŦāĻ‚ 4.1 āϤ⧇ āĻŦāĻ°ā§āĻŖāύāĻž āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ 4.1 āĻŦāĻŋāĻļ⧇āώ āĻĒāĻĻā§āϧāϤāĻŋāϤ⧇ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āĻāĻŦāĻ‚ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āϝāĻĨāĻžāĻ•ā§āϰāĻŽā§‡ āĻŦāĻŋāĻ­āĻžāĻ— 4.2 āĻāĻŦāĻ‚ 4.3 āĻ āĻŦāĻ°ā§āĻŖāύāĻž āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇āĨ¤

4.1 General Operation of Steam Sterilizers-

āĻ¸ā§āϟāĻŋāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇āϰ āϏāĻžāϧāĻžāϰāĻŖ āĻ…āĻĒāĻžāϰ⧇āĻļāύ-

Having in place a written sterilization procedure that is based on the manufacturer’s instructions, including loading, choice of sterilization cycle, procedure after sterilization, record keeping, and ensuring that all staff follow this written procedure.

āĻāĻ•āϟāĻŋ āϞāĻŋāĻ–āĻŋāϤ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻĒāĻĻā§āϧāϤāĻŋ āĻ¸ā§āĻĨāĻžāĻĒāύ āĻ•āϰāĻž āϝāĻž āύāĻŋāĻ°ā§āĻŽāĻžāϤāĻžāĻĻ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀āϰ āωāĻĒāϰ āĻ­āĻŋāĻ¤ā§āϤāĻŋ āĻ•āϰ⧇ āĻāĻŦāĻ‚ āĻāϤ⧇ āϞ⧋āĻĄāĻŋāĻ‚, āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϚāĻ•ā§āϰ⧇āϰ āĻĒāĻ›āĻ¨ā§āĻĻ, āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āĻĒāϰ⧇ āĻĒāĻĻā§āϧāϤāĻŋ āĻāĻŦāĻ‚ āϰ⧇āĻ•āĻ°ā§āĻĄ āϰāĻžāĻ–āĻž āĻāĻŦāĻ‚ āϏāĻŽāĻ¸ā§āϤ āĻ•āĻ°ā§āĻŽā§€āϰāĻž āĻāχ āϞāĻŋāĻ–āĻŋāϤ āĻĒāĻĻā§āϧāϤāĻŋ āĻ…āύ⧁āϏāϰāĻŖ āĻ•āϰ⧇ āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύāĨ¤

On each day that the sterilizer is used, carry out the daily housekeeping checks and daily tests.

āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻĻāĻŋāύ⧇, āĻĒā§āϰāϤāĻŋāĻĻāĻŋāύ⧇āϰ āĻšāĻžāωāϏāĻ•āĻŋāĻĒāĻŋāĻ‚ āĻšā§‡āĻ• āĻāĻŦāĻ‚ āĻĒā§āϰāϤāĻŋāĻĻāĻŋāύ⧇āϰ āĻĒāϰ⧀āĻ•ā§āώāĻžāϗ⧁āϞāĻŋ āϏāĻŽā§āĻĒāĻžāĻĻāύ āĻ•āϰ⧁āύ

Ensure that maintenance and testing records for all sterilizers in use are up to date and satisfactory.

āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āϏāĻŽāĻ¸ā§āϤ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ•āϗ⧁āϞāĻŋāϰ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ āĻāĻŦāĻ‚ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āϰ⧇āĻ•āĻ°ā§āĻĄāϗ⧁āϞāĻŋ āφāĻĒ āϟ⧁ āĻĄā§‡āϟ āĻāĻŦāĻ‚ āϏāĻ¨ā§āϤ⧋āώāϜāύāĻ•

4.1.1 Before Sterilization-

  • Change you gloves and plastic apron before handling the cleaned instruments, remembering to wash your hands or use alcohol rub on visibly clean hands before putting on new gloves.
  • āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻž āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻĒāϰāĻŋāϚāĻžāϞāύāĻž āĻ•āϰāĻžāϰ āφāϗ⧇ āφāĻĒāύāĻžāϰ āĻ—ā§āϞāĻžāĻ­āϏ āĻāĻŦāĻ‚ āĻĒā§āϞāĻžāĻ¸ā§āϟāĻŋāϕ⧇āϰ āĻ…ā§āϝāĻžāĻĒā§āϰ⧋āύ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ āĻ•āϰ⧁āύ, āφāĻĒāύāĻžāϰ āĻšāĻžāϤ āϧ⧋āϝāĻŧāĻžāϰ āĻ•āĻĨāĻž āĻŽāύ⧇ āϰāĻžāĻ–āĻŦ⧇āύ āĻŦāĻž āύāϤ⧁āύ āĻ—ā§āϞāĻžāĻ­āϏ āĻĒāϰāĻžāϰ āφāϗ⧇ āĻĻ⧃āĻļā§āϝāĻŽāĻžāύ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻšāĻžāϤ⧇ āĻ…ā§āϝāĻžāϞāϕ⧋āĻšāϞ āϘāώ⧁āύāĨ¤
  • If moving cleaned instruments to a sterilizer in another room , use a dedicated ,clean, rigid, labelled container with a lid.
  • āϝāĻĻāĻŋ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻž āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āĻ…āĻ¨ā§āϝ āϘāϰ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϝāĻ¨ā§āĻ¤ā§āϰ⧇ āĻ¸ā§āĻĨāĻžāύāĻžāĻ¨ā§āϤāϰ āĻ•āϰāĻž āĻšāϝāĻŧ āϤāĻŦ⧇ āĻāĻ•āϟāĻŋ āĻĸāĻžāĻ•āύāĻž āϏāĻš āĻāĻ•āϟāĻŋ āωāĻ¤ā§āϏāĻ°ā§āĻ—ā§€āĻ•ā§ƒāϤ, āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ, āĻ•āĻ ā§‹āϰ, āϞ⧇āĻŦ⧇āϞāϝ⧁āĻ•ā§āϤ āĻĒāĻžāĻ¤ā§āϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧁āύ
  • Transfer instruments to the sterilizer as soon as possible after cleaning , thermal disinfection if a washer disinfector is used , drying and inspection for cleanliness and functionality. Only wrap instruments before sterilization if using vacuum sterilizer.
  • āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻžāϰ āĻĒāϰ⧇ āϝāϤ āϤāĻžāĻĄāĻŧāĻžāϤāĻžāĻĄāĻŧāĻŋ āϏāĻŽā§āĻ­āĻŦ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϝāĻ¨ā§āĻ¤ā§āϰ⧇ āĻ¸ā§āĻĨāĻžāύāĻžāĻ¨ā§āϤāϰ āĻ•āϰ⧁āύ, āϝāĻĻāĻŋ āĻāĻ•āϟāĻŋ āĻ“āϝāĻŧāĻžāĻļāĻžāϰ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ āϤāĻŦ⧇ āϤāĻžāĻĒ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ•, āĻļ⧁āĻ•āĻžāύ⧋ āĻāĻŦāĻ‚ āĻĒāϰāĻŋāĻšā§āĻ›āĻ¨ā§āύāϤāĻž āĻāĻŦāĻ‚ āĻ•āĻžāĻ°ā§āϝāĻ•āĻžāϰāĻŋāϤāĻžāϰ āϜāĻ¨ā§āϝ āĻĒāϰāĻŋāĻĻāĻ°ā§āĻļāύāĨ¤ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāϞ⧇ āĻļ⧁āϧ⧁āĻŽāĻžāĻ¤ā§āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āφāϗ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋āĨ¤
  • Load instruments correctly .For specific advice about unwrapped instruments refer to 4.2 and 4.3.
  • āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āϏāĻ āĻŋāĻ•āĻ­āĻžāĻŦ⧇ āϞ⧋āĻĄ āĻ•āϰ⧁āύāĨ¤ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰ āϏāĻŽā§āĻĒāĻ°ā§āϕ⧇ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ⧇āϰ āϜāĻ¨ā§āϝ 4.2 āĻāĻŦāĻ‚ 4.3 āĻĻ⧇āϖ⧁āύāĨ¤
  • Check that there is sufficient water in the reservoir
  • āϜāϞāĻžāϧāĻžāϰ⧇ āĻĒāĻ°ā§āϝāĻžāĻĒā§āϤ āϜāϞ āφāϛ⧇ āĻ•āĻŋāύāĻž āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύ
  • Select and start that sterilization cycle.
  • āύāĻŋāĻ°ā§āĻŦāĻžāϚāύ āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āϏ⧇āχ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϚāĻ•ā§āϰ āĻļ⧁āϰ⧁ āĻ•āϰ⧁āύāĨ¤
  • If instruments are not to be sterilized at the end of the day, clean and dry them, clearly label them as unsafe for handling or use, and reprocess them through the full decontamination cycle the next working day.
  • āϝāĻĻāĻŋ āĻĻāĻŋāύ⧇āϰ āĻļ⧇āώ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻž āύāĻž āĻšāϝāĻŧ, āϤāĻŦ⧇ āϏ⧇āϗ⧁āϞāĻŋāϕ⧇ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻāĻŦāĻ‚ āĻļ⧁āĻ•āĻŋāϝāĻŧ⧇ āύāĻŋāύ, āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰāĻ­āĻžāĻŦ⧇ āϏ⧇āϗ⧁āϞāĻŋ āĻĒāϰāĻŋāϚāĻžāϞāύāĻž āĻŦāĻž āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āϜāĻ¨ā§āϝ āĻ…āύāĻŋāϰāĻžāĻĒāĻĻ āĻšāĻŋāϏāĻžāĻŦ⧇ āϞ⧇āĻŦ⧇āϞ āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻĒāϰ⧇āϰ āĻ•āĻžāĻ°ā§āϝāĻĻāĻŋāĻŦāϏ⧇ āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤ āϚāĻ•ā§āϰ⧇āϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ āĻĒ⧁āύāϰāĻžāϝāĻŧ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻ•āϰ⧁āύ⧎

4.1.2 After Sterilization-

Check the sterilizer to indicate that the cycle was satisfactory.

āϚāĻ•ā§āϰāϟāĻŋ āϏāĻ¨ā§āϤ⧋āώāϜāύāĻ• āĻ›āĻŋāϞ āϤāĻž āύāĻŋāĻ°ā§āĻĻ⧇āĻļ āĻ•āϰāϤ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύāĨ¤

Using the printout or data logger fitted to the sterilizer, confirm that the required temperature usually (134-137) was held for at least 3 minutes and if recorded, that the required pressure usually (2.1-2.25 bar)was attained during the cycle.

āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇ āϞāĻžāĻ—āĻžāύ⧋ āĻĒā§āϰāĻŋāĻ¨ā§āϟāφāωāϟ āĻŦāĻž āĻĄā§‡āϟāĻž āϞāĻ—āĻžāϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧ āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻž āϏāĻžāϧāĻžāϰāĻŖāϤ (134-137) āĻ•āĻŽāĻĒāĻ•ā§āώ⧇ 3 āĻŽāĻŋāύāĻŋāϟ āϧāϰ⧇ āϰāĻžāĻ–āĻž āĻšāϝāĻŧ⧇āĻ›āĻŋāϞ āĻāĻŦāĻ‚ āϝāĻĻāĻŋ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻž āĻšāϝāĻŧ, āϚāĻ•ā§āϰ⧇āϰ āϏāĻŽāϝāĻŧ āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧ āϚāĻžāĻĒ āϏāĻžāϧāĻžāϰāĻŖāϤ (2.1-2.25 āĻŦāĻžāϰ) āĻ…āĻ°ā§āϜāĻŋāϤ āĻšāϝāĻŧ⧇āĻ›āĻŋāϞāĨ¤
  • In the absence of a printer or data logger that provides this information, manual monitoring and recording of each cycle is necessary. An Authorising Engineer (Decontamination) can advise on a suitable procedure. Upgrade to a machine with a suitable printer or data logger as soon as possible.
  • āĻāχ āϤāĻĨā§āϝ āĻĒā§āϰāĻĻāĻžāύāĻ•āĻžāϰ⧀ āĻāĻ•āϟāĻŋ āĻĒā§āϰāĻŋāĻ¨ā§āϟāĻžāϰ āĻŦāĻž āĻĄā§‡āϟāĻž āϞāĻ—āĻžāϰ⧇āϰ āĻ…āύ⧁āĻĒāĻ¸ā§āĻĨāĻŋāϤāĻŋāϤ⧇, āĻĒā§āϰāϤāĻŋāϟāĻŋ āϚāĻ•ā§āϰ⧇āϰ āĻŽā§āϝāĻžāύ⧁āϝāĻŧāĻžāϞ āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻāĻŦāĻ‚ āϰ⧇āĻ•āĻ°ā§āĻĄāĻŋāĻ‚ āĻĒā§āϰāϝāĻŧā§‹āϜāύāĨ¤ āĻāĻ•āϜāύ āĻ…āĻĨāϰāĻžāχāϜāĻŋāĻ‚ āχāĻžā§āϜāĻŋāύāĻŋāϝāĻŧāĻžāϰ (āĻĄāĻŋāĻ•āύāϟāĻžāĻŽāĻŋāύ⧇āĻļāύ) āĻāĻ•āϟāĻŋ āωāĻĒāϝ⧁āĻ•ā§āϤ āĻĒāĻĻā§āϧāϤāĻŋ āϏāĻŽā§āĻĒāĻ°ā§āϕ⧇ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻĻāĻŋāϤ⧇ āĻĒāĻžāϰ⧇āύāĨ¤ āϝāϤ āϤāĻžāĻĄāĻŧāĻžāϤāĻžāĻĄāĻŧāĻŋ āϏāĻŽā§āĻ­āĻŦ āĻāĻ•āϟāĻŋ āωāĻĒāϝ⧁āĻ•ā§āϤ āĻĒā§āϰāĻŋāĻ¨ā§āϟāĻžāϰ āĻŦāĻž āĻĄā§‡āϟāĻž āϞāĻ—āĻžāϰ āϏāĻš āĻāĻ•āϟāĻŋ āĻŽā§‡āĻļāĻŋāύ⧇ āφāĻĒāĻ—ā§āϰ⧇āĻĄ āĻ•āϰ⧁āύāĨ¤

Record that the cycle was satisfactory (e.g., sign the printout and retain it as a record).

āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧁āύ āϝ⧇ āϚāĻ•ā§āϰāϟāĻŋ āϏāĻ¨ā§āϤ⧋āώāϜāύāĻ• āĻ›āĻŋāϞ (āϝ⧇āĻŽāύ āĻĒā§āϰāĻŋāĻ¨ā§āϟāφāωāĻŸā§‡ āĻ¸ā§āĻŦāĻžāĻ•ā§āώāϰ āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻāϟāĻŋāϕ⧇ āĻāĻ•āϟāĻŋ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻšāĻŋāϏāĻžāĻŦ⧇ āϧāϰ⧇ āϰāĻžāϖ⧁āύ)āĨ¤
  • Some practices choose to keep an electronic record by scanning signed printouts in batches, thus avoiding the need to store large quantities of printouts.
  • āĻ•āĻŋāϛ⧁ āĻ…āύ⧁āĻļā§€āϞāύ āĻŦā§āϝāĻžāϚāϗ⧁āϞāĻŋāϤ⧇ āĻ¸ā§āĻŦāĻžāĻ•ā§āώāϰāĻŋāϤ āĻĒā§āϰāĻŋāĻ¨ā§āϟāφāωāϟāϗ⧁āϞāĻŋ āĻ¸ā§āĻ•ā§āϝāĻžāύ āĻ•āϰ⧇ āĻāĻ•āϟāĻŋ āχāϞ⧇āĻ•āĻŸā§āϰāύāĻŋāĻ• āϰ⧇āĻ•āĻ°ā§āĻĄ āϰāĻžāĻ–āĻž āĻŦ⧇āϛ⧇ āύ⧇āϝāĻŧ, āĻāχāĻ­āĻžāĻŦ⧇ āĻĒā§āϰāϚ⧁āϰ āĻĒāϰāĻŋāĻŽāĻžāϪ⧇ āĻĒā§āϰāĻŋāĻ¨ā§āϟāφāωāϟ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰāĻžāϰ āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻāĻĄāĻŧāĻžāύ⧋ āϝāĻžāϝāĻŧāĨ¤

Use special tray lifters or heatproof gloves to carefully unload the sterilizer.

āϏāĻžāĻŦāϧāĻžāύ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻŦāĻŋāĻļ⧇āώ āĻŸā§āϰ⧇ āϞāĻŋāĻĢāϟāĻžāϰ āĻŦāĻž āĻšāĻŋāϟāĻĒā§āϰ⧁āĻĢ āĻ—ā§āϞāĻžāĻ­āϏ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧁āύāĨ¤

For instruments sterilized wrapped, check each package is satisfactory (as detailed in section 4.3.1)

āύāĻŋāĻ°ā§āĻŦā§€āϜāĻŋāϤ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϰ āϜāĻ¨ā§āϝ, āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻĒā§āϝāĻžāϕ⧇āϜ āϏāĻ¨ā§āϤ⧋āώāϜāύāĻ• āĻ•āĻŋāύāĻž āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύ (āĻŦāĻŋāĻ¸ā§āϤāĻžāϰāĻŋāϤ āĻŦāĻŋāĻ­āĻžāĻ— 4.3.1 āĻ)

If any of the above cycle conditions is not achieved or there is a problem with instruments unloaded from the sterilizer, ensure that the details are recorded, notify the user, and reprocess the instruments from the start of the decontamination cycle (cleaning, thermal disinfection if available, and sterilization).

