Job Requirements

FAUJI FOUNDATION HOSPITAL LAHORE

Document CodeLow Temperature Sterilization

FFH/CSSD/SOP/031

Issue#: AIssue Date:13/05/2014Rev#: 00Rev. Date:

COMBINED MILITARY HOSPITAL RAWALPINDI

CMH/JOD/002Deputy Quality Management Representative Job Desription

Issue Date: 28-04-12

Issue No.: 01

Page 1 of 3

Document Code

Quality Management Representative (DQMR) Job Description

ISO/JD/001

Issue#: 01

Rev#: 00

Issue Date: 28 April, 2012

LABORATORY, CMH, RAWALPINDI

Document #:CMH Lab-FC-01

Version#: 01

TITLE: PROCESS FLOW CHART

1. Purpose:To ensure that Low Temperature Sterilizers are operated according to department policy

To ensure that all soiled returned equipment is sterilized according to an acceptable standard and ready to use

To ensure the work environment is safe for all employees

2. Scope:FFH Lahore CSSD

3. Responsibility:Trained personnel allocated to Low Temperature Sterilizing

4. Procedure:Items that cannot be processed in a Hydrogen Peroxide Plasma / Vaporized Hydrogen Peroxide

Any item that is not completely dry

Items or materials that absorb liquids

Items made from materials containing cellulose e.g. cotton, paper, cardboard, linens, gauze or items that contain wood pulp

Consult manufacturer for a complete list of what can and cannot be processed in sterilizer

Inserting and removing cassettes / cartridge

Wear appropriate PPE as described by manufacturer

Check item for damage

Do not remove cassette from plastic wrapper if indicator strip is red (Sterrad) this indicates that the cassette might have been damaged

Check expiry date

Biological Monitoring

Use manufacturer approved biological indicators

Daily biological monitoring is recommended (as per hospital policy)

Place biological monitor into a Tyvek pouch

Place biological monitor in a load in the sterilizer

Place the biological monitor in the sterilizer as per manufacturers recommendation (Sterrad= back of the chamber on the bottom shelf with the opening toward the back of the chamber)

Process Biological indictor

Incubate Biological indicator at temperature as recommended by manufacturer

Preparing Items for loading

All items must be thoroughly cleaned and dried before packaging

Use packaging and containers recommended by the manufacture

Place chemical indicator in each packaged item

Loading sterilizer

Arrange items in such a way as to ensure sterility will come into contact with all

surfaces

Do not allow any items to touch the walls or the door

Do not stack containers

Place items packed in Tyvek on their sides

5. Reference documentsProcedure Manual

Manufacturers Instructions

6. Distribution: Copy No. 1 with AQMR & Copy No. 2 in the Dept.

WRITTEN BY:REVIEWED BY:APPROVED BY:

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