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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

Purpose

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


    Easi sterilise standard operating procedures

    White mark

    (R) Side - Steriliser number

    (L) Side

    Date - dd mm yy

    Steriliser cycle number

    White mark


    Reloading
    Reloading

    • 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