āϝāĻĻāĻŋ āωāĻĒāϰ⧋āĻ•ā§āϤ āϚāĻ•ā§āϰ⧇āϰ āĻļāĻ°ā§āϤāϗ⧁āϞāĻŋāϰ āĻŽāĻ§ā§āϝ⧇ āϕ⧋āύāϟāĻŋ āĻ…āĻ°ā§āϜāύ āύāĻž āĻ•āϰāĻž āĻšāϝāĻŧ āĻŦāĻž āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻĨ⧇āϕ⧇ āφāύāϞ⧋āĻĄ āĻ•āϰāĻž āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϤ⧇ āϏāĻŽāĻ¸ā§āϝāĻž āĻšāϝāĻŧ āϤāĻŦ⧇ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āĻŦāĻŋāĻļāĻĻāϗ⧁āϞāĻŋ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇, āĻŦā§āϝāĻŦāĻšāĻžāϰāĻ•āĻžāϰ⧀āϕ⧇ āĻ…āĻŦāĻšāĻŋāϤ āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϚāĻ•ā§āϰ⧇āϰ āĻļ⧁āϰ⧁ āĻĨ⧇āϕ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻĒ⧁āύāϰāĻžāϝāĻŧ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻ•āϰ⧁āύ (āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ, āϤāĻžāĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϝāĻĻāĻŋ āωāĻĒāϞāĻŦā§āϧ, āĻāĻŦāĻ‚ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ)āĨ¤

4.1.3 At the end of the day

Follow the manufacturer’s instructions to drain and clean the chamber and reservoir at the end of each day and leave the day.

āĻĻāĻŋāύ⧇āϰ āĻļ⧇āώ⧇

āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻĻāĻŋāύ āĻāĻŦāĻ‚ āϛ⧁āϟāĻŋāϰ āĻĻāĻŋāύ āĻļ⧇āώ⧇ āĻšā§‡āĻŽā§āĻŦāĻžāϰ āĻāĻŦāĻ‚ āϜāϞāĻžāĻļāϝāĻŧ āύāĻŋāĻˇā§āĻ•āĻžāĻļāύ āĻāĻŦāĻ‚ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻ…āύ⧁āϏāϰāĻŖ āĻ•āϰ⧁āύāĨ¤

4.2 Unwrapped Instruments (All Sterilizers)

āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰ (āϏāĻŽāĻ¸ā§āϤ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀)-

If using a non-vacuum sterilizer, the instruments must be processed unwrapped.

āϝāĻĻāĻŋ āĻāĻ•āϟāĻŋ āύāύ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ, āϤāĻžāĻšāϞ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āφāĻŦ⧃āϤ āĻ•āϰ⧇ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻ•āϰāϤ⧇ āĻšāĻŦ⧇āĨ¤

Solid instruments can be sterilized unwrapped in any type of sterilizer. The sterilization of hollow or lumened instruments can only be achieved if they are cleaned effectively and a vacuum (or a compatible Type S) sterilizer is used.

āϏāϞāĻŋāĻĄ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āϝ⧇āϕ⧋āύ āϧāϰāϪ⧇āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻž āϝāĻžāϝāĻŧ āύāĻžāĨ¤ āĻĢāĻžāρāĻĒāĻž āĻŦāĻž āϞ⧁āĻŽā§‡āύāϝ⧁āĻ•ā§āϤ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϕ⧇āĻŦāϞ āϤāĻ–āύāχ āĻ…āĻ°ā§āϜāύ āĻ•āϰāĻž āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇ āϝāĻĻāĻŋ āϏ⧇āϗ⧁āϞāĻŋ āĻ•āĻžāĻ°ā§āϝāĻ•āϰāĻ­āĻžāĻŦ⧇ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ āĻāĻŦāĻ‚ āĻāĻ•āϟāĻŋ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ (āĻŦāĻž āĻāĻ•āϟāĻŋ āϏāĻžāĻŽāĻžā§āϜāĻ¸ā§āϝāĻĒā§‚āĻ°ā§āĻŖ āϟāĻžāχāĻĒ āĻāϏ) āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ⧎

When processing instruments using a non-vacuum sterilizer, ensure that the instruments are unwrapped.

āĻāĻ•āϟāĻŋ āύāύ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇ āϝāĻ¨ā§āĻ¤ā§āϰ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāĻ•āϰāĻŖ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ, āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻ–ā§‹āϞāĻž āφāϛ⧇āĨ¤
  • Note that the sterilization of the sterilization of the internal surfaces of instruments with lumens processed in a non-vacuum sterilizer cannot be guaranteed.
  • āύ⧋āϟ āĻ•āϰ⧁āύ āϝ⧇ āĻāĻ•āϟāĻŋ āύāύ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀āϤ⧇ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāĻ•ā§ƒāϤ āϞ⧁āĻŽā§‡āύ āϏāĻš āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϰ āĻ…āĻ­ā§āϝāĻ¨ā§āϤāϰ⧀āĻŖ āĻĒ⧃āĻˇā§āĻ āϗ⧁āϞāĻŋāϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āĻ—ā§āϝāĻžāϰāĻžāĻ¨ā§āϟāĻŋ āĻĻ⧇āĻ“āϝāĻŧāĻž āϝāĻžāϝāĻŧ āύāĻžāĨ¤
  • Refer to section 1.4 regarding the sterilization of dental handpieces.
  • āĻĻāĻžāρāϤ⧇āϰ āĻšā§āϝāĻžāĻ¨ā§āĻĄāĻĒāĻŋāϏ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϏāĻ‚āĻ•ā§āϰāĻžāĻ¨ā§āϤ āĻŦāĻŋāĻ­āĻžāĻ— 1.4 āĻĒāĻĄāĻŧ⧁āύāĨ¤

If possible, process instruments using sterilization cycle with a drying stage.

āϝāĻĻāĻŋ āϏāĻŽā§āĻ­āĻŦ āĻšāϝāĻŧ, āĻļ⧁āĻ•āĻžāύ⧋āϰ āĻĒāĻ°ā§āϝāĻžāϝāĻŧ āϏāĻš āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϚāĻ•ā§āϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāĻĒāĻžāϤāĻŋ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻ•āϰ⧁āύāĨ¤

When using a vacuum sterilizer, if the load includes hollow or lumened instruments, ensure that a drying stage is included.

āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ, āϝāĻĻāĻŋ āϞ⧋āĻĄā§‡āϰ āĻŽāĻ§ā§āϝ⧇ āĻĢāĻžāρāĻĒāĻž āĻŦāĻž āϞ⧁āĻŽā§‡āύāϝ⧁āĻ•ā§āϤ āϝāĻ¨ā§āĻ¤ā§āϰ āĻĨāĻžāϕ⧇, āϤāĻžāĻšāϞ⧇ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āĻļ⧁āĻ•āĻžāύ⧋āϰ āĻĒāĻ°ā§āϝāĻžāϝāĻŧ āĻ…āĻ¨ā§āϤāĻ°ā§āϭ⧁āĻ•ā§āϤ āϰāϝāĻŧ⧇āϛ⧇āĨ¤āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ, āϝāĻĻāĻŋ āϞ⧋āĻĄā§‡āϰ āĻŽāĻ§ā§āϝ⧇ āĻĢāĻžāρāĻĒāĻž āĻŦāĻž āϞ⧁āĻŽā§‡āύāϝ⧁āĻ•ā§āϤ āϝāĻ¨ā§āĻ¤ā§āϰ āĻĨāĻžāϕ⧇, āϤāĻžāĻšāϞ⧇ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āĻļ⧁āĻ•āĻžāύ⧋āϰ āĻĒāĻ°ā§āϝāĻžāϝāĻŧ āĻ…āĻ¨ā§āϤāĻ°ā§āϭ⧁āĻ•ā§āϤ āϰāϝāĻŧ⧇āϛ⧇āĨ¤

4.2.1 Handling and Storage of Unwrapped Instruments Immediately After Sterilization-

Sterilization (āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ) āĻ•āϰāĻžāϰ āĻĒāϰāĻĒāϰāχ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϰ āĻšā§āϝāĻžāĻ¨ā§āĻĄāϞāĻŋāĻ‚ āĻāĻŦāĻ‚ āĻ¸ā§āĻŸā§‹āϰ⧇āϜ-

Instruments that have been sterilized unwrapped are designated as ‘sterilized only’. It is currently acceptable for instruments sterilized unwrapped to be kept for later use .However, they must be-

āϝ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āĻ°â€ā§āϝāĻžāĻĒ āĻ•āϰ⧇  Sterilization (āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ) āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ āϏ⧇āϗ⧁āϞāĻŋāϕ⧇ 'āĻļ⧁āϧ⧁ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ' āĻšāĻŋāϏāĻžāĻŦ⧇ āĻŽāύ⧋āύ⧀āϤ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇āĨ¤ āĻāϟāĻŋ āĻŦāĻ°ā§āϤāĻŽāĻžāύ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāĻžāύ⧁āώāĻ™ā§āϗ⧇āϰ āϜāĻ¨ā§āϝ āĻ—ā§āϰāĻšāĻŖāϝ⧋āĻ—ā§āϝ āϝāĻž āĻĒāϰāĻŦāĻ°ā§āϤ⧀āϤ⧇ āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āϜāĻ¨ā§āϝ āϰāĻžāĻ–āĻž āĻšāĻŦ⧇āĨ¤
  • dry-it is very important that instruments are completely dry when stored because dampness encourages growth of microorganisms and corrosion of instruments.
  • āĻļ⧁āĻˇā§āĻ•- āĻāϟāĻŋ āĻ…āĻ¤ā§āϝāĻ¨ā§āϤ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ āϝ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖāϰ⧂āĻĒ⧇ āĻļ⧁āĻ•āĻŋāϝāĻŧ⧇ āϝāĻžāϝāĻŧ āĻ•āĻžāϰāĻŖ āĻ¸ā§āϝāĻžāρāϤāϏ⧇āρāϤ⧇ āĻ…āϪ⧁āĻœā§€āĻŦ⧇āϰ āĻŦ⧃āĻĻā§āϧāĻŋ āĻāĻŦāĻ‚ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āĻ•ā§āώāϝāĻŧāϕ⧇ āĻ‰ā§ŽāϏāĻžāĻšāĻŋāϤ āĻ•āϰ⧇āĨ¤
  • Protected from contamination
  • āĻĻā§‚āώāĻŖ āĻĨ⧇āϕ⧇ āϏ⧁āϰāĻ•ā§āώāĻŋāϤ
  • Stored correctly -note that storage of loose unwrapped instruments is unacceptable.
  • āϏāĻ āĻŋāĻ•āĻ­āĻžāĻŦ⧇ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ – āĻŽāύ⧇ āϰāĻžāĻ–āĻŦ⧇āύ āϝ⧇ āφāϞāĻ—āĻž āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āĻ¸ā§āĻŸā§‹āϰ⧇āϜ āĻ…āĻ—ā§āϰāĻšāĻŖāϝ⧋āĻ—ā§āϝāĨ¤

Clean hands and put on clean gloves and a clean apron before handling unwrapped instruments that have been removed from the sterilizer. Take additional precautions if the instruments are still hot.

āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻĨ⧇āϕ⧇ āϏāϰāĻžāύ⧋ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻĒāϰāĻŋāϚāĻžāϞāύāĻž āĻ•āϰāĻžāϰ āφāϗ⧇ āĻšāĻžāϤ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻ—ā§āϞāĻžāĻ­āϏ āĻāĻŦāĻ‚ āĻāĻ•āϟāĻŋ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻāĻĒā§āϰ⧋āύ āĻĒāϰ⧁āύāĨ¤ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻāĻ–āύāĻ“ āĻ—āϰāĻŽ āĻĨāĻžāĻ•āϞ⧇ āĻ…āϤāĻŋāϰāĻŋāĻ•ā§āϤ āϏāϤāĻ°ā§āĻ•āϤāĻž āĻ…āĻŦāϞāĻŽā§āĻŦāύ āĻ•āϰ⧁āύāĨ¤

Examine newly sterilized instruments visually for dryness. Ideally, the instruments will be dry on removal from the sterilizer but, if a drying cycle has not been used, manual drying using disposable, non-linting wipes may be necessary.

āĻļ⧁āĻˇā§āĻ•āϤāĻžāϰ āϜāĻ¨ā§āϝ āĻĻ⧃āĻļā§āϝāϤ āύāϤ⧁āύ āύāĻŋāĻ°ā§āĻŦā§€āϜāĻŋāϤ āϝāĻ¨ā§āĻ¤ā§āϰ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύāĨ¤ āφāĻĻāĻ°ā§āĻļāĻ­āĻžāĻŦ⧇ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻĨ⧇āϕ⧇ āĻ…āĻĒāϏāĻžāϰāϪ⧇āϰ āϏāĻŽāϝāĻŧ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻļ⧁āĻ•āĻŋāϝāĻŧ⧇ āϝāĻžāĻŦ⧇ āϤāĻŦ⧇, āϝāĻĻāĻŋ āĻļ⧁āĻ•āĻžāύ⧋āϰ āϚāĻ•ā§āϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āύāĻž āĻ•āϰāĻž āĻšāϝāĻŧ āϤāĻŦ⧇ āĻĄāĻŋāϏāĻĒā§‹āĻœā§‡āĻŦāϞ, āύāύ-āϞāĻŋāĻ¨ā§āϟāĻŋāĻ‚ āĻ“āϝāĻŧāĻžāχāĻĒ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇ āĻŽā§āϝāĻžāύ⧁āϝāĻŧāĻžāϞ āĻļ⧁āĻ•āĻžāύ⧋āϰ āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻšāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤

Do not leave sterilized instruments exposed in the clinical environment.

āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻ•ā§āϞāĻŋāύāĻŋāĻ•āĻžāϞ āĻĒāϰāĻŋāĻŦ⧇āĻļ⧇ āωāĻ¨ā§āĻŽā§āĻ•ā§āϤ āϰāĻžāĻ–āĻŦ⧇āύ āύāĻžāĨ¤

Store instruments individually or in sets in clean, dry conditions and in a manner that prevents recontamination.

āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āĻĒ⧃āĻĨāĻ•āĻ­āĻžāĻŦ⧇ āĻŦāĻž āϏ⧇āĻŸā§‡ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ, āĻļ⧁āĻˇā§āĻ• āĻ…āĻŦāĻ¸ā§āĻĨāĻžāϝāĻŧ āĻāĻŦāĻ‚ āĻāĻŽāύāĻ­āĻžāĻŦ⧇ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰ⧁āύ āϝāĻž āĻĒ⧁āύāσāĻĻā§‚āώāĻŖ āĻĒā§āϰāϤāĻŋāϰ⧋āϧ āĻ•āϰ⧇āĨ¤
  • Options include placing instruments in covered trays, cassettes, or clip-in-trays in enclosed boxes or cupboards in a rack system, or sealing within a clean, single-use, sterilization-grade wrapping material or self-seal sterilization bags/pouches.
  • āĻŦāĻŋāĻ•āĻ˛ā§āĻĒāϗ⧁āϞāĻŋāϰ āĻŽāĻ§ā§āϝ⧇ āϰāϝāĻŧ⧇āϛ⧇, āĻĸ⧇āϕ⧇ āϰāĻžāĻ–āĻž āĻŸā§āϰ⧇, āĻ•ā§āϝāĻžāϏ⧇āϟ āĻŦāĻž āĻ•ā§āϞāĻŋāĻĒ-āχāύ-āĻŸā§āϰ⧇ āĻāĻ•āϟāĻŋ āĻ°ā§āϝāĻžāĻ• āϏāĻŋāĻ¸ā§āĻŸā§‡āĻŽā§‡ āφāĻŦāĻĻā§āϧ āĻŦāĻžāĻ•ā§āϏ⧇ āĻŦāĻž āφāϞāĻŽāĻžāϰāĻŋāϤ⧇ āϝāĻ¨ā§āĻ¤ā§āϰ āĻ¸ā§āĻĨāĻžāĻĒāύ āĻ•āϰāĻž, āĻŦāĻž āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ, āĻāĻ•āĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āĻŽāĻ§ā§āϝ⧇ āϏāĻŋāϞ āĻ•āϰāĻž, āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ—ā§āϰ⧇āĻĄā§‡āϰ āĻŽā§‹āĻĄāĻŧāĻ• āωāĻĒāĻžāĻĻāĻžāύ āĻŦāĻž āĻ¸ā§āĻŦ-āϏāĻŋāϞ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻŦā§āϝāĻžāĻ—/āĻĒāĻžāωāϚāĨ¤

When labeling wrapped instruments write on the labels before attaching them to the wrapping directly with a ballpoint or felt pen as this might damage it.

āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āϞ⧇āĻŦ⧇āϞ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ āĻŦāϞāĻĒāϝāĻŧ⧇āĻ¨ā§āϟ āĻŦāĻž āĻ…āύ⧁āĻ­ā§‚āϤ āĻ•āϞāĻŽ āĻĻāĻŋāϝāĻŧ⧇ āϏāϰāĻžāϏāϰāĻŋ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋āϰ āφāϗ⧇ āϞ⧇āĻŦ⧇āϞ⧇ āϞāĻŋāϖ⧁āύ āĻ•āĻžāϰāĻŖ āĻāϟāĻŋ āĻ•ā§āώāϤāĻŋ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤

Store instruments in clean enclosed cupboards drawers or boxes in an orderly manner that avoids damaging the wrapping.

āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻĒāϰāĻŋāĻšā§āĻ›āĻ¨ā§āύ āφāϞāĻŽāĻžāϰāĻŋāϰ āĻĄā§āϰāϝāĻŧāĻžāϰ⧇ āĻŦāĻž āĻŦāĻžāĻ•ā§āϏ⧇ āĻāĻŽāύ āϏ⧁āĻļ⧃āĻ™ā§āĻ–āϞāĻ­āĻžāĻŦ⧇ āϝāĻ¨ā§āĻ¤ā§āϰ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰ⧁āύ āϝāĻžāϤ⧇ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋āϰ āĻ•ā§āώāϤāĻŋ āύāĻž āĻšāϝāĻŧāĨ¤

Do not store any instruments on open shelving or on work surfaces in clinical areas.

āĻ¸ā§āĻŸā§‹āϰ⧇āĻœā§‡āϰ āϏāĻŽāϝāĻŧāĻ•āĻžāϞ āĻ•āĻŽāĻžāϤ⧇ āĻāĻ•āϟāĻŋ āĻĢāĻžāĻ°ā§āĻ¸ā§āϟ-āχāύ, āĻĢāĻžāĻ°ā§āĻ¸ā§āϟ-āφāωāϟ āĻ¸ā§āϟāĻ• āϰ⧋āĻŸā§‡āĻļāύ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧁āύāĨ¤

Use a first-in, first-out stock rotation to minimize the duration of storage.

