Peracetic acid - ANSWERS,Automated Endoscope Reprocessor (AER) - GI
For items that can be immersed
Corrosive to instruments and people
Temp 120-130 degrees F
20-30 mins
Micro filtered tap water rinses x 4 to turn it back to vinegar
Must have log
Sterilizes using acidity
Vinegar with extra hydrogen to make it very acidic
Ozone - ANSWERS,low temp sterilization
only one manufacturer in the USA
FDA has cleared ozone for sterilization of metal and plastic
Exhaust is passed through a catalytic converter
Environmentally sound
No aeration
By-products are oxygen and water
Dry heat - ANSWERS,High temp
Best for heat stable powder and oils
Dental instruments, burrs, reusable needles, glassware
Don't use tape
Common in doctor and dental offices and tattoo parlors
360-400 degrees F
50-60 min run time
Specific packaging for this
QC - ANSWERS,items should be traceable from method of sterilization
Lot, control, load or cycle, date, and time should be documented for each item
Required by CDC to track SSIs on certain patients like colons and totals
Autoclave QC - ANSWERS,Daily biological (ideally) for gravity displacement and pre-vac
Daily Bowie-Dick for pre-vac (1st run is warm up, 2nd run is test, 3rd run is item); uniform pattern
indicates that the vac cycle functioned properly
Done with every implant
Sterilization log required
Steam - gravity displacement and prevac testing - ANSWERS,Geobacillus stearothemophilus spore
testing at least weekly and preferably daily
Pre-vac testing - ANSWERS,Air removal like Bowie-Dick should be done daily in an empty chamber;
for new, renovated, or moved equipment, 3 consecutive successful air removal tests should be done
before the biological
Ethylene oxide testing - ANSWERS,Bacillus atropheus spore testing done with every load
Plasma testing - ANSWERS,Geobacillus stearothermophilus spore testing done at same interval as
other sterilizers in the facility
Ozone and peracetic acid testing - ANSWERS,Geobacillus stearothermophilus daily
Dry heat testing - ANSWERS,Bacillus atropheus indicators upon installation and after any repair
(table top type monitored weekly)
Packaging Sterile Items - ANSWERS,Must work with the type of sterilization
Must allow for identification of the contents (writing on the outside)
Weight should not exceed 25 lbs
Lint free
Free of holes
Sterile storage areas must not exceed 78 degrees F or 60% humidity
Manufacturer's instructions always supersede the guidelines
Packaging and Sterilization - ANSWERS,No textiles, peel pouches, or rubber mats inside the tray
Instruments disassembled
Instruments in open, unlocked position
Integrator in corner of tray because that's the hardest for steam to get to
Indicator on inside and outside of tray (class 5 indicator inside)
Count sheet on outside of trays
Inside of sealed envelope is not sterile
Integrator on top of tray
Peel Pouches - ANSWERS,Not stacked inside of sterilization chamber
Write on the plastic, not paper
Not for use with heavy items
steam only goes through paper side
Double pouching - ANSWERS,with manufacturer's instructions onl
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