Surgical Instrument Sterilization Verification
Surgical Instrument Sterilization Verification
Inspection template for verifying sterile processing records, biological and chemical indicators, autoclave cycle parameters, and surgical instrument tray contents.
Load Identification and Traceability
- Sterilizer load record identifies date, time, sterilizer ID, and cycle number
- Load contents match the documented tray list and count
- Patient or procedure association is documented where applicable
- Load release status is documented by authorized personnel
- Any load recall, quarantine, or exception is documented with disposition
Autoclave Cycle Parameters
- Cycle type matches the load and validated sterilization method
- Exposure temperature
- Exposure pressure
- Exposure time
- Drying time completed per cycle record
- Cycle printout or electronic record shows no unresolved alarms or aborts
Biological and Chemical Indicator Verification
- Biological indicator used for the load is documented
- Biological indicator result is negative or acceptable for release
- Chemical indicator present on each package or tray as required
- Chemical indicator changed appropriately after processing
- Indicator lot number, expiration date, and placement are documented
Instrument Tray Contents and Packaging
- Tray contents match the approved instrument set list
- All instruments are clean, dry, and free of visible soil or residue
- Packaging is intact, sealed, and free of tears, punctures, or wetness
- Instrument count and tray count are complete
- Tray labeling includes set name, sterilization date, and expiration or event-related status
Documentation, Release, and Sign-off
- Sterile processing record is complete and legible
- Any non-conformance has a documented corrective action and follow-up
- Inspection reviewer signature
- Inspection comments and observations
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