āĻ¸ā§āĻŸā§‹āϰ⧇āĻœā§‡āϰ āϏāĻŽāϝāĻŧāĻ•āĻžāϞ āĻ•āĻŽāĻžāϤ⧇ āĻāĻ•āϟāĻŋ āĻĢāĻžāĻ°ā§āĻ¸ā§āϟ-āχāύ, āĻĢāĻžāĻ°ā§āĻ¸ā§āϟ-āφāωāϟ āĻ¸ā§āϟāĻ• āϰ⧋āĻŸā§‡āĻļāύ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧁āύāĨ¤

4.3 Wrapped Instruments (Vacuum Sterilizers)

Instruments can only be processed wrapped in a vacuum (or a compatible type S) sterilizer that is designed for wrapped instruments. If using a non-vacuum sterilizer, refer to section 4.2.

āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āĻļ⧁āϧ⧁āĻŽāĻžāĻ¤ā§āϰ āĻāĻ•āϟāĻŋ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ (āĻŦāĻž āĻāĻ•āϟāĻŋ āϏāĻžāĻŽāĻžā§āϜāĻ¸ā§āϝāĻĒā§‚āĻ°ā§āĻŖ āϟāĻžāχāĻĒ S) āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻĻāĻŋāϝāĻŧ⧇ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻ•āϰāĻž āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇ āϝāĻž āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϰ āϜāĻ¨ā§āϝ āĻĄāĻŋāϜāĻžāχāύ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇āĨ¤ āϝāĻĻāĻŋ āĻāĻ•āϟāĻŋ āύāύ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇āύ, āϤāĻžāĻšāϞ⧇ āĻŦāĻŋāĻ­āĻžāĻ— 4.2 āĻĻ⧇āϖ⧁āύāĨ¤

As wrapping and labeling are part of the validation process, the sterilizer should be re-validated when introducing new wrapping and labeling.

āϝ⧇āĻšā§‡āϤ⧁ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āĻāĻŦāĻ‚ āϞ⧇āĻŦ⧇āϞāĻŋāĻ‚ āĻŦ⧈āϧāĻ•āϰāĻŖ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϰ āĻ…āĻ‚āĻļ, āϤāĻžāχ āύāϤ⧁āύ āĻŽā§‹āĻĄāĻŧāĻ• āĻāĻŦāĻ‚ āϞ⧇āĻŦ⧇āϞāĻŋāĻ‚ āĻĒā§āϰāĻŦāĻ°ā§āϤāύ⧇āϰ āϏāĻŽāϝāĻŧ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖāϕ⧇ āĻĒ⧁āύāϰāĻžāϝāĻŧ āϝāĻžāϚāĻžāχ āĻ•āϰāĻž āωāϚāĻŋāϤāĨ¤

If wrapping instruments prior to sterilization in a vacuum sterilizer, ensure that

āϝāĻĻāĻŋ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇ ‍Sterilization (āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ) āĻ•āϰāĻžāϰ āφāϗ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āĻšāϝāĻŧ, āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ
  • the wrapping material manufactures instructions are followed.
  • āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āωāĻĒāĻžāĻĻāĻžāύ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻ…āύ⧁āϏāϰāĻŖ āĻ•āϰāĻž āĻšāϝāĻŧ āωāĻ¤ā§āĻĒāĻžāĻĻāύ.
  • the wrapping materials are compatible with the steam sterilization process (in dental practices, self -seal sterilization pouches are typically used.
  • āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āωāĻĒāĻ•āϰāĻŖāϗ⧁āϞāĻŋ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϰ āϏāĻžāĻĨ⧇ āϏāĻžāĻŽāĻžā§āϜāĻ¸ā§āϝāĻĒā§‚āĻ°ā§āĻŖ (āĻĻāĻ¨ā§āϤ⧇āϰ āĻ…āύ⧁āĻļā§€āϞāύ⧇, āĻ¸ā§āĻŦ-āϏ⧀āϞ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻĒāĻžāωāϚāϗ⧁āϞāĻŋ āϏāĻžāϧāĻžāϰāĻŖāϤ āĻŦā§āϝāĻŦāĻšā§ƒāϤ āĻšāϝāĻŧāĨ¤
  • only a single layer of wrapping material is used.
  • āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āωāĻĒāĻžāĻĻāĻžāύ āĻļ⧁āϧ⧁āĻŽāĻžāĻ¤ā§āϰ āĻāĻ•āϟāĻŋ āĻāĻ•āĻ• āĻ¸ā§āϤāϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ.
  • each Instrument is wrapped separately or as a set of instruments for a single treatment held in a cassette that prevents them overlapping.
  • āĻĒā§āϰāϤāĻŋāϟāĻŋ āχāĻ¨ā§āϏāĻŸā§āϰ⧁āĻŽā§‡āĻ¨ā§āϟ āφāϞāĻžāĻĻāĻžāĻ­āĻžāĻŦ⧇ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āĻšāϝāĻŧ āĻŦāĻž āĻāĻ•āϟāĻŋ āĻ•ā§āϝāĻžāϏ⧇āĻŸā§‡ āϰāĻžāĻ–āĻž āĻāĻ•āĻ• āĻŸā§āϰāĻŋāϟāĻŽā§‡āĻ¨ā§āĻŸā§‡āϰ āϜāĻ¨ā§āϝ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āϏ⧇āϟ āĻšāĻŋāϏāĻžāĻŦ⧇ āϝāĻž āϤāĻžāĻĻ⧇āϰ āĻ“āĻ­āĻžāϰāĻ˛ā§āϝāĻžāĻĒāĻŋāĻ‚ āĻĒā§āϰāϤāĻŋāϰ⧋āϧ āĻ•āϰ⧇āĨ¤
  • the correct size of pouch is used larger then the contents.
  • āĻĨāϞāĻŋāϰ āϏāĻ āĻŋāĻ• āφāĻ•āĻžāϰ āϏāĻžāĻŽāĻ—ā§āϰ⧀āϰ āĻšā§‡āϝāĻŧ⧇ āĻŦāĻĄāĻŧ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤
  • the method of sealing preserves the microbial barrier properties of the wrapping and enables the pack to be opened aseptically (self-seal or fold three times and apply autoclave tape).
  • āϏāĻŋāϞ āĻ•āϰāĻžāϰ āĻĒāĻĻā§āϧāϤāĻŋāϟāĻŋ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋āϰ āĻŽāĻžāχāĻ•ā§āϰ⧋āĻŦāĻŋāϝāĻŧāĻžāϞ āĻŦāĻžāϧāĻž āĻŦ⧈āĻļāĻŋāĻˇā§āĻŸā§āϝāϗ⧁āϞāĻŋāϕ⧇ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰ⧇ āĻāĻŦāĻ‚ āĻĒā§āϝāĻžāĻ•āϟāĻŋāϕ⧇ āĻ…ā§āϝāĻžāϏ⧇āĻĒā§āϟāĻŋāĻ•āĻ­āĻžāĻŦ⧇ āĻ–ā§‹āϞāĻžāϰ āϜāĻ¨ā§āϝ āϏāĻ•ā§āώāĻŽ āĻ•āϰ⧇ (āϏ⧇āϞāĻĢ-āϏāĻŋāϞ āĻŦāĻž āϤāĻŋāύāĻŦāĻžāϰ āĻ­āĻžāρāϜ āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻ…āĻŸā§‹āĻ•ā§āϞ⧇āĻ­ āĻŸā§‡āĻĒ āĻĒā§āϰāϝāĻŧā§‹āĻ— āĻ•āϰ⧁āύ)āĨ¤

Attach a pre-written or pre-printed adhesive label to each pack that includes the word ‘Sterile the process date, the sterilizer identification and cycle number. Do not write on the label after attaching it to the wrapping and do not write directly onto the wrapping with a ballpoint or felt pen as this might damage it

āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻĒā§āϝāĻžāϕ⧇āϰ āϏāĻžāĻĨ⧇ āĻāĻ•āϟāĻŋ āĻĒā§‚āĻ°ā§āĻŦ-āϞāĻŋāĻ–āĻŋāϤ āĻŦāĻž āĻĒā§‚āĻ°ā§āĻŦ-āĻŽā§āĻĻā§āϰāĻŋāϤ āφāĻ āĻžāϞ⧋ āϞ⧇āĻŦ⧇āϞ āϏāĻ‚āϝ⧁āĻ•ā§āϤ āĻ•āϰ⧁āύ āϝāĻžāϤ⧇ 'āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϰ āϤāĻžāϰāĻŋāĻ–, āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āϏāύāĻžāĻ•ā§āϤāĻ•āϰāĻŖ āĻāĻŦāĻ‚ āϚāĻ•ā§āϰ āύāĻŽā§āĻŦāϰ' āĻļāĻŦā§āĻĻāϟāĻŋ āĻ…āĻ¨ā§āϤāĻ°ā§āϭ⧁āĻ•ā§āϤ āĻĨāĻžāϕ⧇āĨ¤ āĻ°â€ā§āϝāĻžāĻĒāĻŋāĻ‚āϝāĻŧ⧇āϰ āϏāĻžāĻĨ⧇ āϏāĻ‚āϝ⧁āĻ•ā§āϤ āĻ•āϰāĻžāϰ āĻĒāϰ āϞ⧇āĻŦ⧇āϞ⧇ āϞāĻŋāĻ–āĻŦ⧇āύ āύāĻž āĻāĻŦāĻ‚ āĻŦāϞāĻĒāϝāĻŧ⧇āĻ¨ā§āϟ āĻŦāĻž āĻ…āύ⧁āĻ­ā§‚āϤ āĻ•āϞāĻŽ āĻĻāĻŋāϝāĻŧ⧇ āϏāϰāĻžāϏāϰāĻŋ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋āϰ āωāĻĒāϰ⧇ āϞāĻŋāĻ–āĻŦ⧇āύ āύāĻž āĻ•āĻžāϰāĻŖ āĻāϟāĻŋ āĻ•ā§āώāϤāĻŋ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤

Use chemical process indicator that is either printed on the pouch or available as a label or tape.

āϰāĻžāϏāĻžāϝāĻŧāύāĻŋāĻ• āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧁āύ āϝāĻž āĻšāϝāĻŧ āĻĨāϞāĻŋāϤ⧇ āĻŽā§āĻĻā§āϰāĻŋāϤ āĻŦāĻž āϞ⧇āĻŦ⧇āϞ āĻŦāĻž āĻŸā§‡āĻĒ āĻšāĻŋāϏāĻžāĻŦ⧇ āωāĻĒāϞāĻŦā§āϧāĨ¤
  • Note that this does not indicate sterility but simply distinguishes items that have been exposed to a sterilization process from those that have not.
  • āĻŽāύ⧇ āϰāĻžāĻ–āĻŦ⧇āύ āϝ⧇ āĻāϟāĻŋ āĻŦāĻ¨ā§āĻ§ā§āϝāĻžāĻ¤ā§āĻŦ⧇āϰ āχāĻ™ā§āĻ—āĻŋāϤ āĻĻ⧇āϝāĻŧ āύāĻž āϤāĻŦ⧇ āϕ⧇āĻŦāϞ āĻāĻŽāύ āφāχāĻŸā§‡āĻŽāϗ⧁āϞāĻŋāϕ⧇ āφāϞāĻžāĻĻāĻž āĻ•āϰ⧇ āϝāĻž āĻāĻ•āϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϰ āϏāĻ‚āĻ¸ā§āĻĒāĻ°ā§āĻļ⧇ āĻāϏ⧇āϛ⧇ āϝ⧇āϗ⧁āϞāĻŋ āύ⧇āχāĨ¤

Ensure that the selected sterilization cycle includes a drying stage.

āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āύāĻŋāĻ°ā§āĻŦāĻžāϚāĻŋāϤ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϚāĻ•ā§āϰ āĻāĻ•āϟāĻŋ āĻļ⧁āĻ•āĻžāύ⧋āϰ āĻĒāĻ°ā§āϝāĻžāϝāĻŧ āĻ…āĻ¨ā§āϤāĻ°ā§āϭ⧁āĻ•ā§āϤ āĻ•āϰ⧇āĨ¤
  • It is essential to dry the load before the sterilizer chamber is opened otherwise the wrapped instruments will not remain sterile.
  • āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻšā§‡āĻŽā§āĻŦāĻžāϰ āĻ–ā§‹āϞāĻžāϰ āφāϗ⧇ āϞ⧋āĻĄāϟāĻŋ āĻļ⧁āĻ•āĻžāύ⧋ āĻ…āĻĒāϰāĻŋāĻšāĻžāĻ°ā§āϝ āĻ…āĻ¨ā§āϝāĻĨāĻžāϝāĻŧ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻĨāĻžāĻ•āĻŦ⧇ āύāĻžāĨ¤

4.3.1 Handling and Storage Wrapped Instruments Instruments Immediately After Sterilization.

Sterilization (āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ) āĻ•āϰāϪ⧇āϰ āĻĒāϰāĻĒāϰāχ āĻšā§āϝāĻžāĻ¨ā§āĻĄāϞāĻŋāĻ‚ āĻāĻŦāĻ‚ āĻ¸ā§āĻŸā§‹āϰ⧇āϜ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āϝāĻ¨ā§āĻ¤ā§āϰ-

Careful handling and storage of sterilized packs will ensure that the contents remain sterilized until the pack is opened.

āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻĒā§āϝāĻžāĻ•āϗ⧁āϞāĻŋāϰ āϝāĻ¤ā§āύ āϏāĻšāĻ•āĻžāϰ⧇ āĻĒāϰāĻŋāϚāĻžāϞāύāĻž āĻāĻŦāĻ‚ āĻ¸ā§āĻŸā§‹āϰ⧇āϜ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻŦ⧇ āϝ⧇ āĻĒā§āϝāĻžāĻ•āϟāĻŋ āĻ–ā§‹āϞāĻž āύāĻž āĻšāĻ“āϝāĻŧāĻž āĻĒāĻ°ā§āϝāĻ¨ā§āϤ āϏāĻžāĻŽāĻ—ā§āϰ⧀āϗ⧁āϞāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻĨāĻžāĻ•āĻŦ⧇āĨ¤

Check the wrapping material for dampness tears, broken seals, or any other damage and that the label is intact and the details are legible.

āĻ¸ā§āϝāĻžāρāϤāϏ⧇āρāϤ⧇ āĻ…āĻļā§āϰ⧁, āĻ­āĻžāĻ™āĻž āϏ⧀āϞ āĻŦāĻž āĻ…āĻ¨ā§āϝ āϕ⧋āύ āĻ•ā§āώāϤāĻŋāϰ āϜāĻ¨ā§āϝ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āωāĻĒāĻžāĻĻāĻžāύ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āϞ⧇āĻŦ⧇āϞāϟāĻŋ āĻ…āĻ•ā§āώāϤ āφāϛ⧇ āĻāĻŦāĻ‚ āĻŦāĻŋāĻļāĻĻāϟāĻŋ āĻĒāĻžāĻ āϝ⧋āĻ—ā§āϝāĨ¤

It is very important that instrument that instruments are completely dry when stored because dampness encourages the growth of microorganisms and corrosion of instruments.

āĻāϟāĻŋ āĻ…āĻ¤ā§āϝāĻ¨ā§āϤ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ āϝ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋ āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖāϰ⧂āĻĒ⧇ āĻļ⧁āĻ•āĻŋāϝāĻŧ⧇ āϝāĻžāϝāĻŧ āĻ•āĻžāϰāĻŖ āĻ¸ā§āϝāĻžāρāϤāϏ⧇āρāϤ⧇ āĻ…āϪ⧁āĻœā§€āĻŦ⧇āϰ āĻŦ⧃āĻĻā§āϧāĻŋ āĻāĻŦāĻ‚ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϰ āĻ•ā§āώāϝāĻŧāϕ⧇ āĻ‰ā§ŽāϏāĻžāĻšāĻŋāϤ āĻ•āϰ⧇⧎ 

Handle packs carefully so that they are not dropped or damaged.

āĻĒā§āϝāĻžāĻ•āϗ⧁āϞāĻŋ āϏāĻžāĻŦāϧāĻžāύ⧇ āĻšā§āϝāĻžāĻ¨ā§āĻĄā§‡āϞ āĻ•āϰ⧁āύ āϝāĻžāϤ⧇ āϏ⧇āϗ⧁āϞāĻŋ āĻĒāĻĄāĻŧ⧇ āύāĻž āϝāĻžāϝāĻŧ āĻŦāĻž āĻ•ā§āώāϤāĻŋāĻ—ā§āϰāĻ¸ā§āĻĨ āύāĻž āĻšāϝāĻŧ

Do not place newly sterilized wrapped instrument packs on cool or solid surfaces because these items are cooling fast and are in a vulnerable state because the warm vapor leaving the pack can condense to form dew that wets the wrapping materials.

āύāϤ⧁āύ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āĻĒā§āϝāĻžāĻ•āϗ⧁āϞāĻŋāϕ⧇ āĻļā§€āϤāϞ āĻŦāĻž āĻļāĻ•ā§āϤ āĻĒ⧃āĻˇā§āϠ⧇ āϰāĻžāĻ–āĻŦ⧇āύ āύāĻž āĻ•āĻžāϰāĻŖ āĻāχ āφāχāĻŸā§‡āĻŽāϗ⧁āϞāĻŋ āĻĻā§āϰ⧁āϤ āĻļā§€āϤāϞ āĻšāϝāĻŧ āĻāĻŦāĻ‚ āĻāĻ•āϟāĻŋ āĻ…āϰāĻ•ā§āώāĻŋāϤ āĻ…āĻŦāĻ¸ā§āĻĨāĻžāϝāĻŧ āĻĨāĻžāϕ⧇ āĻ•āĻžāϰāĻŖ āĻĒā§āϝāĻžāĻ•āϟāĻŋ āϛ⧇āĻĄāĻŧ⧇ āϝāĻžāĻ“āϝāĻŧāĻž āωāĻˇā§āĻŖ āĻŦāĻžāĻˇā§āĻĒ āϘāύ⧀āĻ­ā§‚āϤ āĻšāϝāĻŧ⧇ āĻļāĻŋāĻļāĻŋāϰ āϤ⧈āϰāĻŋ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āϝāĻž āĻŽā§‹āĻĄāĻŧāĻžāύ⧋āϰ āωāĻĒāĻ•āϰāĻŖāϗ⧁āϞāĻŋāϕ⧇ āĻ­āĻŋāϜāĻŋāϝāĻŧ⧇ āĻĻ⧇āϝāĻŧāĨ¤

If a wrapped item or pack is wet, is dropped on the floor, is torn, or has broken seals, it is no longer sterile. Unwrap the instruments and return them to the start of the decontamination process.

