Decontamination Procedure

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KASHJEME HUTCHINSON

11/29/20
DECONTAMINATION PROCEDURE

SUBJECT: DECONTAMINATION

PROCEDURE STATEMENT

The Sterile Processing Department will receive and render all soiled / contaminated items safe for
handling and to maintain an area separate from a clean area for the processing of these items.

PURPOSE OF PROCEDURE

To properly clean and decontaminate instrument sets and medical devices and to prepare items for safe
reuse and/or sterilization.

PROCEDURE

1. The decontamination room is an area physically separated from other Sterile Processing areas for
decontaminating supplies; instruments, power equipment and patient care equipment.

2. Proper PPE is worn at all times during processing.

3. All items entering Decontamination for processing are considered contaminated.

4. Sterile Processing receives contaminated items by one of four methods:

a. Ward Items

Personnel from the Sterile Processing department will receive items for decontamination from each
nursing unit dirty utility room at least once per shift. Pickups will occur at approximately 5am-7am.
Additional pickups may be required based on requests from nursing units.

b. Surgery Case Carts

1. Receive items from the OR. Most items will be on case carts or trolleys.

2. Case carts and other items will be brought into the decontamination room through the side access
door and processed according to department procedures.

c. Department/Clinic Delivery

1. A representative from a department, clinic or outside source may bring items to Decontamination
through the rear hallway door.

2. A Sterile Processing Control sheet or tag outlining contents and name of department or clinic must be
visible on container. All items will be carefully checked in by Sterile Processing Technician on duty
accepting the items in decontamination.

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KASHJEME HUTCHINSON
11/29/20
DECONTAMINATION PROCEDURE

3. All items will be sorted and cleaned according to their specific requirements as specified in IFU.

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