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available in several different models. Items validated for one model might not be
validated for another, even though they sit under the umbrella of a single manu-
facturer.
Always check with instructions for use from instrument and device manu-
facturers to see exactly how their products must be sterilized; manufacturers
must provide FDA validation of at least 1 sterilization process. Placing items
through a low-temp sterilization cycle even though the instructions for use
don't list it as a viable option risks damaging the devices or, worse, risks not
sterilizing them completely. For quick reference, always keep manufacturers'
instructions for use on file where they're easily accessible.
4. Sufficient size
Consider the size of the unit's chamber to ensure it accommodates the pack-
aged devices you want to sterilize; no part of the wrap or container should
touch the interior walls, to prevent aborted cycles and to ensure there's enough
space for the sterilant to circulate and penetrate to the items inside. Never stack
instrument packs or containers unless the devices' instructions for use clearly
state that doing so is permissible.
5. Cost
Determine how the cycle times of the low-temp option you choose mesh with
your instrument inventory and case volume. How quickly do you need to turn
over instruments? A 3-hour cycle time for instruments needed every 2 hours
won't cut it. Will you purchase more instruments because a lengthier steriliza-
tion method meets your specific reprocessing needs, or are you going to buy a
different sterilizer so you can reprocess instruments more rapidly? How much
the overall cost of sterilization, including the cost of the sterilant, impacts
your per-cycle expense will help guide your decision.
OSM
Ms. Swenson (donnaswenson@spqs.org) is president and
CEO of Sterile Processing Quality Services in Stickney, Ill.