āϝāĻĻāĻŋ āĻāĻ•āϟāĻŋ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āφāχāĻŸā§‡āĻŽ āĻŦāĻž āĻĒā§āϝāĻžāĻ• āĻ­āĻŋāĻœā§‡ āϝāĻžāϝāĻŧ, āĻŽā§‡āĻā§‡āϤ⧇ āĻĢ⧇āϞ⧇ āĻĻ⧇āĻ“āϝāĻŧāĻž āĻšāϝāĻŧ, āĻ›āĻŋāρāĻĄāĻŧ⧇ āϝāĻžāϝāĻŧ āĻŦāĻž āϏāĻŋāϞ āϭ⧇āϙ⧇ āϝāĻžāϝāĻŧ āϤāĻŦ⧇ āĻāϟāĻŋ āφāϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻĨāĻžāϕ⧇ āύāĻžāĨ¤ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞ⧋ āϖ⧁āϞ⧇ āĻĢ⧇āϞ⧁āύ āĻāĻŦāĻ‚ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻļ⧁āϰ⧁āϤ⧇ āĻĢāĻŋāϰāĻŋāϝāĻŧ⧇ āĻĻāĻŋāύāĨ¤

If wrapped sterile instrument packs are to be stored for some time, confirm that the process date is marked clearly on the wrapping to enable stock rotation.

āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āχāĻ¨ā§āϏāĻŸā§āϰ⧁āĻŽā§‡āĻ¨ā§āϟ āĻĒā§āϝāĻžāĻ•āϗ⧁āϞāĻŋ āϝāĻĻāĻŋ āĻ•āĻŋāϛ⧁ āϏāĻŽāϝāĻŧ⧇āϰ āϜāĻ¨ā§āϝ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰāĻž āĻšāϝāĻŧ, āϤāĻŦ⧇ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āĻ¸ā§āϟāĻ• āĻ˜ā§‚āĻ°ā§āĻŖāύ āϏāĻ•ā§āώāĻŽ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϰ āϤāĻžāϰāĻŋāĻ–āϟāĻŋ āĻŽā§‹āĻĄāĻŧāϕ⧇ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰāĻ­āĻžāĻŦ⧇ āϚāĻŋāĻšā§āύāĻŋāϤ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇⧎

Check that the chemical process indicator has changed color correctly. If it has not, investigate the problem, assess the disruption to the decontamination process, and reprocess the instruments from the start of the decontamination cycle.

āϰāĻžāϏāĻžāϝāĻŧāύāĻŋāĻ• āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻ• āϏāĻ āĻŋāĻ•āĻ­āĻžāĻŦ⧇ āϰāĻ™ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ āĻšāϝāĻŧ⧇āϛ⧇ āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύāĨ¤ āϝāĻĻāĻŋ āĻāϟāĻŋ āύāĻž āĻĨāĻžāϕ⧇, āϏāĻŽāĻ¸ā§āϝāĻžāϟāĻŋ āϤāĻĻāĻ¨ā§āϤ āĻ•āϰ⧁āύ, āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϰ āĻŦā§āϝāĻžāϘāĻžāϤ⧇āϰ āĻŽā§‚āĻ˛ā§āϝāĻžāϝāĻŧāύ āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤ āϚāĻ•ā§āϰ⧇āϰ āĻļ⧁āϰ⧁ āĻĨ⧇āϕ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āĻĒ⧁āύāϰāĻžāϝāĻŧ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻ•āϰ⧁āύāĨ¤

Store wrapped instruments in clean, enclosed cupboards, drawers, or boxes in an orderly manner that avoids damaging the wrapping (i.e. dry with little variation in temperature and minimal handling).

āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞāĻŋāϕ⧇ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ, āφāĻŦāĻĻā§āϧ āφāϞāĻŽāĻžāϰāĻŋ, āĻĄā§āϰāϝāĻŧāĻžāϰ āĻŦāĻž āĻŦāĻžāĻ•ā§āϏ⧇ āϏ⧁āĻļ⧃āĻ™ā§āĻ–āϞāĻ­āĻžāĻŦ⧇ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰ⧁āύ āϝāĻžāϤ⧇ āĻŽā§‹āĻĄāĻŧāĻžāύ⧋āϰ āĻ•ā§āώāϤāĻŋ āύāĻž āĻšāϝāĻŧ (āϝ⧇āĻŽāύ āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻžāϰ āϏāĻžāĻŽāĻžāĻ¨ā§āϝ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ āĻāĻŦāĻ‚ āĻ¨ā§āϝ⧂āύāϤāĻŽ āĻĒāϰāĻŋāϚāĻžāϞāύāĻžāϰ āϏāĻžāĻĨ⧇ āĻļ⧁āĻ•āύ⧋)āĨ¤

Do not store instruments on open shelving or on work surfaces in clinical areas.

āĻ•ā§āϞāĻŋāύāĻŋāĻ•āĻžāϞ āĻāϞāĻžāĻ•āĻžāϝāĻŧ āĻ–ā§‹āϞāĻž āϤāĻžāĻ• āĻŦāĻž āĻ•āĻžāĻœā§‡āϰ āĻĒ⧃āĻˇā§āϠ⧇ āϝāĻ¨ā§āĻ¤ā§āϰ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰāĻŦ⧇āύ āύāĻžāĨ¤

Use a first-in, first-out stock rotation to minimize the duration of storage of sterile instruments.

āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āϏāĻžā§āϚāϝāĻŧ⧇āϰ āϏāĻŽāϝāĻŧāĻ•āĻžāϞ āĻ•āĻŽāĻžāϤ⧇ āĻĒā§āϰāĻĨāĻŽ āχāύ, āĻĢāĻžāĻ°ā§āĻ¸ā§āϟ-āφāωāϟ āĻ¸ā§āϟāĻ• āϰ⧋āĻŸā§‡āĻļāύ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧁āύāĨ¤

5. Inspection of Instrument packs before use-

āĻŦā§āϝāĻŦāĻšāĻžāϰ⧇āϰ āφāϗ⧇ āωāĻĒāĻ•āϰāĻŖ āĻĒā§āϝāĻžāĻ• āĻĒāϰāĻŋāĻĻāĻ°ā§āĻļāύ-

Ensure hands are clean and dry when handling instrument packs.

āχāĻ¨ā§āϏāĻŸā§āϰ⧁āĻŽā§‡āĻ¨ā§āϟ āĻĒā§āϝāĻžāĻ•āϗ⧁āϞāĻŋ āĻĒāϰāĻŋāϚāĻžāϞāύāĻž āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ āĻšāĻžāϤ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āĻāĻŦāĻ‚ āĻļ⧁āĻ•āύ⧋ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύāĨ¤

Check each pack is satisfactory before use. Do not use the instruments if either.

āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻžāϰ āφāϗ⧇ āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻĒā§āϝāĻžāĻ• āϏāĻ¨ā§āϤ⧋āώāϜāύāĻ• āĻ•āĻŋāύāĻž āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύāĨ¤ āϝāĻĻāĻŋ āĻšāϝāĻŧ āϝāĻ¨ā§āĻ¤ā§āϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻŦ⧇āύ āύāĻž.
  • the outer wrapping or seals are damaged.
  • āĻŦāĻžāχāϰ⧇āϰ āĻŽā§‹āĻĄāĻŧāĻ• āĻŦāĻž āϏ⧀āϞ āĻ•ā§āώāϤāĻŋāĻ—ā§āϰāĻ¸ā§āϤ āĻšāϝāĻŧ.
  • the pack is moist (see photograph).
  • āĻĒā§āϝāĻžāĻ•āϟāĻŋ āφāĻ°ā§āĻĻā§āϰ (āĻ›āĻŦāĻŋ āĻĻ⧇āϖ⧁āύ)āĨ¤
  • the pack has labelling that is damaged or incorrect.
  • āĻĒā§āϝāĻžāĻ•āϟāĻŋāϤ⧇ āϞ⧇āĻŦ⧇āϞāĻŋāĻ‚ āφāϛ⧇ āϝāĻž āĻ•ā§āώāϤāĻŋāĻ—ā§āϰāĻ¸ā§āϤ āĻŦāĻž āϭ⧁āϞāĨ¤
  • the pack has a process indicator that has not changed colour correctly or.
  • āĻĒā§āϝāĻžāĻ•āϟāĻŋāϤ⧇ āĻāĻ•āϟāĻŋ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻ• āϰāϝāĻŧ⧇āϛ⧇ āϝāĻž āϏāĻ āĻŋāĻ•āĻ­āĻžāĻŦ⧇ āϰāĻ™ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ āĻ•āϰ⧇āύāĻŋ āĻŦāĻžāĨ¤
  • the instruments are visibly soiled.
  • āϝāĻ¨ā§āĻ¤ā§āϰāϗ⧁āϞ⧋ āĻĻ⧃āĻļā§āϝāϤ āύ⧋āĻ‚āϰāĻžāĨ¤

Instead, open the pack and return the instrument to the start of the decontamination process.

āĻĒāϰāĻŋāĻŦāĻ°ā§āϤ⧇, āĻĒā§āϝāĻžāĻ•āϟāĻŋ āϖ⧁āϞ⧁āύ āĻāĻŦāĻ‚ āĻĻā§‚āώāĻŖāĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āĻļ⧁āϰ⧁āϤ⧇ āϝāĻ¨ā§āĻ¤ā§āϰāϟāĻŋāϕ⧇ āĻĢāĻŋāϰāĻŋāϝāĻŧ⧇ āĻĻāĻŋāύāĨ¤

If an instrument appears damaged, remove it from use.

āϝāĻĻāĻŋ āϕ⧋āύ āϝāĻ¨ā§āĻ¤ā§āϰ āĻ•ā§āώāϤāĻŋāĻ—ā§āϰāĻ¸ā§āĻĨ āĻĒā§āϰāĻĻāĻ°ā§āĻļāĻŋāϤ āĻšāϝāĻŧ, āĻāϟāĻŋ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻĨ⧇āϕ⧇ āϏāϰāĻžāύāĨ¤

6. Validation, Periodic Testing, and Maintenance of small steam Sterilizers-

āĻŦ⧈āϧāĻ•āϰāĻŖ, āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž āĻāĻŦāĻ‚ āϛ⧋āϟ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ-

There is no practical way of determining that items processed in a steam sterilizer have been sterilized. Instead, tests need to be carried out regularly to confirm that during each sterilization cycle the sterilizer reproduces the operating conditions that were previously established as effective for sterilization. Essentially, testing is necessary to confirm that the machine reproducibly does what it was designed and set up to do.

āĻ¸ā§āϟāĻŋāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāĻ•ā§ƒāϤ āφāχāĻŸā§‡āĻŽāϗ⧁āϞāĻŋ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ āϤāĻž āύāĻŋāĻ°ā§āϧāĻžāϰāĻŖ āĻ•āϰāĻžāϰ āϕ⧋āύ āĻŦā§āϝāĻŦāĻšāĻžāϰāĻŋāĻ• āωāĻĒāĻžāϝāĻŧ āύ⧇āχāĨ¤ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤ⧇, āĻĒā§āϰāϤāĻŋāϟāĻŋ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϚāĻ•ā§āϰ⧇āϰ āϏāĻŽāϝāĻŧ āĻœā§€āĻŦāĻžāϪ⧁ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āĻ…āĻĒāĻžāϰ⧇āϟāĻŋāĻ‚ āĻ…āĻŦāĻ¸ā§āĻĨāĻžāϰ āĻĒ⧁āύāϰ⧁āĻ¤ā§āĻĒāĻžāĻĻāύ āĻ•āϰ⧇ āϝāĻž āĻĒā§‚āĻ°ā§āĻŦ⧇ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻ•āĻžāĻ°ā§āϝāĻ•āϰ āĻšāĻŋāϏāĻžāĻŦ⧇ āĻĒā§āϰāϤāĻŋāĻˇā§āĻ āĻŋāϤ āĻšāϝāĻŧ⧇āĻ›āĻŋāϞ āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āύāĻŋāϝāĻŧāĻŽāĻŋāϤ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āĻĻāϰāĻ•āĻžāϰāĨ¤ āĻŽā§‚āϞāϤ, āĻŽā§‡āĻļāĻŋāύāϟāĻŋ āĻĒ⧁āύāϰ⧁āĻ¤ā§āĻĒāĻžāĻĻāύāĻ•āĻžāϰ⧀āĻ­āĻžāĻŦ⧇ āϝāĻž āĻĄāĻŋāϜāĻžāχāύ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āĻ›āĻŋāϞ āĻāĻŦāĻ‚ āϝāĻž āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āϏ⧇āϟ āφāĻĒ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āĻ›āĻŋāϞ āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āĻĒā§āϰāϝāĻŧā§‹āϜāύāĨ¤

Validation is a documented process used to show that sterilization will repeatedly and consistently take place to a satisfactory standard when defined operating conditions are used. These operating conditions include the choice of the sterilization cycle, the nature of the load, the loading pattern, wrapping, trays or containers, and labeling. Validation comprises a series of specified checks and tests carried out annually and as part of the commissioning process following the installation of a new sterilizer. These checks and tests are performed by Test Person (Sterilizers) as specified in SHTM 2010.

āĻŦ⧈āϧāĻ•āϰāĻŖ āĻšāϞ āĻāĻ•āϟāĻŋ āύāĻĨāĻŋ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻž āϝāĻž āĻĻ⧇āĻ–āĻžāύ⧋āϰ āϜāĻ¨ā§āϝ āĻŦā§āϝāĻŦāĻšā§ƒāϤ āĻšāϝāĻŧ āϝ⧇ āϝāĻ–āύ āϏāĻ‚āĻœā§āĻžāĻžāϝāĻŧāĻŋāϤ āĻ…āĻĒāĻžāϰ⧇āϟāĻŋāĻ‚ āĻļāĻ°ā§āϤāϗ⧁āϞāĻŋ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ āϤāĻ–āύ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻŦāĻžāϰāĻŦāĻžāϰ āĻāĻŦāĻ‚ āϧāĻžāϰāĻžāĻŦāĻžāĻšāĻŋāĻ•āĻ­āĻžāĻŦ⧇ āĻāĻ•āϟāĻŋ āϏāĻ¨ā§āϤ⧋āώāϜāύāĻ• āĻĨ⧇āϕ⧇ āĻŽāĻžāύ āĻĒāĻ°ā§āϝāĻ¨ā§āϤ āϘāϟāĻŦ⧇āĨ¤ āĻāχ āĻ…āĻĒāĻžāϰ⧇āϟāĻŋāĻ‚ āĻļāĻ°ā§āϤāϗ⧁āϞāĻŋāϰ āĻŽāĻ§ā§āϝ⧇ āϰāϝāĻŧ⧇āϛ⧇ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϚāĻ•ā§āϰ⧇āϰ āĻĒāĻ›āĻ¨ā§āĻĻ, āϞ⧋āĻĄā§‡āϰ āĻĒā§āϰāĻ•ā§ƒāϤāĻŋ, āϞ⧋āĻĄāĻŋāĻ‚ āĻĒā§āϝāĻžāϟāĻžāĻ°ā§āύ, āĻŽā§‹āĻĄāĻŧāĻžāύ⧋, āĻŸā§āϰ⧇ āĻŦāĻž āĻĒāĻžāĻ¤ā§āϰ āĻāĻŦāĻ‚ āϞ⧇āĻŦ⧇āϞāĻŋāĻ‚āĨ¤ āĻŦ⧈āϧāĻ•āϰāϪ⧇āϰ āĻŽāĻ§ā§āϝ⧇ āϰāϝāĻŧ⧇āϛ⧇ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āĻšā§‡āĻ• āĻāĻŦāĻ‚ āĻĒāϰ⧀āĻ•ā§āώāĻžāϗ⧁āϞāĻŋāϰ āĻāĻ•āϟāĻŋ āϏāĻŋāϰāĻŋāϜ āϝāĻž āĻŦāĻžāĻ°ā§āώāĻŋāĻ• āĻāĻŦāĻ‚ āĻāĻ•āϟāĻŋ āύāϤ⧁āύ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āχāύāĻ¸ā§āϟāϞ āĻ•āϰāĻžāϰ āĻĒāϰ⧇ āĻ•āĻŽāĻŋāĻļāύāĻŋāĻ‚ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϰ āĻ…āĻ‚āĻļ āĻšāĻŋāϏāĻžāĻŦ⧇ āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤ āĻāϏāĻāχāϚāϟāĻŋāĻāĻŽ 2010-āĻ āωāĻ˛ā§āϞ⧇āĻ–āĻŋāϤ āĻšāĻŋāϏāĻžāĻŦ⧇ āĻāχ āĻĒāϰ⧀āĻ•ā§āώāĻžāϗ⧁āϞāĻŋ āĻāĻŦāĻ‚ āĻĒāϰ⧀āĻ•ā§āώāĻžāϗ⧁āϞāĻŋ āĻŸā§‡āĻ¸ā§āϟ āĻĒāĻžāϰāϏāύ (āĻ¸ā§āĻŸā§‡āϰāĻžāχāϞāĻžāχāϜāĻžāϰ) āĻĻā§āĻŦāĻžāϰāĻž āϏāĻžā§āϚāĻžāϞāĻŋāϤ āĻšāϝāĻŧāĨ¤

In addition, satisfactory periodic testing is necessary to provide ongoing reassurance that the sterilizer is performing consistently as specified at validation. The legal requirement is to carry out periodic tests as specified in the sterilizer manufacturer’s instructions. Daily and weekly tests will normally be carried out by practice personnel and are described below. Quarterly (if specified by the manufacturer) and yearly (also known as annual revalidation) tests require specialist equipment and are performed by external personnel (test person sterilizers. If the manufacturer’s instructions are not available, periodic testing as recommended within SHTM 2010 is necessary.

