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Easi-Sterilise Standard Operating Procedures. Section 2 Packaging and Wrapping Procedures. Section 2. Packaging and Wrapping Procedures. 2.1 Organisation Of Packing Area.

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easi sterilise standard operating procedures

Easi-Sterilise Standard Operating Procedures

Section 2

Packaging and Wrapping Procedures

section 2

Section 2

Packaging and Wrapping Procedures

2 1 organisation of packing area
2.1 Organisation Of Packing Area
  • Organised packing area ensures a clean, safe work working area that reduces the risk of equipment damage/loss and unsafe work practices.
    • Clean designated work areas
    • Uncluttered
    • Be responsible for stock and equipment
    • Check expiry dates
    • Use reference guides for identification of instruments and trays
    • Report missing equipment and instruments
    • If unsure, ask for help
2 2 assembly of instrument trays and hollowware
2.2 Assembly Of Instrument Trays And Hollowware

Consistent patterns/protocols for assembling trays of instruments and other equipment prior to wrapping and sterilising enables efficiency and accuracy of surgical procedures.

Inspect - Patient Safety Checks

  • Clean, dry, rust and stain free
  • No damage, splits, cracks, dents, non alignment, dullness of cutting edge
2 2 assembly of instrument trays and hollowware1
2.2 Assembly Of Instrument Trays And Hollowware

Prepare equipment for sterilization:

Check multi-part equipment / instruments

  • can be assembled and functioning
  • then disassembled or loosely assembled for sterilisation as per manufacturers instructions
    • Hinged or ratchet instruments are opened and unlocked
    • Sharp items protected with a tip protector or enclosed in a cassette
2 2 assembly of instrument trays and hollowware2
2.2 Assembly Of Instrument Trays And Hollowware

Follow the facilities predetermined set ups/ trays/ cassette

Select appropriate size tray or packaging material to assemble instruments giving consideration to size, mass and contents of tray

NB The density and size of tray/pack is determined at each oral health facility during the annual sterilization performance qualification

2 2 assembly of instrument trays and hollowware3
2.2 Assembly Of Instrument Trays And Hollowware
  • When packaging hollowware sets:
    • Openings are to face in the same direction,
    • Hollowware should not be able to move, and
  • Individual packs do not include combinations of hollowware, instruments, gauze dressings, drapes or tubing
2 3 wrapping packaging labelling
2.3 Wrapping, Packaging & Labelling


Provides a protective barrier against sources of potential contamination. Wrapping/packaging methods must facilitate aseptic removal of contents

2 3 wrapping packaging labelling1
2.3 Wrapping, Packaging & Labelling
  • Wrapped items
    • The method shall be envelope fold or square fold technique
    • The type and method of wrapping and packaging is facility specific
    • Check prior to use the wrapping material is not damaged or expired
    • The class 1 chemical indicator tape used for sealing will be specific to the mode of sterilisation (pressure sensitive, non-toxic and adhere to clean surface)
    • Ensure tape is adhered to wrapping/packaging material 
2 3 wrapping packaging labelling2
2.3 Wrapping, Packaging & Labelling
  • Flexible packaging materials
    • Check for damage and expiry date
    • Correct size pouch for contents
    • Hollowware openings are against non-laminate surface
    • Any writing required should be done on the outer parameter of the flexible packaging material.
    • Self sealing pouches must be sealed by folding the flap along perforation/dotted line as indicated by the manufacturer.
2 3 wrapping packaging labelling3
2.3 Wrapping, Packaging & Labelling
  • Labelling of packs:
    • All packs, bags, pouches and wrapped items must be labelled if contents are not visible
    • Use a non-toxic, water resistant, felt tipped marking pens and rubber stamps using similar ink or pre-printed tape
    • Writing on wrapping could damage the integrity of the material
2 3 wrapping packaging labelling4
2.3 Wrapping, Packaging & Labelling

To occur prior to the sterilizing process utilising:

    • Batch labels (piggyback)
  • Details on the batch label gun must be checked and updated for each sterilizer cycle. The minimum information required on each label must include;
      • Date of sterilization
      • Sterilizer number
      • Sterilizer cycle number
blue unprocessed
Blue = Unprocessed

Sterilizer number

2 3 wrapping packaging labelling5
2.3 Wrapping, Packaging & Labelling

To occur prior to the sterilizing process utilising:

  • Pre-printed tape
  • Write on tape
  • Labelling - clear and precise
2 4 using and reloading batch label gun
2.4 Using and Reloading Batch Label Gun
  • Upper adjustable print display - Setting the date and the steriliser number
  • Date must appear as DD (space) MM (space) YY starting from the far left
  • The sterilizer number must be positioned to the far right

White mark

(R) Side - Steriliser number

(L) Side

Date - dd mm yy

Steriliser cycle number

White mark

  • Reloading the batch label gun with labels
  • Batch label guns need to be serviced every 12 months
  • If the base plate is opened during operation, re-check that fields are correctly aligned
chemical indicators
Chemical Indicators
  • Class 1 – Process indicator – exposure to a sterilisation process – shows processed/unprocessed e.g sterilising tape, external chemical indicators.
  • Class 2 – Specific tests e.g Bowie Dick type test
  • Class 3 – Single parameter – critical parameter e.g. dry heat
  • Class 4 – Multi parameter eg. Time at Temp.
  • Class 5 – Integrating indicator – time temp and moisture
  • Class 6 – Emulating indicator (cycle verification) – eg. 134°C @ 3.5 min
chemical indicators do not indicate sterilization
Chemical Indicators do not indicate sterilization
  • Written information about the indicators shall be obtained from the supplier covering:

(a) How to interpret indicator results.

(b) The factors affecting end-point colour change during storage of sterilized items.

(c) The sterilization conditions that the indicator will detect.

(d) The storage requirements and shelf-life of the indicator itself.

2 5 restocking consumable materials
2.5 Restocking Consumable Materials

Wrapping and packaging not expired

Stock rotation

Daily replenishment of stock - all shifts, you replace

Storage containers / shelves - cleaned at regular intervals

Know your environmental cleaning plan

Identification of stock and stock numbers