DENTAL STERILIZATION CHECKLIST: EQUIPMENT & PROCEDURE VALIDATION

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--- PRE-CLEANING & PREPARATION ---
[ ] Date of Pre-Cleaning
[ ] Time of Initial Rinse
[ ] Description of Visible Debris (e.g., blood, saliva)
[ ] Rinsing Solution Used (Enzymatic, Water, Other (Specify))
[ ] Rinsing Time (minutes)
[ ] Contaminants Removed (Blood, Saliva, Tissue, Calculus, Other (Specify))
[ ] Notes on Instrument Condition

--- LOADING THE AUTOCLAVE/STERILIZER ---
[ ] Tray Load Capacity (Max)
[ ] Load Type (Instruments, Handpieces, Small Parts)
[ ] Tray Orientation (Vertical, Horizontal)
[ ] Air Removal Method (Automatic, Manual Vacuum)
[ ] Cycle Number/ID (if applicable)
[ ] Special Instructions/Notes for Load
[ ] Packaging Type (Wrapped, Unwrapped)

--- CYCLE PARAMETERS VERIFICATION ---
[ ] Temperature (°C)
[ ] Pressure (PSI)
[ ] Cycle Time (minutes)
[ ] Cycle Type (Gravity, Vacuum, Steam Flush)
[ ] Load Type (Instrumentation, Hollow Goods, Fabric)
[ ] Cycle Completion Date
[ ] Cycle Start Time

--- AUTOCLAVE/STERILIZER MAINTENANCE ---
[ ] Last Preventative Maintenance Date
[ ] Water Reservoir Level (inches)
[ ] Notes on Visual Inspection (e.g., corrosion, leaks)
[ ] Air Pump Pressure (PSI)
[ ] Filter Replacement Status (Complete, In Progress, Not Required)
[ ] Next Scheduled Maintenance Date
[ ] Any unusual sounds during cycle?

--- BIOLOGICAL INDICATOR TESTING ---
[ ] Date of Biological Indicator Test
[ ] Time of Biological Indicator Test
[ ] Type of Biological Indicator (Spore Strip, Spore Disk, Spore Suspension)
[ ] Lot Number of Biological Indicator
[ ] Incubation Temperature (°C) (55°C, 37°C, Other (specify))
[ ] Notes/Observations during incubation (e.g., unusual growth)
[ ] Result (Pass - No Growth, Fail - Growth Detected)
[ ] Image of Biological Indicator (if applicable)
[ ] Signature of Person Performing Test

--- CHEMICAL INDICATOR MONITORING ---
[ ] Indicator Type (e.g., MSD, Bowie-Dick) (MSD, Bowie-Dick, Embrittlement, Chemical Tape)
[ ] Indicator Result (Positive (Sterile), Negative (Non-Sterile), Equivocal)
[ ] Lot Number/Batch ID (if applicable)
[ ] Date of Monitoring
[ ] Time of Monitoring
[ ] Comments/Observations (e.g., discoloration, reading)
[ ] Photo of Indicator (optional)

--- LOADING AND UNLOADING PROCEDURES ---
[ ] Number of Instrument Trays Loaded
[ ] Instrument Tray Orientation (Check all that apply) (Vertical, Horizontal, Angled)
[ ] Air Removal Method (Automatic, Manual)
[ ] Time of Unloading
[ ] Notes on Loading/Unloading Process (e.g., unusual observations)
[ ] Packaging Type (for Unloading) (Double Wrap, Single Wrap, Pouch)
[ ] Storage Location of Sterilized Instruments

--- RECORD KEEPING & DOCUMENTATION ---
[ ] Cycle Date
[ ] Cycle Start Time
[ ] Cycle Number
[ ] Sterilizer Type (Autoclave, Dry Heat Sterilizer, Other)
[ ] Biological Indicator Result (Positive, Negative, Invalid)
[ ] Biological Indicator Report (Optional)
[ ] Notes/Comments
[ ] Operator Signature

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