āωāĻĒāϰāĻ¨ā§āϤ⧁, āϏāĻ¨ā§āϤ⧁āĻˇā§āϟāĻŋāϜāύāĻ• āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āφāĻŦāĻļā§āϝāĻ• āϝ⧇ āϚāϞāĻŽāĻžāύ āφāĻļā§āĻŦāĻžāϏ āĻĒā§āϰāĻĻāĻžāύ āĻ•āϰ⧇ āϝ⧇ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀āϟāĻŋ āĻŦ⧈āϧāĻ•āϰāϪ⧇āϰ āϏāĻŽāϝāĻŧ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āĻ•āϰāĻž āĻ…āύ⧁āϏāĻžāϰ⧇ āϧāĻžāϰāĻžāĻŦāĻžāĻšāĻŋāĻ•āĻ­āĻžāĻŦ⧇ āĻ•āĻžāϜ āĻ•āϰāϛ⧇āĨ¤ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāĻ•āĻĻ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀āϤ⧇ āωāĻ˛ā§āϞ⧇āĻ–āĻŋāϤ āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž āϚāĻžāϞāĻžāύ⧋āϰ āϜāĻ¨ā§āϝ āφāχāύāĻŋ āĻĒā§āϰāϝāĻŧā§‹āϜāύāĨ¤ āĻĻ⧈āύāĻŋāĻ• āĻāĻŦāĻ‚ āϏāĻžāĻĒā§āϤāĻžāĻšāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻžāϗ⧁āϞāĻŋ āϏāĻžāϧāĻžāϰāĻŖāϤ āĻ…āύ⧁āĻļā§€āϞāύ āĻ•āĻ°ā§āĻŽā§€āĻĻ⧇āϰ āĻĻā§āĻŦāĻžāϰāĻž āĻĒāϰāĻŋāϚāĻžāϞāĻŋāϤ āĻšāĻŦ⧇ āĻāĻŦāĻ‚ āύ⧀āĻšā§‡ āĻŦāĻ°ā§āĻŖāύāĻž āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇āĨ¤ āĻ¤ā§āϰ⧈āĻŽāĻžāϏāĻŋāĻ• (āϝāĻĻāĻŋ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āĻĻā§āĻŦāĻžāϰāĻž āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āĻ•āϰāĻž āĻšāϝāĻŧ) āĻāĻŦāĻ‚ āĻŦāĻžāĻ°ā§āώāĻŋāĻ• (āĻŦāĻžāĻ°ā§āώāĻŋāĻ• āĻĒ⧁āύāĻ°ā§āĻŦāĻŋāĻ¨ā§āϝāĻžāϏ āĻšāĻŋāϏāĻžāĻŦ⧇āĻ“ āĻĒāϰāĻŋāϚāĻŋāϤ) āĻĒāϰ⧀āĻ•ā§āώāĻžāϗ⧁āϞāĻŋāϰ āϜāĻ¨ā§āϝ āĻŦāĻŋāĻļ⧇āώāĻœā§āĻž āϏāϰāĻžā§āϜāĻžāĻŽā§‡āϰ āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻšāϝāĻŧ āĻāĻŦāĻ‚ āĻŦāĻšāĻŋāϰāĻžāĻ—āϤ āĻ•āĻ°ā§āĻŽā§€āĻĻ⧇āϰ āĻĻā§āĻŦāĻžāϰāĻž āϏāĻžā§āϚāĻžāϞāĻŋāϤ āĻšāϝāĻŧ (āĻāĻ•āϜāύ āĻĒāϰ⧀āĻ•ā§āώāĻžāĻ°ā§āĻĨā§€ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀⧎ āϝāĻĻāĻŋ āύāĻŋāĻ°ā§āĻŽāĻžāϤāĻžāϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āωāĻĒāϞāĻŦā§āϧ āύāĻž āĻšāϝāĻŧ, SHTM 2010 āĻāϰ āĻŽāĻ§ā§āϝ⧇ āϏ⧁āĻĒāĻžāϰāĻŋāĻļāĻ•ā§ƒāϤ āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧎ .

Table 2 lists the periodic tests that SHTM 2010 part 3 and MDA DB2002(06) describe in detail for the various types of steam sterilizers. For specific guidance on testing and maintenance of type S sterilizers, refer to the Manufacturer’s instructions.

āϏāĻžāϰāĻŖāĻŋ 2 āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āϤāĻžāϞāĻŋāĻ•āĻž āĻĻ⧇āϝāĻŧ āϝāĻž SHTM 2010 āĻ…āĻ‚āĻļ 3 āĻāĻŦāĻ‚ MDA DB2002(06) āĻŦāĻŋāĻ­āĻŋāĻ¨ā§āύ āϧāϰāύ⧇āϰ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀āϰ āϜāĻ¨ā§āϝ āĻŦāĻŋāĻļāĻĻāĻ­āĻžāĻŦ⧇ āĻŦāĻ°ā§āĻŖāύāĻž āĻ•āϰ⧇āĨ¤ āϟāĻžāχāĻĒ S āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻāĻŦāĻ‚ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāϪ⧇āϰ āϜāĻ¨ā§āϝ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāύāĻžāϰ āϜāĻ¨ā§āϝ, āύāĻŋāĻ°ā§āĻŽāĻžāϤāĻžāĻĻ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻĒāĻĄāĻŧ⧁āύāĨ¤

A planned program of preventive maintenance is also required for each sterilizer. Maintenance work is carried out by a qualified maintenance person. In some cases when parts (e.g. temperature probes) are changed, it is necessary to have the sterilization cycle revalidated.

āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāϕ⧇āϰ āϜāĻ¨ā§āϝ āĻĒā§āϰāϤāĻŋāϰ⧋āϧāĻŽā§‚āϞāĻ• āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāϪ⧇āϰ āĻāĻ•āϟāĻŋ āĻĒāϰāĻŋāĻ•āĻ˛ā§āĻĒāĻŋāϤ āĻ•āĻ°ā§āĻŽāϏ⧂āϚāĻŋāĻ“ āĻĒā§āϰāϝāĻŧā§‹āϜāύāĨ¤ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāϪ⧇āϰ āĻ•āĻžāϜ āĻāĻ•āϜāύ āϝ⧋āĻ—ā§āϝāϤāĻžāϏāĻŽā§āĻĒāĻ¨ā§āύ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖāĻ•āĻžāϰ⧀ āĻŦā§āϝāĻ•ā§āϤāĻŋ āĻĻā§āĻŦāĻžāϰāĻž āĻĒāϰāĻŋāϚāĻžāϞāĻŋāϤ āĻšāϝāĻŧāĨ¤ āĻ•āĻŋāϛ⧁ āĻ•ā§āώ⧇āĻ¤ā§āϰ⧇ āϝāĻ–āύ āĻ…āĻ‚āĻļāϗ⧁āϞāĻŋ (āωāĻĻāĻžāĻšāϰāĻŖāĻ¸ā§āĻŦāϰ⧂āĻĒ āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻž āĻ…āύ⧁āϏāĻ¨ā§āϧāĻžāύ) āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāĻŋāϤ āĻšāϝāĻŧ, āϤāĻ–āύ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϚāĻ•ā§āϰāϟāĻŋ āĻĒ⧁āύāϰāĻžāϝāĻŧ āϝāĻžāϚāĻžāχ āĻ•āϰāĻž āĻĒā§āϰāϝāĻŧā§‹āϜāύāĨ¤

For advice on validation of new or existing sterilizers, contact an Authorising Engineer (Decontamination)

āύāϤ⧁āύ āĻŦāĻž āĻŦāĻŋāĻĻā§āϝāĻŽāĻžāύ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āĻŦ⧈āϧāϤāĻž āϏāĻŽā§āĻĒāĻ°ā§āϕ⧇ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ⧇āϰ āϜāĻ¨ā§āϝ, āĻāĻ•āϜāύ āĻ…āĻĨāϰāĻžāχāϜāĻŋāĻ‚ āχāĻžā§āϜāĻŋāύāĻŋāϝāĻŧāĻžāϰ⧇āϰ (āĻĄāĻŋāĻ•āύāϟāĻžāĻŽāĻŋāύ⧇āĻļāύ) āϏāĻžāĻĨ⧇ āϝ⧋āĻ—āĻžāϝ⧋āĻ— āĻ•āϰ⧁āύāĨ¤

Obtain a written test schedule for each sterilizer from a test person (sterilizers) or an Authorising Engineer (Decontamination).
āĻāĻ•āϜāύ āĻĒāϰ⧀āĻ•ā§āώāĻ• āĻŦā§āϝāĻ•ā§āϤāĻŋ (āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āĻžāϰ⧀) āĻŦāĻž āĻāĻ•āϜāύ āĻ…āĻĨāϰāĻžāχāϜāĻŋāĻ‚ āχāĻžā§āϜāĻŋāύāĻŋāϝāĻŧāĻžāϰ (āĻĄāĻŋāĻ•āύāϟāĻžāĻŽāĻŋāύ⧇āĻļāύ) āĻāϰ āĻ•āĻžāĻ› āĻĨ⧇āϕ⧇ āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻāĻ•āϟāĻŋ āϞāĻŋāĻ–āĻŋāϤ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āϏāĻŽāϝāĻŧāϏ⧂āĻšā§€ āĻĒāĻžāύāĨ¤

6.1 Housekeeping Safety Checks

āĻšāĻžāωāϏāĻ•āĻŋāĻĒāĻŋāĻ‚ āϏ⧇āĻĢāϟāĻŋ āĻšā§‡āĻ•-

6.1.1 Daily Housekeeping checks for all sterilizers

6.1.1 āϏāĻŽāĻ¸ā§āϤ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāϕ⧇āϰ āϜāĻ¨ā§āϝ āĻĻ⧈āύāĻŋāĻ• āĻšāĻžāωāϏāĻ•āĻŋāĻĒāĻŋāĻ‚ āĻšā§‡āĻ•

At the start of each day.

āĻĒā§āϰāϤāĻŋāϟāĻŋ āĻĻāĻŋāύ⧇āϰ āĻļ⧁āϰ⧁āϤ⧇āĨ¤

Wipe the door seal with a clean, disposable, damp, non-linting cloth and carry out any other checks required by the manufacturer.

āĻāĻ•āϟāĻŋ āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ, āύāĻŋāĻˇā§āĻĒāĻ¤ā§āϤāĻŋāϝ⧋āĻ—ā§āϝ, āĻ¸ā§āϝāĻžāρāϤāϏ⧇āρāϤ⧇, āύāύ-āϞāĻŋāĻ¨ā§āϟāĻŋāĻ‚ āĻ•āĻžāĻĒāĻĄāĻŧ āĻĻāĻŋāϝāĻŧ⧇ āĻĻāϰāϜāĻžāϰ āϏāĻŋāϞāϟāĻŋ āĻŽā§āϛ⧁āύ āĻāĻŦāĻ‚ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āĻĻā§āĻŦāĻžāϰāĻž āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧀āϝāĻŧ āĻ…āĻ¨ā§āϝ āϕ⧋āύāĻ“ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύ⧎

Check that the chamber and shelves are clean.

āĻšā§‡āĻŽā§āĻŦāĻžāϰ āĻāĻŦāĻ‚ āϤāĻžāĻ• āĻĒāϰāĻŋāĻˇā§āĻ•āĻžāϰ āφāϛ⧇ āĻ•āĻŋāύāĻž āĻĻ⧇āϖ⧁āύāĨ¤

Refile the reservoir with suitable quality water (see section 3.6)

āωāĻĒāϝ⧁āĻ•ā§āϤ āĻŽāĻžāύ⧇āϰ āϜāϞ āĻĻāĻŋāϝāĻŧ⧇ āϜāϞāĻžāϧāĻžāϰ āϰāĻŋāĻĢāĻŋāϞ āĻ•āϰ⧁āύ (āĻŦāĻŋāĻ­āĻžāĻ— 3.6 āĻĻ⧇āϖ⧁āύ)

When switching the power on, check that the ventilation louvers are not covered to avoid overheating.

āĻĒāĻžāĻ“āϝāĻŧāĻžāϰ āĻ¸ā§āϝ⧁āχāϚ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ, āĻ…āϤāĻŋāϰāĻŋāĻ•ā§āϤ āĻ—āϰāĻŽ āĻāĻĄāĻŧāĻžāϤ⧇ āĻŦāĻžāϝāĻŧ⧁āϚāϞāĻžāϚāϞ āĻ˛ā§āϝ⧁āĻ­āĻžāĻ°ā§āϏ āĻĸ⧇āϕ⧇ āύ⧇āχ āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύāĨ¤

If recommended by the sterilizer manufacturer, preheat the sterilizer chamber before performing daily tests.

āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āĻĻā§āĻŦāĻžāϰāĻž āϏ⧁āĻĒāĻžāϰāĻŋāĻļ āĻ•āϰāĻž āĻšāϞ⧇, āĻĒā§āϰāϤāĻŋāĻĻāĻŋāύ⧇āϰ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻžāϰ āφāϗ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āĻšā§‡āĻŽā§āĻŦāĻžāϰāϟāĻŋ āĻĒā§āϰāĻŋāĻšāĻŋāϟ āĻ•āϰ⧁āύāĨ¤

Record the completion of the checks in the sterilizer logbook.

āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āϞāĻ—āĻŦ⧁āϕ⧇ āĻšā§‡āϕ⧇āϰ āϏāĻŽāĻžāĻĒā§āϤāĻŋ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧁āύāĨ¤

6.1.2 Weekly Safety checks for all sterilizers-

6.1.2 āϏāĻŽāĻ¸ā§āϤ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āϏāĻžāĻĒā§āϤāĻžāĻšāĻŋāĻ• āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž-

Before carrying out any weekly tests, the following checks are carried out in addition to the daily housekeeping checks.

āϕ⧋āύ⧋ āϏāĻžāĻĒā§āϤāĻžāĻšāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻžāϰ āφāϗ⧇, āĻĒā§āϰāϤāĻŋāĻĻāĻŋāύ⧇āϰ āĻšāĻžāωāϏāĻ•āĻŋāĻĒāĻŋāĻ‚ āĻšā§‡āĻ• āĻ›āĻžāĻĄāĻŧāĻžāĻ“ āύāĻŋāĻŽā§āύāϞāĻŋāĻ–āĻŋāϤ āĻšā§‡āĻ•āϗ⧁āϞāĻŋ āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤
  • Examine the door seal for signs of wear damage.
  • āĻĒāϰāĻŋāϧāĻžāύ⧇āϰ āĻ•ā§āώāϤāĻŋāϰ āϞāĻ•ā§āώāĻŖāϗ⧁āϞāĻŋāϰ āϜāĻ¨ā§āϝ āĻĻāϰāϜāĻžāϰ āϏ⧀āϞāϟāĻŋ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύāĨ¤
  • Examine the security and performance of the door safety features including the hinges and the locking mechanism as detailed in the manufacturers instructions.
  • āĻ•āĻŦā§āϜāĻž āĻāĻŦāĻ‚ āϞāĻ•āĻŋāĻ‚ āĻŽā§‡āĻ•āĻžāύāĻŋāϜāĻŽ āϏāĻš āĻĻāϰāϜāĻž āϏ⧁āϰāĻ•ā§āώāĻž āĻŦ⧈āĻļāĻŋāĻˇā§āĻŸā§āϝāϗ⧁āϞāĻŋāϰ āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻž āĻāĻŦāĻ‚ āĻ•āĻžāĻ°ā§āϝāĻ•āĻžāϰāĻŋāϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύ āϝ⧇āĻŽāύ āύāĻŋāĻ°ā§āĻŽāĻžāϤāĻžāϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀āϤ⧇ āĻŦāĻŋāĻ¸ā§āϤāĻžāϰāĻŋāϤ āϰāϝāĻŧ⧇āϛ⧇āĨ¤
  • If a faullt is detected in the door seal or safety features ,ensure this is corrected before carrying out weekly tests or using the sterilizer.
  • āϝāĻĻāĻŋ āĻĻāϰāϜāĻžāϰ āϏāĻŋāϞ āĻŦāĻž āϏ⧁āϰāĻ•ā§āώāĻž āĻŦ⧈āĻļāĻŋāĻˇā§āĻŸā§āϝāϗ⧁āϞāĻŋāϤ⧇ āϕ⧋āύāĻ“ āĻ¤ā§āϰ⧁āϟāĻŋ āϧāϰāĻž āĻĒāĻĄāĻŧ⧇ āϤāĻŦ⧇ āϏāĻžāĻĒā§āϤāĻžāĻšāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž āĻŦāĻž āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āφāϗ⧇ āĻāϟāĻŋ āϏāĻ‚āĻļā§‹āϧāύ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύāĨ¤
  • Record satisfactory completion of the weekly safety checks in the sterilizer logbook.
  • āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āϞāĻ—āĻŦ⧁āϕ⧇ āϏāĻžāĻĒā§āϤāĻžāĻšāĻŋāĻ• āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āϏāĻ¨ā§āϤ⧋āώāϜāύāĻ• āϏāĻŽāĻžāĻĒā§āϤāĻŋ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧁āύāĨ¤

6.2 Automatic Control Test for All Sterilizers.

āϏāĻŽāĻ¸ā§āϤ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āϜāĻ¨ā§āϝ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻž.

The automatic controller is the device within the sterilizer that controls the sterilization cycle. To be sure that is working, an automatic control test is carried out every day either using the sterilization cycle parameter values recorded on the printout or electronic data logger or by manually observing and recording the cycle parameters if there is not a suitable recorded fitted. In addition, a manual automatic control test should also be carried out once per week for all sterilizers.

āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻ• āĻšāϞ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāϕ⧇āϰ āĻŽāĻ§ā§āϝ⧇ āĻĨāĻžāĻ•āĻž āĻĄāĻŋāĻ­āĻžāχāϏ āϝāĻž āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϚāĻ•ā§āϰāϕ⧇ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻ•āϰ⧇āĨ¤ āĻāϟāĻŋ āĻ•āĻžāϜ āĻ•āϰāϛ⧇ āĻ•āĻŋāύāĻž āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ, āĻĒā§āϰāĻŋāĻ¨ā§āϟāφāωāϟ āĻŦāĻž āχāϞ⧇āĻ•āĻŸā§āϰāύāĻŋāĻ• āĻĄā§‡āϟāĻž āϞāĻ—āĻžāϰ⧇ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻž āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϚāĻ•ā§āϰ⧇āϰ āĻĒā§āϝāĻžāϰāĻžāĻŽāĻŋāϟāĻžāϰ āĻŽāĻžāύ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇, āĻ…āĻĨāĻŦāĻž āωāĻĒāϝ⧁āĻ•ā§āϤ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻž āύāĻž āĻĨāĻžāĻ•āϞ⧇ āϏāĻžāχāϕ⧇āϞ āĻĒā§āϝāĻžāϰāĻžāĻŽāĻŋāϟāĻžāϰāϗ⧁āϞāĻŋ āĻŽā§āϝāĻžāύ⧁āϝāĻŧāĻžāϞāĻŋ āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻāĻŦāĻ‚ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻžāϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ āĻāĻ•āϟāĻŋ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤ āĻāĻ›āĻžāĻĄāĻŧāĻžāĻ“, āϏāĻŽāĻ¸ā§āϤ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ•āϗ⧁āϞāĻŋāϰ āϜāĻ¨ā§āϝ āĻĒā§āϰāϤāĻŋ āϏāĻĒā§āϤāĻžāĻšā§‡ āĻāĻ•āĻŦāĻžāϰ āĻāĻ•āϟāĻŋ āĻŽā§āϝāĻžāύ⧁āϝāĻŧāĻžāϞ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āωāϚāĻŋāϤāĨ¤

The automatic control test can be done when sterilizing a standard load unless also carrying out a steam penetration test for a vacuum sterilizer at the same time. This is usually the first cycle of the day.

āĻāĻ•āϟāĻŋ āĻ¸ā§āĻŸā§āϝāĻžāĻ¨ā§āĻĄāĻžāĻ°ā§āĻĄ āϞ⧋āĻĄ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āĻ•āϰāĻžāϰ āϏāĻŽāϝāĻŧ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇, āϝāĻĻāĻŋ āύāĻž āĻāĻ•āχ āϏāĻŽāϝāĻŧ⧇ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀āϰ āϜāĻ¨ā§āϝ āĻŦāĻžāĻˇā§āĻĒ āĻ…āύ⧁āĻĒā§āϰāĻŦ⧇āĻļ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤ āĻāϟāĻŋ āϏāĻžāϧāĻžāϰāĻŖāϤ āĻĻāĻŋāύ⧇āϰ āĻĒā§āϰāĻĨāĻŽ āϚāĻ•ā§āϰāĨ¤  

6.2.1 Automatic Control Test Using a Recorded-

6.2.1 āĻāĻ•āϟāĻŋ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻž āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧇ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻž 

This test is carried out once per day if the sterilizer is fitted with a suitable record (i.e. a printer or electronic data logger). If a suitable record is not fitted, a manual automatic control must be carried out each day (see section 6.2.2)

āĻāχ āĻĒāϰ⧀āĻ•ā§āώāĻžāϟāĻŋ āĻĒā§āϰāϤāĻŋāĻĻāĻŋāύ āĻāĻ•āĻŦāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ āϝāĻĻāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ•āϟāĻŋ āωāĻĒāϝ⧁āĻ•ā§āϤ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻž (āϝ⧇āĻŽāύ āĻāĻ•āϟāĻŋ āĻĒā§āϰāĻŋāĻ¨ā§āϟāĻžāϰ āĻŦāĻž āχāϞ⧇āĻ•āĻŸā§āϰāύāĻŋāĻ• āĻĄā§‡āϟāĻž āϞāĻ—āĻžāϰ) āĻĻāĻŋāϝāĻŧ⧇ āϞāĻžāĻ—āĻžāύ⧋ āĻĨāĻžāϕ⧇āĨ¤ āϝāĻĻāĻŋ āĻāĻ•āϟāĻŋ āωāĻĒāϝ⧁āĻ•ā§āϤ āύāĻĨāĻŋāĻŦāĻĻā§āϧ āĻ•āϰāĻž āύāĻž āĻĨāĻžāϕ⧇, āϤāĻžāĻšāϞ⧇ āĻĒā§āϰāϤāĻŋāĻĻāĻŋāύ āĻāĻ•āϟāĻŋ āĻŽā§āϝāĻžāύ⧁āϝāĻŧāĻžāϞ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻ•āϰāĻž āφāĻŦāĻļā§āϝāĻ• (āĻŦāĻŋāĻ­āĻžāĻ— 6.2.2 āĻĻ⧇āϖ⧁āύ)
  • Run a sterilization cycle with a standard load or an empty chamber (the chamber must be empty if a steam penetration test is also carried out in a vacuum sterilizer).
  • āĻāĻ•āϟāĻŋ āĻ¸ā§āĻŸā§āϝāĻžāĻ¨ā§āĻĄāĻžāĻ°ā§āĻĄ āϞ⧋āĻĄ āĻŦāĻž āĻāĻ•āϟāĻŋ āĻ–āĻžāϞāĻŋ āĻšā§‡āĻŽā§āĻŦāĻžāϰ āϏāĻš āĻāĻ•āϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻŖ āϚāĻ•ā§āϰ āϚāĻžāϞāĻžāύ (āϝāĻĻāĻŋ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀āϤ⧇ āĻŦāĻžāĻˇā§āĻĒ āĻĒā§āϰāĻŦ⧇āĻļ⧇āϰ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āĻšāϝāĻŧ āϤāĻŦ⧇ āĻšā§‡āĻŽā§āĻŦāĻžāϰāϟāĻŋ āĻ…āĻŦāĻļā§āϝāχ āĻ–āĻžāϞāĻŋ āĻĨāĻžāĻ•āϤ⧇ āĻšāĻŦ⧇)āĨ¤
  • At the end of the cycle, check the printout or data logger to ensure that the recorded cycle parameters(temperature, pressure, hold me) are within the specified range for the cycle and comparable to the values obtained at
  • āϚāĻ•ā§āϰ⧇āϰ āĻļ⧇āώ⧇, āĻĒā§āϰāĻŋāĻ¨ā§āϟāφāωāϟ āĻŦāĻž āĻĄā§‡āϟāĻž āϞāĻ—āĻžāϰ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧇ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύ āϝ⧇ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻž āϚāĻ•ā§āϰ⧇āϰ āĻĒāϰāĻžāĻŽāĻŋāϤāĻŋāϗ⧁āϞāĻŋ (āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻž, āϚāĻžāĻĒ, āφāĻŽāĻžāϕ⧇ āϧāϰ⧇ āϰāĻžāϖ⧁āύ) āϚāĻ•ā§āϰ⧇āϰ āϜāĻ¨ā§āϝ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āϏ⧀āĻŽāĻžāϰ āĻŽāĻ§ā§āϝ⧇ āϰāϝāĻŧ⧇āϛ⧇ āĻāĻŦāĻ‚ āĻĒā§āϰāĻžāĻĒā§āϤ āĻŽāĻžāύāϗ⧁āϞāĻŋāϰ āϏāĻžāĻĨ⧇ āϤ⧁āϞāύ⧀āϝāĻŧ
  • Keep a record of the recorded values for temperature, pressure and hold time.
  • āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻž, āϚāĻžāĻĒ āĻāĻŦāĻ‚ āϧāϰ⧇ āϰāĻžāĻ–āĻžāϰ āϏāĻŽāϝāĻŧ⧇āϰ āϜāĻ¨ā§āϝ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻž āĻŽāĻžāύāϗ⧁āϞāĻŋāϰ āĻāĻ•āϟāĻŋ āϰ⧇āĻ•āĻ°ā§āĻĄ āϰāĻžāϖ⧁āύāĨ¤
  • If the automatic control test is unsatisfactory (i.e. the recorded temperature, pressure or hold time are not within the specified range for the cycle) record the test as a fail and do not use the sterilizer until the fault has been resolved.
  • āϝāĻĻāĻŋ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ…āϏāĻ¨ā§āϤ⧋āώāϜāύāĻ• āĻšāϝāĻŧ (āĻ…āĻ°ā§āĻĨāĻžā§Ž āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻž āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻž, āϚāĻžāĻĒ āĻŦāĻž āϧāϰ⧇ āϰāĻžāĻ–āĻžāϰ āϏāĻŽāϝāĻŧ āϚāĻ•ā§āϰ⧇āϰ āϜāĻ¨ā§āϝ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āϏ⧀āĻŽāĻžāϰ āĻŽāĻ§ā§āϝ⧇ āύāϝāĻŧ) āĻĒāϰ⧀āĻ•ā§āώāĻžāϟāĻŋāϕ⧇ āĻŦā§āϝāĻ°ā§āĻĨ āĻšāĻŋāϏāĻžāĻŦ⧇ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻ¤ā§āϰ⧁āϟāĻŋāϟāĻŋ āϏāĻŽāĻžāϧāĻžāύ āύāĻž āĻšāĻ“āϝāĻŧāĻž āĻĒāĻ°ā§āϝāĻ¨ā§āϤ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻŦ⧇āύ āύāĻžāĨ¤
  • In this case, return any instruments that were loaded in the sterilizer to the start of the decontamination process.
  • āĻāχ āĻ•ā§āώ⧇āĻ¤ā§āϰ⧇, āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻĒā§āϰāĻ•ā§āϰāĻŋāϝāĻŧāĻžāϰ āĻļ⧁āϰ⧁āϤ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇ āϞ⧋āĻĄ āĻ•āϰāĻž āϝ⧇āϕ⧋āύ āϝāĻ¨ā§āĻ¤ā§āϰ āĻĢāĻŋāϰāĻŋāϝāĻŧ⧇ āĻĻāĻŋāύāĨ¤
  • Sign the logbook.
  • āϞāĻ—āĻŦ⧁āϕ⧇ āĻ¸ā§āĻŦāĻžāĻ•ā§āώāϰ āĻ•āϰ⧁āύāĨ¤

6.2.2 Manual Automatic Control Test

āĻŽā§āϝāĻžāύ⧁āϝāĻŧāĻžāϞ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻž

The test is carried out once per day if the sterilizer does not have a suitable recorded fitted, and once per week if there is a suitable recorder.

Run a sterilization cycle with a standard load or an empty chamber ( the chamber must be empty if also carrying out a steam penetration test in a vacuum sterilizer.

āĻĒāϰ⧀āĻ•ā§āώāĻžāϟāĻŋ āĻĻāĻŋāύ⧇ āĻāĻ•āĻŦāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ āϝāĻĻāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ•āϟāĻŋāϤ⧇ āωāĻĒāϝ⧁āĻ•ā§āϤ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻž āύāĻž āĻĨāĻžāϕ⧇, āĻāĻŦāĻ‚ āϝāĻĻāĻŋ āĻāĻ•āϟāĻŋ āωāĻĒāϝ⧁āĻ•ā§āϤ āϰ⧇āĻ•āĻ°ā§āĻĄāĻžāϰ āĻĨāĻžāϕ⧇ āϤāĻŦ⧇ āĻĒā§āϰāϤāĻŋ āϏāĻĒā§āϤāĻžāĻšā§‡ āĻāĻ•āĻŦāĻžāϰāĨ¤

āĻāĻ•āϟāĻŋ āĻ¸ā§āĻŸā§āϝāĻžāĻ¨ā§āĻĄāĻžāĻ°ā§āĻĄ āϞ⧋āĻĄ āĻŦāĻž āĻāĻ•āϟāĻŋ āĻ–āĻžāϞāĻŋ āĻšā§‡āĻŽā§āĻŦāĻžāϰ āϏāĻš āĻāĻ•āϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϚāĻ•ā§āϰ āϚāĻžāϞāĻžāύ ( āϝāĻĻāĻŋ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀āϤ⧇ āĻāĻ•āϟāĻŋ āĻŦāĻžāĻˇā§āĻĒ āĻ…āύ⧁āĻĒā§āϰāĻŦ⧇āĻļ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āĻšāϝāĻŧ āϤāĻŦ⧇ āĻšā§‡āĻŽā§āĻŦāĻžāϰāϟāĻŋ āĻ…āĻŦāĻļā§āϝāχ āĻ–āĻžāϞāĻŋ āĻšāϤ⧇ āĻšāĻŦ⧇⧎

āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āϝāĻ–āύ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻžāϝāĻŧ āĻĒ⧌āρāĻ›āĻžāϝāĻŧ āϤāĻ–āύ āϚāĻ•ā§āϰ⧇āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āϏāĻŽāϝāĻŧāĻ•āĻžāϞ āĻļ⧁āϰ⧁ āĻ•āϰ⧁āύ (āĻāχ āĻĒāϝāĻŧ⧇āĻ¨ā§āĻŸā§‡ āĻĒ⧌āρāĻ›āĻžāύ⧋āϰ āϏāĻŽāϝāĻŧ āĻĒā§āϰāĻĻāĻ°ā§āĻļāύāϟāĻŋāĻ“ āύāĻŋāĻ°ā§āĻĻ⧇āĻļ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇)

Begin timing the sterilization hold period of the cycle when the sterilizer reaches the sterilizing temperature (the display might also indicate when this point is reached )

Note the bar pressure reached during the hold period

Note the temperature reached during the hold period.

āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āϝāĻ–āύ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻžāϝāĻŧ āĻĒ⧌āρāĻ›āĻžāϝāĻŧ āϤāĻ–āύ āϚāĻ•ā§āϰ⧇āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āϏāĻŽāϝāĻŧāĻ•āĻžāϞ āĻļ⧁āϰ⧁ āĻ•āϰ⧁āύ (āĻāχ āĻĒāϝāĻŧ⧇āĻ¨ā§āĻŸā§‡ āĻĒ⧌āρāĻ›āĻžāύ⧋āϰ āϏāĻŽāϝāĻŧ āĻĒā§āϰāĻĻāĻ°ā§āĻļāύāϟāĻŋāĻ“ āύāĻŋāĻ°ā§āĻĻ⧇āĻļ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇)

āĻšā§‹āĻ˛ā§āĻĄ āĻĒāĻŋāϰāĻŋāϝāĻŧāĻĄā§‡āϰ āϏāĻŽāϝāĻŧ āĻŦāĻžāϰ⧇āϰ āϚāĻžāĻĒ āĻĒ⧌āρāϛ⧇āϛ⧇ āύ⧋āϟ āĻ•āϰ⧁āύ

āĻšā§‹āĻ˛ā§āĻĄ āĻĒāĻŋāϰāĻŋāϝāĻŧāĻĄā§‡āϰ āϏāĻŽāϝāĻŧ āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻž āĻĒ⧌āρāϛ⧇āϛ⧇ āύ⧋āϟ āĻ•āϰ⧁āύāĨ¤

Record the temperature, pressure, and hold time in the sterilizer logbook, Record the test as a pass if these values are within the specified range for the cycle and comparable to the values obtained at validation.

If the automatic control test is unsatisfactory (i.e. the temperature, pressure, or hold time are not within the specified range for the cycle), record the test as a fail and do not use the sterilizer until the fault has been resolved.

Sign the logbook.

āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ āϞāĻ—āĻŦ⧁āϕ⧇ āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻž, āϚāĻžāĻĒ āĻāĻŦāĻ‚ āϧāϰ⧇ āϰāĻžāĻ–āĻžāϰ āϏāĻŽāϝāĻŧ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧁āύ, āϝāĻĻāĻŋ āĻāχ āĻŽāĻžāύāϗ⧁āϞāĻŋ āϚāĻ•ā§āϰ⧇āϰ āϜāĻ¨ā§āϝ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āϏ⧀āĻŽāĻžāϰ āĻŽāĻ§ā§āϝ⧇ āĻĨāĻžāϕ⧇ āĻāĻŦāĻ‚ āĻŦ⧈āϧāĻ•āϰāϪ⧇āϰ āϏāĻŽāϝāĻŧ āĻĒā§āϰāĻžāĻĒā§āϤ āĻŽāĻžāύāϗ⧁āϞāĻŋāϰ āϏāĻžāĻĨ⧇ āϤ⧁āϞāύ⧀āϝāĻŧ āĻšāϝāĻŧ āϤāĻŦ⧇ āĻĒāϰ⧀āĻ•ā§āώāĻžāϟāĻŋāϕ⧇ āĻĒāĻžāϏ āĻšāĻŋāϏāĻžāĻŦ⧇ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧁āύāĨ¤

āϝāĻĻāĻŋ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ…āϏāĻ¨ā§āϤ⧋āώāϜāύāĻ• āĻšāϝāĻŧ (āϝ⧇āĻŽāύ āϤāĻžāĻĒāĻŽāĻžāĻ¤ā§āϰāĻž, āϚāĻžāĻĒ āĻŦāĻž āϧāϰ⧇ āϰāĻžāĻ–āĻžāϰ āϏāĻŽāϝāĻŧ āϚāĻ•ā§āϰ⧇āϰ āϜāĻ¨ā§āϝ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āϏ⧀āĻŽāĻžāϰ āĻŽāĻ§ā§āϝ⧇ āύāϝāĻŧ), āĻĒāϰ⧀āĻ•ā§āώāĻžāϟāĻŋāϕ⧇ āĻŦā§āϝāĻ°ā§āĻĨ āĻšāĻŋāϏāĻžāĻŦ⧇ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻ¤ā§āϰ⧁āϟāĻŋāϟāĻŋ āϏāĻŽāĻžāϧāĻžāύ āύāĻž āĻšāĻ“āϝāĻŧāĻž āĻĒāĻ°ā§āϝāĻ¨ā§āϤ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻŦ⧇āύ āύāĻžāĨ¤

āϞāĻ—āĻŦ⧁āϕ⧇ āĻ¸ā§āĻŦāĻžāĻ•ā§āώāϰ āĻ•āϰ⧁āύāĨ¤

6.3 Steam Penetration Test for Vacuum Sterilizers

āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇āϰ āϜāĻ¨ā§āϝ āĻ¸ā§āϟāĻŋāĻŽ āĻĒ⧇āύāĻŋāĻŸā§āϰ⧇āĻļāύ āĻŸā§‡āĻ¸ā§āϟ

This test is carried out in vacuum sterilizers designed to sterilize wrapped instruments. It is intended to show that steam will rapidly and evenly penetrate a test device that is similar to the intended load.

