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Run: Immediate Use Steam Sterilization Audit

Audit each Immediate Use Steam Sterilization (IUSS) event for documented justification, cycle verification, and protected tray transfer before use. This temp...

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Audit Scope and Event Identification

Record the date and time the immediate-use cycle was performed.
Document the case context that required the immediate-use cycle.
Identify the tray, set, or instrument load reviewed.
Confirm the audit was performed using the cycle record and the associated clinical record or log entry.
List the policy, SOP, or local procedure governing IUSS use.

Justification for Immediate Use Steam Sterilization

The record states why immediate-use sterilization was necessary for this instance.
Confirm the record explains why a presterilized or processed replacement tray was not available.
Confirm the justification aligns with local policy and accreditation guidance for IUSS.
Indicate whether an implantable device was included in the IUSS load.
If an implantable device was processed by IUSS, confirm the emergency justification is documented.

Sterilization Cycle Documentation and Monitoring

Cycle record includes load identification, cycle number, operator, and release information.
Verify time, temperature, and pressure parameters were achieved for the selected cycle.
Confirm the external or internal chemical indicator required by policy was present and showed acceptable results.
Confirm any required biological monitoring or equivalent verification was documented per policy.
Confirm the tray was not released until all required monitoring and documentation were complete.

Tray Transfer and Handling Practice

Confirm the transfer method matched the approved process for moving an IUSS tray to point of use.
Confirm the tray remained protected from environmental exposure and handling contamination.
Confirm the transfer from sterile processing to the user area was documented or traceable.
Confirm the load was used without unnecessary delay after release.

Findings, Deficiencies, and Corrective Actions

Select all deficiencies observed during the audit.
Indicate whether corrective action, retraining, or escalation is needed.
Describe the follow-up action, owner, and due date if deficiencies were found.

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