Appropriate sterilization process:
The instrument to be reused should be placed in a bag that can be sealed to remain sterile after the high-pressure procedure. The initial cleaning of surgical instruments must be done using warm water and a mild detergent or disinfectant, and then the instrument is autoclaved in a clear plastic bag, as this removes all macroscopic contaminants such as residual tissue, blood and debris. If macroscopic materials or tissues are known to be infectious, the instrument should first be soaked in a 10% bleach solution for 20 minutes and then the autoclave cleaned with detergent or disinfectant.
1. Open all surgical instruments and disinfect them in the open position. Hemostatic, needle clamps, and any other devices that utilize ratchet mechanisms or metal-to-metal connections (such as scissors). Leave the device in the locked position.
2. All instruments should be placed in an autoclave so that the autoclave is not overloaded to allow steam to reach all areas of the instrument.
3. Safe operating procedures for pressure cookers should be followed at all times and only those trained in proper pressure cooker operating procedures should use the equipment. Safe operating procedures shall be posted near the autoclave for inspection.