
Page 59 of 75 Pages
10.
PREPARATION BEFORE STERILIZATION
The purpose of packaging and wrapping of items for sterilization is to provide an
effective barrier against sources of potential contamination in order to maintain
sterility and to permit aseptic removal of the contents of the pack. Packaging and
wrapping materials should permit the removal of air from the pack, penetration of
the sterilizing water vapor into the pack and removal of the sterilizing vapor.
The basic principle determining the size, mass and contents of instrument and
hollowware packs is that the contents are sterile and dry immediately on
completion of the drying cycle and removal of the pack from the sterilizer chamber.
Instruments to be sterilized must be clean, free from any residual matter, such as
debris, blood, pads or any other material. Such substances may cause damage to
the contents being sterilized and to the sterilizer.
1. Immediately after use, clean instruments thoroughly to dispose of any residue.
2. Follow the instrument manufacturer instructions.
3. It is recommended to wash instruments with an ultrasonic cleaner, using
detergent and mineral-free water.
4. Launder textile wraps prior to reuse.
5. After cleaning, rinse instruments for 30 seconds. (Follow manufacturer’s
instructions on the use of products for cleaning and lubricating instruments
after using the ultrasonic cleaner).
6. Materials, including materials used for inner wraps, shall be compatible with
the item being packed and the sterilizing method selected.
7. Use single-use wraps once only and discard after use.
8. If the unit is equipped with a printer, verify if a new roll of paper is
necessary.
10.1 Instruments
1. Before placing an instrument onto the sterilizer baskets, ensure that
instruments that are not constructed of the same metal (stainless steel,
carbon steel, etc.) are separated and placed in a different place.
2. Place empty containers upside down to prevent accumulation of water.
3. In case carbon steel instruments are placed in stainless steel baskets, the
baskets should be lined with a towel or paper wrap before placing the
instruments on the baskets. There should be no direct contact between
the carbon steel and the stainless steel baskets.
4. All instruments must be sterilized in an open position.
5. Place a sterilization indicator strip in each basket.
6. Place instruments with ratchets opened and unlocked or clipped on the
first ratchet position.
7. Disassemble or sufficiently loosen multiple-part instruments prior to
packaging to permit the sterilizing agent to come into contact with all
parts of the instrument.
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