How to wrap instruments for sterilization in an autoclave: steps for optimal sterilization time

29-09-2023

Instrument sterilization is a critical aspect of maintaining a safe and hygienic environment in healthcare, dental, and laboratory settings. In Celitron’s comprehensive guide, we will delve deeper into how to wrap instruments for sterilization in an autoclave and highlight the key steps to achieve optimal sterilization time. Understanding these crucial steps is essential for ensuring the safety of patients and the integrity of your work.

Understanding the importance of wrapped sterile instruments

Proper instrument sterilization is a cornerstone of infection control and patient safety. In healthcare settings, any lapse in the sterilization process can have severe consequences, including the spread of infections and compromised patient well-being. Therefore, it is vital to comprehend why properly wrapped sterile instruments are of the utmost importance.

Sterilization is the process of killing or removing all forms of microorganisms, including bacteria, viruses, and spores, from the surface of instruments. This ensures that the medical instruments remain free from harmful pathogens and safe for use on patients. Inadequate sterilization can lead to healthcare-associated infections (HAIs),which are not only detrimental to patients but can also result in legal consequences for healthcare providers.

1. How to wrap instruments for sterilization in an autoclave: What materials will I need?

In order to know how to properly wrap instruments for sterilization in an autoclave, you need to gather all necessary materials at your facility. These materials play a pivotal role in achieving optimal instrument sterilization time.

Here's a list of the essential materials you should have:

Sterilization pouches or wraps: These are specially designed packaging materials that maintain sterility and protect the instruments from contamination. These must be compatible with autoclaves so that they can endure the high temperatures inside the steam sterilizer’s chamber.
Indicator tape: Used to label the wrapped instruments. It changes color to signal successful sterilization.
Sterilization labels: Used to mark the date of sterilization and the contents of the package for easy identification.
Autoclave: Naturally, you will need an autoclave, since it is the primary device used for instrument sterilization. It uses high-pressure and high-temperature steam (121 -134 degrees Celsius) to kill microorganisms effectively.

IMPORTANT NOTE FROM CELITRON: Not all types of autoclaves can be employed to handle wrapped sterile instruments! For example, class N sterilizers can only be employed to treat unwrapped, flat, solid instruments, and cannot be used to handle more intricate instruments, such as porous or hollow items.

You will need a class B steam sterilizer to handle wrapped instruments, also known as a vacuum autoclave. At Celitron, all of our autoclaves fall under this category, regardless of size. Whether you’re a small facility with limited space or a large hospital that needs to treat large amounts of materials on a daily basis, we can provide you with the model that fits your needs.

2. Preparing the autoclave for wrapped sterile instruments

Before you start wrapping instruments for sterile working conditions, it is essential to ensure that the autoclave is in proper working condition. A malfunctioning autoclave can compromise the sterilization process, so routine checks and maintenance are crucial. Remember to always refer to the manufacturer’s instructions!

Here are the steps you need to take to prepare the autoclave for the sterilization of wrapped medical instruments:

Check the autoclave's condition: Examine the autoclave for any visible damage or signs of wear and tear. Pay attention to the seals and gaskets, as they are critical for maintaining the autoclave's integrity.
Perform a functionality test: Run a functionality test (such as the vacuum test, or Bowie&Dick test, available as preset test cycles in Celitron’s autoclaves) to ensure that the autoclave reaches the required temperature and pressure. This test helps identify any issues with the autoclave's performance.
Calibrate the autoclave: Regular calibration of the autoclave is essential to ensure that it operates within the specified parameters. Calibration should be done by trained technicians following manufacturer guidelines. Celitron’s autoclaves also have self and remote diagnosis options.

3. Sorting and cleaning instruments before wrapping them for sterilization

Before wrapping, medical instruments should be sorted by type and size. Proper sorting ensures that instruments are arranged efficiently inside the autoclave, allowing for thorough sterilization. Additionally, it's crucial to clean the instruments meticulously before wrapping them to remove any debris or organic matter.

Sort by type and size: Group instruments that are similar in type and size together. This ensures that they are evenly spaced inside the autoclave, promoting effective sterilization.
Cleaning process: Clean the instruments according to standard procedures, which typically involve washing with detergent and water, followed by rinsing and drying.