Refer to the sterilizer manufacturer’s instructions for the recommended test device and indicator.

āĻāχ āĻĒāϰ⧀āĻ•ā§āώāĻžāϟāĻŋ āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇ āĻ•āϰāĻž āĻšāϝāĻŧ āϝāĻž āĻŽā§‹āĻĄāĻŧāĻžāύ⧋ āϝāĻ¨ā§āĻ¤ā§āϰāϟāĻŋāϕ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻĄāĻŋāϜāĻžāχāύ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇āĨ¤ āĻāϟāĻŋ āĻĻ⧇āĻ–āĻžāύ⧋āϰ āωāĻĻā§āĻĻ⧇āĻļā§āϝ⧇ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ āϝ⧇ āĻŦāĻžāĻˇā§āĻĒ āĻĻā§āϰ⧁āϤ āĻāĻŦāĻ‚ āϏāĻŽāĻžāύāĻ­āĻžāĻŦ⧇ āĻāĻ•āϟāĻŋ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻĄāĻŋāĻ­āĻžāχāϏ⧇ āĻĒā§āϰāĻŦ⧇āĻļ āĻ•āϰāĻŦ⧇ āϝāĻž āωāĻĻā§āĻĻ⧇āĻļā§āϝāϝ⧁āĻ•ā§āϤ āϞ⧋āĻĄā§‡āϰ āĻ…āύ⧁āϰ⧂āĻĒāĨ¤

āĻĒā§āϰāĻ¸ā§āϤāĻžāĻŦāĻŋāϤ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āĻĄāĻŋāĻ­āĻžāχāϏ āĻāĻŦāĻ‚ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāϕ⧇āϰ āϜāĻ¨ā§āϝ āĻœā§€āĻŦāĻžāϪ⧁ āύāĻŋāĻ°ā§āĻŖāϝāĻŧāĻ•āĻžāϰ⧀ āύāĻŋāĻ°ā§āĻŽāĻžāϤāĻžāĻĻ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻĒāĻĄāĻŧ⧁āύāĨ¤

āĻĻāĻŋāύ⧇āϰ āĻļ⧁āϰ⧁āϤ⧇, āĻ¸ā§āĻŦāĻžāĻ­āĻžāĻŦāĻŋāĻ• āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϚāĻ•ā§āϰāϟāĻŋ āύāĻŋāĻ°ā§āĻŦāĻžāϚāύ āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻĄāĻŋāĻ­āĻžāχāϏ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāĻ•āĻĻ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻ…āύ⧁āϏāϰāĻŖ āĻ•āϰ⧇ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻĄāĻŋāĻ­āĻžāχāϏ āĻŦā§āϝāϤ⧀āϤ āĻšā§‡āĻŽā§āĻŦāĻžāϰ āĻ–āĻžāϞāĻŋ āϰ⧇āϖ⧇ āĻĒāϰ⧀āĻ•ā§āώāĻžāϟāĻŋ āĻ•āϰ⧁āύāĨ¤

At the start of the day, select the usual sterilization cycle and perform the test with the chamber empty apart from the test device, following the test device manufacturer’s instructions.

Record whether the test was a pass or a fail in the sterilizer logbook.

If the steam penetration test result is unsatisfactory, repeat the test. A second unsatisfactory test result confirms that there is a fault. Arrange for a Maintenance person to investigate and do not use the sterilizer to sterilize instruments until the fault has been resolved.

āĻĻāĻŋāύ⧇āϰ āĻļ⧁āϰ⧁āϤ⧇, āĻ¸ā§āĻŦāĻžāĻ­āĻžāĻŦāĻŋāĻ• āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϚāĻ•ā§āϰāϟāĻŋ āύāĻŋāĻ°ā§āĻŦāĻžāϚāύ āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻĄāĻŋāĻ­āĻžāχāϏ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāĻ•āĻĻ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻ…āύ⧁āϏāϰāĻŖ āĻ•āϰ⧇ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻĄāĻŋāĻ­āĻžāχāϏ āĻŦā§āϝāϤ⧀āϤ āĻšā§‡āĻŽā§āĻŦāĻžāϰ āĻ–āĻžāϞāĻŋ āϰ⧇āϖ⧇ āĻĒāϰ⧀āĻ•ā§āώāĻžāϟāĻŋ āĻ•āϰ⧁āύāĨ¤

āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ āϞāĻ—āĻŦ⧁āϕ⧇ āĻĒāϰ⧀āĻ•ā§āώāĻžāϟāĻŋ āĻĒāĻžāϏ āĻŦāĻž āĻĢ⧇āϞ āĻ›āĻŋāϞ āĻ•āĻŋāύāĻž āϤāĻž āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧁āύāĨ¤

āĻŦāĻžāĻˇā§āĻĒ āĻ…āύ⧁āĻĒā§āϰāĻŦ⧇āĻļ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āĻĢāϞāĻžāĻĢāϞ āĻ…āϏāĻ¨ā§āϤ⧋āώāϜāύāĻ• āĻšāϞ⧇, āĻĒāϰ⧀āĻ•ā§āώāĻž āĻĒ⧁āύāϰāĻžāĻŦ⧃āĻ¤ā§āϤāĻŋ āĻ•āϰ⧁āύ. āĻāĻ•āϟāĻŋ āĻĻā§āĻŦāĻŋāϤ⧀āϝāĻŧ āĻ…āϏāĻ¨ā§āϤ⧋āώāϜāύāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āĻĢāϞāĻžāĻĢāϞ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧇ āϝ⧇ āĻāĻ•āϟāĻŋ āĻ¤ā§āϰ⧁āϟāĻŋ āφāϛ⧇āĨ¤ āϤāĻĻāĻ¨ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻāĻ•āϜāύ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖāĻ•āĻžāϰ⧀ āĻŦā§āϝāĻ•ā§āϤāĻŋāϰ āĻŦā§āϝāĻŦāĻ¸ā§āĻĨāĻž āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻ¤ā§āϰ⧁āϟāĻŋāϟāĻŋ āϏāĻŽāĻžāϧāĻžāύ āύāĻž āĻšāĻ“āϝāĻŧāĻž āĻĒāĻ°ā§āϝāĻ¨ā§āϤ āϝāĻ¨ā§āĻ¤ā§āϰ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāϤ⧇ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϝāĻ¨ā§āĻ¤ā§āϰ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻŦ⧇āύ āύāĻžāĨ¤

6.4 Air leakage test for Vacuum Sterilizers

āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇āϰ āϜāĻ¨ā§āϝ āĻāϝāĻŧāĻžāϰ āϞāĻŋāϕ⧇āϜ āĻĒāϰ⧀āĻ•ā§āώāĻž

If air leaks into the sterilizer chamber at a higher rate than specified by the manufacturer. It might interfere with the penetration of steam into the load and as the air will not have passed through the bacteria retentive filter, there is a risk of recontaminating the load. An air leakage test involves removing air from the chamber, isolating the chamber, and monitoring the pressure for a period of time. Air leakage will cause and increase in the chamber pressure.

āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻšā§‡āĻŽā§āĻŦāĻžāϰ⧇ āĻŦāĻžāϝāĻŧ⧁ āĻĢ⧁āĻŸā§‹ āĻšāϞ⧇ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āĻĻā§āĻŦāĻžāϰāĻž āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āĻ•āϰāĻž āĻšā§‡āϝāĻŧ⧇ āĻŦ⧇āĻļāĻŋ āĻšāĻžāϰ⧇āĨ¤ āĻāϟāĻŋ āϞ⧋āĻĄā§‡āϰ āĻŽāĻ§ā§āϝ⧇ āĻŦāĻžāĻˇā§āĻĒ⧇āϰ āĻ…āύ⧁āĻĒā§āϰāĻŦ⧇āĻļ⧇ āĻšāĻ¸ā§āϤāĻ•ā§āώ⧇āĻĒ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇ āĻāĻŦāĻ‚ āϝ⧇āĻšā§‡āϤ⧁ āĻŦāĻžāϤāĻžāϏ āĻŦā§āϝāĻžāĻ•āĻŸā§‡āϰāĻŋāϝāĻŧāĻž āϰāĻŋāĻŸā§‡āύāϟāĻŋāĻ­ āĻĢāĻŋāĻ˛ā§āϟāĻžāϰ⧇āϰ āĻŽāĻ§ā§āϝ āĻĻāĻŋāϝāĻŧ⧇ āϝāĻžāĻŦ⧇ āύāĻž, āϤāĻžāχ āϞ⧋āĻĄāϟāĻŋ āĻĒ⧁āύāϰāĻžāϝāĻŧ āĻĻā§‚āώāĻŋāϤ āĻšāĻ“āϝāĻŧāĻžāϰ āĻā§āρāĻ•āĻŋ āϰāϝāĻŧ⧇āϛ⧇āĨ¤ āĻāĻ•āϟāĻŋ āĻŦāĻžāϝāĻŧ⧁ āĻĢ⧁āĻŸā§‹ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻšā§‡āĻŽā§āĻŦāĻžāϰ āĻĨ⧇āϕ⧇ āĻŦāĻžāϝāĻŧ⧁ āĻ…āĻĒāϏāĻžāϰāĻŖ, āĻšā§‡āĻŽā§āĻŦāĻžāϰ āĻŦāĻŋāĻšā§āĻ›āĻŋāĻ¨ā§āύ āĻ•āϰāĻž āĻāĻŦāĻ‚ āĻāĻ•āϟāĻŋ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āϏāĻŽāϝāĻŧ⧇āϰ āϜāĻ¨ā§āϝ āϚāĻžāĻĒ āύāĻŋāϰ⧀āĻ•ā§āώāĻŖ āϜāĻĄāĻŧāĻŋāϤāĨ¤ āĻŦāĻžāϝāĻŧ⧁ āĻĢ⧁āĻŸā§‹ āĻšāϤ⧇ āĻĒāĻžāϰ⧇ āĻāĻŦāĻ‚ āĻšā§‡āĻŽā§āĻŦāĻžāϰ āϚāĻžāĻĒ āĻŦ⧃āĻĻā§āϧāĻŋ āĻšāĻŦ⧇.

If an automatic test is available, carry out an air leakage test according to the manufacturer’s instructions once per week.

It is preferable to have a sterilizer that is capable of performing an automatic test because otherwise a test a person is required to perform a weekly manual test.

Note that some manufacturers specify that is carried out each day before the steam penetration test.

Record the results in the sterilizer logbook.

āϝāĻĻāĻŋ āĻāĻ•āϟāĻŋ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āĻĒāϰ⧀āĻ•ā§āώāĻž āωāĻĒāϞāĻŦā§āϧ āĻšāϝāĻŧ, āĻĒā§āϰāϤāĻŋ āϏāĻĒā§āϤāĻžāĻšā§‡ āĻāĻ•āĻŦāĻžāϰ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āĻ…āύ⧁āϏāĻžāϰ⧇ āĻāĻ•āϟāĻŋ āĻŦāĻžāϝāĻŧ⧁ āĻĢ⧁āĻŸā§‹ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύāĨ¤

āĻāĻ•āϟāĻŋ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāϤ⧇ āϏāĻ•ā§āώāĻŽ āĻāĻŽāύ āĻāĻ•āϟāĻŋ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻĨāĻžāĻ•āĻž āĻŦāĻžāĻžā§āĻ›āύ⧀āϝāĻŧ āĻ•āĻžāϰāĻŖ āĻ…āĻ¨ā§āϝāĻĨāĻžāϝāĻŧ āĻāĻ•āϟāĻŋ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āϜāĻ¨ā§āϝ āĻāĻ•āϜāύ āĻŦā§āϝāĻ•ā§āϤāĻŋāϰ āϏāĻžāĻĒā§āϤāĻžāĻšāĻŋāĻ• āĻŽā§āϝāĻžāύ⧁āϝāĻŧāĻžāϞ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāϤ⧇ āĻšāϝāĻŧāĨ¤

āύ⧋āϟ āĻ•āϰ⧁āύ āϝ⧇ āĻ•āĻŋāϛ⧁ āύāĻŋāĻ°ā§āĻŽāĻžāϤāĻžāϰāĻž āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āĻ•āϰ⧇ āϝ⧇ āĻŦāĻžāĻˇā§āĻĒ āĻ…āύ⧁āĻĒā§āϰāĻŦ⧇āĻļ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āφāϗ⧇ āĻĒā§āϰāϤāĻŋāĻĻāĻŋāύ āĻŦāĻžāĻšāĻŋāϤ āĻšāϝāĻŧāĨ¤ 

āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ āϞāĻ—āĻŦ⧁āϕ⧇ āĻĢāϞāĻžāĻĢāϞ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧁āύāĨ¤

6.5 Automatic Air Detection System Function Test for Vacuum Sterilizers

āĻ­ā§āϝāĻžāϕ⧁āϝāĻŧāĻžāĻŽ āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ⧇āϰ āϜāĻ¨ā§āϝ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āĻāϝāĻŧāĻžāϰ āĻĄāĻŋāĻŸā§‡āĻ•āĻļāύ āϏāĻŋāĻ¸ā§āĻŸā§‡āĻŽ āĻĢāĻžāĻ‚āĻļāύ āĻŸā§‡āĻ¸ā§āϟ

Sterilizers that actively remove air from the load before sterilization are fitted with a means of detecting whether any air present in the chamber is sufficient to impair sterilization during each cycle. A test is performed each week to check that the air detector is functioning correctly. The details of the test vary between different makes of the sterilizer. If the user cannot perform this test, it will require a test person to visit weekly to perform the test. This will add significantly to your costs so check this before purchase.

Carry out an automatic air detection system function test as specified in the manufacturer’s instructions once per week.

Record the results in the sterilizer logbook

āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āφāϗ⧇ āϏāĻ•ā§āϰāĻŋāϝāĻŧāĻ­āĻžāĻŦ⧇ āϞ⧋āĻĄ āĻĨ⧇āϕ⧇ āĻŦāĻžāϝāĻŧ⧁ āĻ…āĻĒāϏāĻžāϰāĻŖāĻ•āĻžāϰ⧀ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ•āϗ⧁āϞāĻŋ āĻšā§‡āĻŽā§āĻŦāĻžāϰ⧇ āωāĻĒāĻ¸ā§āĻĨāĻŋāϤ āϕ⧋āύ⧋ āĻŦāĻžāϝāĻŧ⧁ āĻĒā§āϰāϤāĻŋāϟāĻŋ āϚāĻ•ā§āϰ⧇āϰ āϏāĻŽāϝāĻŧ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āϝāĻĨ⧇āĻˇā§āϟ āĻ•āĻŋāύāĻž āϤāĻž āϏāύāĻžāĻ•ā§āϤ āĻ•āϰāĻžāϰ āĻāĻ•āϟāĻŋ āωāĻĒāĻžāϝāĻŧ⧇ āϞāĻžāĻ—āĻžāύ⧋ āĻšāϝāĻŧāĨ¤ āĻāϝāĻŧāĻžāϰ āĻĄāĻŋāĻŸā§‡āĻ•ā§āϟāϰ āϏāĻ āĻŋāĻ•āĻ­āĻžāĻŦ⧇ āĻ•āĻžāϜ āĻ•āϰāϛ⧇ āĻ•āĻŋāύāĻž āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻĒā§āϰāϤāĻŋ āϏāĻĒā§āϤāĻžāĻšā§‡ āĻāĻ•āϟāĻŋ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤ āύāĻŋāĻ°ā§āĻŦā§€āϜāύāĻ•āĻžāϰ⧀ āĻŦāĻŋāĻ­āĻŋāĻ¨ā§āύ āϤ⧈āϰāĻŋāϰ āĻŽāĻ§ā§āϝ⧇ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āĻŦāĻŋāĻŦāϰāĻŖāĨ¤ āϝāĻĻāĻŋ āĻŦā§āϝāĻŦāĻšāĻžāϰāĻ•āĻžāϰ⧀ āĻāχ āĻĒāϰ⧀āĻ•ā§āώāĻžāϟāĻŋ āϏāĻŽā§āĻĒāĻžāĻĻāύ āĻ•āϰāϤ⧇ āύāĻž āĻĒāĻžāϰ⧇, āϤāĻŦ⧇ āĻĒāϰ⧀āĻ•ā§āώāĻžāϟāĻŋ āϏāĻŽā§āĻĒāĻžāĻĻāύ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻāĻ•āϜāύ āĻĒāϰ⧀āĻ•ā§āώāĻžāĻ°ā§āĻĨā§€āϕ⧇ āϏāĻžāĻĒā§āϤāĻžāĻšāĻŋāĻ• āĻĒāϰāĻŋāĻĻāĻ°ā§āĻļāύ āĻ•āϰāϤ⧇ āĻšāĻŦ⧇āĨ¤ āĻāϟāĻŋ āφāĻĒāύāĻžāϰ āĻ–āϰāĻšā§‡ āωāĻ˛ā§āϞ⧇āĻ–āϝ⧋āĻ—ā§āϝāĻ­āĻžāĻŦ⧇ āϝ⧋āĻ— āĻ•āϰāĻŦ⧇ āϤāĻžāχ āϕ⧇āύāĻžāϰ āφāϗ⧇ āĻāϟāĻŋ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧇ āĻĻ⧇āϖ⧁āύāĨ¤

āĻĒā§āϰāϤāĻŋ āϏāĻĒā§āϤāĻžāĻšā§‡ āĻāĻ•āĻŦāĻžāϰ āĻŽā§‡āχāύāĻĢā§āϝāĻžāĻ•āϚāĻžāϰāĻžāϰ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀āϤ⧇ āωāĻ˛ā§āϞ⧇āĻ–āĻŋāϤ āĻšāĻŋāϏāĻžāĻŦ⧇ āĻāĻ•āϟāĻŋ āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āĻŦāĻžāϝāĻŧ⧁ āϏāύāĻžāĻ•ā§āϤāĻ•āϰāĻŖ āϏāĻŋāĻ¸ā§āĻŸā§‡āĻŽ āĻĢāĻžāĻ‚āĻļāύ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύāĨ¤

āĻ¸ā§āĻŸā§‡āϰāĻŋāϞāĻžāχāϜāĻžāϰ āϞāĻ—āĻŦ⧁āϕ⧇ āĻĢāϞāĻžāĻĢāϞ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰ⧁āύāĨ¤

