It has three Areas:

1. Soiled & Washing Area

2. Packing Area

3. Sterile Area

Washing Area

Cleaning and disinfection first of all there should be cave of risk of transmission of infection by used instruments and equipments. The level of reprocessing requires is based on the classification and level of risk any instrument or equipment entering to touching the body must be sterilized and properly disinfected. Before start the washing, staff should wear properly gown, cap, and surgical glows and specially goggle for protection. There are two methods of washing:

• Manually washing: Instruments are dipped in deep container in any disinfectant detergent or chemical. In the next step cleaning done with hot water by pressure gun, brush can be used to clean the clotted blood and other particles.

• Drying of Instruments: It is done manually by hand with cloth or linen and in electro dryer. If it is required, instruments can be kept in dryer for a required time period at some high temperature and also to remove the smell. After drying the instruments are to be sterilized as per classification.

Packing Area

Before sterilization, instrument and equipments should be packed properly and tight in linen and crap paper. All the packing should be marked with autoclave tape to ensure that after the process they are properly sterile. All the pack should be entering log book with expiry date and ward or department name. Integrators turn color from purple to green when all three parameters for steam sterilization have been met temperature time and presence of saturated steam.

Two kind of integrates:

• 134 °C high cycle

• 121 °C low circle

Sterile Area

• By steam under pressure

• LTSF Low Temperature Steam & formaldehyde

• Ethylene oxide sterilization

• If required also with 70% alcohol