4. How to wrap instruments for sterilization in an autoclave: what is the right method?

Selecting the appropriate wrapping method is essential to maintain sterility and ensure optimal sterilization time. There are several methods to choose from, including:

Pouches: Sterilization pouches are pre-folded and self-sealing. They are suitable for small instruments and are easy to use.
Wraps: Sterilization wraps or autoclave wraps, are larger sheets of material that can accommodate multiple instruments. They require folding and sealing using heat or adhesive tape.
Containers: Sterilization containers are rigid and come in various sizes. They are suitable for delicate instruments that require extra protection.

5. Wrapping medical instruments properly for optimal sterilization time

Proper wrapping is critical to maintain the sterility of instruments until they are ready for use. Follow these steps for wrapped sterile instruments:

Choose the correct size: Select a pouch or wrap that is appropriately sized for the instruments you intend to sterilize. Avoid using oversized packaging, as it may compromise sterility.
Place instruments inside: Carefully place the cleaned instruments inside the pouch or wrap, ensuring they are not overcrowded. Leave enough space between items to allow steam to circulate.
Seal the package: Use the self-sealing feature of pouches or seal wraps with autoclave tape. Ensure a tight seal to prevent contamination.
Apply the indicator tape: A critical component of instrument wrapping, as it serves as a visual confirmation that the sterilization process has been successful. The tape changes color when exposed to the conditions required for sterilization, providing a clear indication of sterility. Ensure that the tape adheres securely. Place it in a visible location for easy verification.

6. Loading the autoclave with the wrapped medical instruments

Loading the autoclave correctly is essential to ensure that instruments are exposed to the necessary conditions for sterilization. Improper loading can lead to inadequate sterilization or damage to the instruments.

Adequate spacing: Arrange the wrapped instrument packages in the autoclave with adequate spacing between them. Avoid overcrowding, as it can hinder the steam's penetration and the sterilization process.
Proper placement: Place the packages on the autoclave trays or racks, ensuring they are not touching the chamber walls. This allows for even steam distribution.
Follow manufacturer guidelines: Refer to the autoclave's manufacturer guidelines for specific loading instructions, as they may vary depending on the autoclave's design.

7. Setting parameters monitoring the wrapped instruments’ sterilization time

Configuring the autoclave settings correctly is crucial to achieving optimal sterilization time and effectiveness. The settings should be based on the type of instruments being sterilized and the manufacturer's recommendations.

Temperature and pressure: Set the autoclave to the appropriate temperature and pressure levels as specified for the instruments in use. For temperature, this can range between 121 and 134 degrees Celsius, and for pressure, between 1.1 and 2.1 bar.
Wrapped instrument sterilization time: Adjust the sterilization time based on the type of instruments and packaging materials. Follow manufacturer guidelines for recommended cycle times. With Celitron’s autoclaves, this can be as short as 20 minutes, including the drying and cooling phase. Of course, this is also affected by the type and number of instruments wrapped inside the autoclave’s chamber.
Timer observation: Keep a close eye on the autoclave's timer to ensure that the sterilization cycle runs for the prescribed duration.
Indicator checks: Monitor the autoclave's indicators, such as temperature and pressure gauges, to ensure they remain within the specified range throughout the cycle.
Record keeping: Maintain records of each sterilization cycle, including the date, time, temperature, and pressure, to document compliance with sterilization protocols. Celitron’s autoclaves make this easier with their PC connection.

8. Cooling and storing wrapped sterile instruments

After the sterilization cycle is complete, allow the wrapped sterile instruments to cool inside the autoclave before removing them. Proper storage is also essential to maintain their sterility until use.

Cooling period: Do not rush to remove the instruments immediately after the cycle ends. Allow them to cool naturally inside the autoclave to prevent contamination.
Storage conditions: Store the sterilized instruments in a clean, dry, and designated storage area. Avoid exposure to moisture or contaminants that could compromise sterility.

Remember that the proper wrapping and sterilization of instruments are not only a professional responsibility but also a commitment to the highest standards of safety and hygiene in healthcare and laboratory settings.

CONTACT US TODAY and get a free quote for an onsite autoclave that can sterilize wrapped medical instruments!