6.6 Other Periodic Tests

Arrange for a test person to carry out quarterly (if specified by the manufacturer) and yearly (annual revalidation) tests (e. g. through the purchase of a new sterilizer via the NHSScotland national contract with the full support package or by an arrangement with a contractor). A suitably experienced and qualified maintenance person may perform some of these tests (see appendix )

āĻāĻ•āϜāύ āĻĒāϰ⧀āĻ•ā§āώāĻžāĻ°ā§āĻĨā§€āϰ āϜāĻ¨ā§āϝ āĻ¤ā§āϰ⧈āĻŽāĻžāϏāĻŋāĻ• (āϝāĻĻāĻŋ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āĻĻā§āĻŦāĻžāϰāĻž āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āĻ•āϰāĻž āĻĨāĻžāϕ⧇) āĻāĻŦāĻ‚ āĻŦāĻžāĻ°ā§āώāĻŋāĻ• (āĻŦāĻžāĻ°ā§āώāĻŋāĻ• āĻĒ⧁āύāσāĻĒā§āϰāĻŽāĻžāĻŖ) āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰāĻžāϰ āĻŦā§āϝāĻŦāĻ¸ā§āĻĨāĻž āĻ•āϰ⧁āύ (āϝ⧇āĻŽāύ āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āϏāĻŽāĻ°ā§āĻĨāύ āĻĒā§āϝāĻžāϕ⧇āϜ āϏāĻš NHSScotland āϜāĻžāϤ⧀āϝāĻŧ āϚ⧁āĻ•ā§āϤāĻŋāϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ āĻŦāĻž āĻāĻ•āϟāĻŋ āĻ āĻŋāĻ•āĻžāĻĻāĻžāϰ⧇āϰ āϏāĻžāĻĨ⧇ āĻāĻ•āϟāĻŋ āĻŦā§āϝāĻŦāĻ¸ā§āĻĨāĻžāϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ āĻāĻ•āϟāĻŋ āύāϤ⧁āύ āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāĻŖ āϕ⧇āύāĻžāϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡)āĨ¤ āĻāĻ•āϜāύ āωāĻĒāϝ⧁āĻ•ā§āϤ āĻ…āĻ­āĻŋāĻœā§āĻž āĻāĻŦāĻ‚ āϝ⧋āĻ—ā§āϝ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖāĻ•āĻžāϰ⧀ āĻŦā§āϝāĻ•ā§āϤāĻŋ āĻāχ āĻĒāϰ⧀āĻ•ā§āώāĻžāϗ⧁āϞāĻŋāϰ āĻ•āĻŋāϛ⧁ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āύ (āĻĒāϰāĻŋāĻļāĻŋāĻˇā§āϟ āĻĻ⧇āϖ⧁āύ)

6.7 Maintenance of Small Steam Sterilizers

āϛ⧋āϟ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ

Obtain a maintenance contract to carry out the program of preventative maintenance tasks as specified in the manufacturer’s instructions.

If the manufacturer’s program of maintenance is not available, consult the Maintenance person (sterilizers) who might be an employee of the supplier or manufacturer ) to devise a suitable program.

Ensure details of all maintenance work are recorded in the sterilizer logbook, including problems, faults, and preventative and corrective actions.

If any maintenance or modification work is carried out to the pressure system, seek the advice of a competent person (pressure vessels) before using the sterilizer.

āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀āϤ⧇ āωāĻ˛ā§āϞ⧇āĻ–āĻŋāϤ āĻĒā§āϰāϤāĻŋāϰ⧋āϧāĻŽā§‚āϞāĻ• āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āĻ°ā§āĻŽā§‡āϰ āĻĒā§āϰ⧋āĻ—ā§āϰāĻžāĻŽāϟāĻŋ āϏāĻŽā§āĻĒāĻžāĻĻāύ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āĻāĻ•āϟāĻŋ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ āϚ⧁āĻ•ā§āϤāĻŋ āĻĒāĻžāύāĨ¤

āϝāĻĻāĻŋ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāϪ⧇āϰ āϜāĻ¨ā§āϝ āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāĻ•āĻĻ⧇āϰ āĻĒā§āϰ⧋āĻ—ā§āϰāĻžāĻŽ āωāĻĒāϞāĻŦā§āϧ āύāĻž āĻšāϝāĻŧ, āĻāĻ•āϟāĻŋ āωāĻĒāϝ⧁āĻ•ā§āϤ āĻĒā§āϰ⧋āĻ—ā§āϰāĻžāĻŽ āϤ⧈āϰāĻŋ āĻ•āϰāĻžāϰ āϜāĻ¨ā§āϝ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖāĻ•āĻžāϰ⧀ āĻŦā§āϝāĻ•ā§āϤāĻŋāϰ (āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āĻžāϰ⧀) āϏāĻžāĻĨ⧇ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻ•āϰ⧁āύ āϝāĻŋāύāĻŋ āϏāϰāĻŦāϰāĻžāĻšāĻ•āĻžāϰ⧀ āĻŦāĻž āĻĒā§āϰāĻ¸ā§āϤ⧁āϤāĻ•āĻžāϰāϕ⧇āϰ āĻāĻ•āϜāύ āĻ•āĻ°ā§āĻŽāϚāĻžāϰ⧀ āĻšāϤ⧇ āĻĒāĻžāϰ⧇āύāĨ¤ 

āϏāĻŽāĻ¸ā§āϤ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āĻžāĻœā§‡āϰ āĻŦāĻŋāĻļāĻĻ āϏāĻŽāĻ¸ā§āϝāĻž, āĻ¤ā§āϰ⧁āϟāĻŋ, āĻĒā§āϰāϤāĻŋāϰ⧋āϧāĻŽā§‚āϞāĻ• āĻāĻŦāĻ‚ āϏāĻ‚āĻļā§‹āϧāύāĻŽā§‚āϞāĻ• āĻĒāĻĻāĻ•ā§āώ⧇āĻĒ āϏāĻš āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤāĻ•āϰāϪ⧇āϰ āϞāĻ—āĻŦ⧁āϕ⧇ āϰ⧇āĻ•āĻ°ā§āĻĄ āĻ•āϰāĻž āĻšāϝāĻŧ⧇āϛ⧇ āϤāĻž āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύāĨ¤

āϝāĻĻāĻŋ āĻĒā§āϰ⧇āϏāĻžāϰ āϏāĻŋāĻ¸ā§āĻŸā§‡āĻŽā§‡ āϕ⧋āύ⧋ āϰāĻ•ā§āώāĻŖāĻžāĻŦ⧇āĻ•ā§āώāĻŖ āĻŦāĻž āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ⧇āϰ āĻ•āĻžāϜ āĻ•āϰāĻž āĻšāϝāĻŧ, āϤāĻžāĻšāϞ⧇ āĻœā§€āĻŦāĻžāϪ⧁āύāĻžāĻļāĻ• āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻžāϰ āφāϗ⧇ āĻāĻ•āϜāύ āĻĻāĻ•ā§āώ āĻŦā§āϝāĻ•ā§āϤāĻŋāϰ (āϚāĻžāĻĒāĻŦāĻžāĻšā§€ āϜāĻžāĻšāĻžāϜ) āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āύāĻŋāύāĨ¤

Periodic tests for small steam sterilizers

āϛ⧋āϟ āĻŦāĻžāĻˇā§āĻĒ āύāĻŋāĻ°ā§āĻŦā§€āϜāύ āϜāĻ¨ā§āϝ āĻĒāĻ°ā§āϝāĻžāϝāĻŧāĻ•ā§āϰāĻŽāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž

Daily Tests-

āĻĒā§āϰāϤāĻŋāĻĻāĻŋāύ⧇āϰ āĻĒāϰ⧀āĻ•ā§āώāĻž-
  • Automatic control test
  • Steam penetration test
  • āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻž
  • āĻŦāĻžāĻˇā§āĻĒ āĻ…āύ⧁āĻĒā§āϰāĻŦ⧇āĻļ āĻĒāϰ⧀āĻ•ā§āώāĻž

Weekly tests- (āϏāĻžāĻĒā§āϤāĻžāĻšāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž)-

  Weekly safety checks (door seal and lock)

  Air leakage test (Automatic)

  Air detection system function test (automatic)

  Automatic control test

Steam Penetration test

  • āϏāĻžāĻĒā§āϤāĻžāĻšāĻŋāĻ• āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž (āĻĻāϰāϜāĻž āϏāĻŋāϞ āĻāĻŦāĻ‚ āϤāĻžāϞāĻž)
  • āĻŦāĻžāϝāĻŧ⧁ āĻĢ⧁āĻŸā§‹ āĻĒāϰ⧀āĻ•ā§āώāĻž (āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ)
  • āĻŦāĻžāϝāĻŧ⧁ āϏāύāĻžāĻ•ā§āϤāĻ•āϰāĻŖ āϏāĻŋāĻ¸ā§āĻŸā§‡āĻŽ āĻĢāĻžāĻ‚āĻļāύ āĻĒāϰ⧀āĻ•ā§āώāĻž (āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ)
  • āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻž
  • āĻŦāĻžāĻˇā§āĻĒ āĻ…āύ⧁āĻĒā§āϰāĻŦ⧇āĻļ āĻĒāϰ⧀āĻ•ā§āώāĻž

Quarterly tests-

āĻ¤ā§āϰ⧈āĻŽāĻžāϏāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž-
  • Weekly safety checks
  • Air leakage test(automatic)
  • Air leakage test (sensors connected)
  • Automatic control test
  • Verification of calibration of sterilizer instruments
  • Thermometric test for a small load.
  • Air leakage test (sensors removed).
  • All detection system function test (automatic)
  • Steam penetration test.
  • āϏāĻžāĻĒā§āϤāĻžāĻšāĻŋāĻ• āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻž āĻšā§‡āĻ•
  • āĻŦāĻžāϝāĻŧ⧁ āĻĢ⧁āĻŸā§‹ āĻĒāϰ⧀āĻ•ā§āώāĻž (āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ)
  • āĻŦāĻžāϝāĻŧ⧁ āĻĢ⧁āĻŸā§‹ āĻĒāϰ⧀āĻ•ā§āώāĻž (āϏ⧇āĻ¨ā§āϏāϰ āϏāĻ‚āϝ⧁āĻ•ā§āϤ)
  • āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻž
  • āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āĻ•ā§āϰāĻŽāĻžāĻ™ā§āĻ•āύ āϝāĻžāϚāĻžāχāĻ•āϰāĻŖ
  • āĻāĻ•āϟāĻŋ āϛ⧋āϟ āϞ⧋āĻĄ āϜāĻ¨ā§āϝ āĻĨāĻžāĻ°ā§āĻŽā§‹āĻŽā§‡āĻŸā§āϰāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž.
  • āĻŦāĻžāϝāĻŧ⧁ āĻĢ⧁āĻŸā§‹ āĻĒāϰ⧀āĻ•ā§āώāĻž (āϏ⧇āĻ¨ā§āϏāϰ āĻ…āĻĒāϏāĻžāϰāĻŖ)āĨ¤
  • āϏāĻŽāĻ¸ā§āϤ āϏāύāĻžāĻ•ā§āϤāĻ•āϰāĻŖ āϏāĻŋāĻ¸ā§āĻŸā§‡āĻŽ āĻĢāĻžāĻ‚āĻļāύ āĻĒāϰ⧀āĻ•ā§āώāĻž (āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ)
  • āĻŦāĻžāĻˇā§āĻĒ āĻ…āύ⧁āĻĒā§āϰāĻŦ⧇āĻļ āĻĒāϰ⧀āĻ•ā§āώāĻž.

Yearly and Revalidation tests-

āĻŦāĻžāĻ°ā§āώāĻŋāĻ• āĻāĻŦāĻ‚ āĻĒ⧁āύāĻ°ā§āĻŦāĻŋāĻŦ⧇āϚāύāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž-
  • Yearly safety checks
  • Steam non-condensable gas test
  • Steam superheat test
  • Steam dryness test
  • Air leakage test (automatic)
  • Air leakage test (sensors connected)
  • Automatic control test.
  • Verification of calibration of sterilizer instruments
  • chamber overheat cut-out test.
  • Air detector test for a small load.
  • Air detector test for a full load
  • Thermostatic test for a small load.
  • Thermostatic test for a full load.
  • Test for performance requalification as required by the user.
  • Air leakage test (sensors removed)
  • Air detection system function test (automatic)
  • Steam penetration test.

The user may perform these tests only with the prior agreement by an Authorising Engineer (Decontamination)

āĻŦāĻžāĻ°ā§āώāĻŋāĻ• āύāĻŋāϰāĻžāĻĒāĻ¤ā§āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž

āĻŦāĻžāĻˇā§āĻĒ āĻ… āϘāύ⧀āĻ­ā§‚āϤ āĻ—ā§āϝāĻžāϏ āĻĒāϰ⧀āĻ•ā§āώāĻž

āĻŦāĻžāĻˇā§āĻĒ āϏ⧁āĻĒāĻžāϰāĻšāĻŋāϟ āĻĒāϰ⧀āĻ•ā§āώāĻž

āĻŦāĻžāĻˇā§āĻĒ āĻļ⧁āĻˇā§āĻ•āϤāĻž āĻĒāϰ⧀āĻ•ā§āώāĻž

āĻŦāĻžāϝāĻŧ⧁ āĻĢ⧁āĻŸā§‹ āĻĒāϰ⧀āĻ•ā§āώāĻž (āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ)

āĻŦāĻžāϝāĻŧ⧁ āĻĢ⧁āĻŸā§‹ āĻĒāϰ⧀āĻ•ā§āώāĻž (āϏ⧇āĻ¨ā§āϏāϰ āϏāĻ‚āϝ⧁āĻ•ā§āϤ)

āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻžāĨ¤

āĻœā§€āĻŦāĻžāϪ⧁āĻŽā§āĻ•ā§āϤ āϝāĻ¨ā§āĻ¤ā§āϰ⧇āϰ āĻ•ā§āϰāĻŽāĻžāĻ™ā§āĻ•āύ āϝāĻžāϚāĻžāχāĻ•āϰāĻŖ

āĻšā§‡āĻŽā§āĻŦāĻžāϰ āĻ“āĻ­āĻžāϰāĻšāĻŋāϟ āĻ•āĻžāϟ-āφāωāϟ āĻĒāϰ⧀āĻ•ā§āώāĻžāĨ¤

āĻāĻ•āϟāĻŋ āϛ⧋āϟ āϞ⧋āĻĄ āϜāĻ¨ā§āϝ āĻāϝāĻŧāĻžāϰ āĻĄāĻŋāĻŸā§‡āĻ•ā§āϟāϰ āĻĒāϰ⧀āĻ•ā§āώāĻž.

āĻāĻ•āϟāĻŋ āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āϞ⧋āĻĄ āϜāĻ¨ā§āϝ āĻāϝāĻŧāĻžāϰ āĻĄāĻŋāĻŸā§‡āĻ•ā§āϟāϰ āĻĒāϰ⧀āĻ•ā§āώāĻž

āĻāĻ•āϟāĻŋ āϛ⧋āϟ āϞ⧋āĻĄ āϜāĻ¨ā§āϝ āĻĨāĻžāĻ°ā§āĻŽā§‹āĻ¸ā§āĻŸā§āϝāĻžāϟāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž.

āĻāĻ•āϟāĻŋ āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āϞ⧋āĻĄ āϜāĻ¨ā§āϝ āĻĨāĻžāĻ°ā§āĻŽā§‹āĻ¸ā§āĻŸā§āϝāĻžāϟāĻŋāĻ• āĻĒāϰ⧀āĻ•ā§āώāĻž.

āĻŦā§āϝāĻŦāĻšāĻžāϰāĻ•āĻžāϰ⧀āϰ āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻ…āύ⧁āϝāĻžāϝāĻŧā§€ āĻ•āĻ°ā§āĻŽāĻ•ā§āώāĻŽāϤāĻž āϝ⧋āĻ—ā§āϝāϤāĻžāϰ āϜāĻ¨ā§āϝ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύāĨ¤

āĻŦāĻžāϝāĻŧ⧁ āĻĢ⧁āĻŸā§‹ āĻĒāϰ⧀āĻ•ā§āώāĻž (āϏ⧇āĻ¨ā§āϏāϰ āϏāϰāĻžāύ⧋)

āĻŦāĻžāϝāĻŧ⧁ āϏāύāĻžāĻ•ā§āϤāĻ•āϰāĻŖ āϏāĻŋāĻ¸ā§āĻŸā§‡āĻŽ āĻĢāĻžāĻ‚āĻļāύ āĻĒāϰ⧀āĻ•ā§āώāĻž (āĻ¸ā§āĻŦāϝāĻŧāĻ‚āĻ•ā§āϰāĻŋāϝāĻŧ)

āĻŦāĻžāĻˇā§āĻĒ āĻ…āύ⧁āĻĒā§āϰāĻŦ⧇āĻļ āĻĒāϰ⧀āĻ•ā§āώāĻž.

āĻŦā§āϝāĻŦāĻšāĻžāϰāĻ•āĻžāϰ⧀ āĻāχ āĻĒāϰ⧀āĻ•ā§āώāĻžāϗ⧁āϞāĻŋ āĻļ⧁āϧ⧁āĻŽāĻžāĻ¤ā§āϰ āĻāĻ•āϜāύ āĻ…āĻĨāϰāĻžāχāϜāĻŋāĻ‚ āχāĻžā§āϜāĻŋāύāĻŋāϝāĻŧāĻžāϰ (āĻĄāĻŋāĻ•āύāĻŸā§āϝāĻžāĻŽāĻŋāύ⧇āĻļāύ) āĻāϰ āĻĒā§‚āĻ°ā§āĻŦ⧇āϰ āϚ⧁āĻ•ā§āϤāĻŋāϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āύ

HRTD Medical Institute

Check Also

HRTD Medical Institute

HRTD Medical Institute

HRTD Medical Institute Details HRTD Medical Institute. Mobile Phone Number 01797-522136, 01987-073965. HRTD Medical Institute …

Leave a Reply

Your email address will not be published. Required fields are marked *