Iowa Admin. Code r. 645-63.13 - Disinfecting and sterilizing instruments and equipment
All
(1)
Disinfection .
a. Nonporous tools and implements.
(1) Immersion method. After each use, all
immersible nonporous tools and implements shall be disinfected by cleaning the
tools and implements followed by complete immersion in a disinfectant .
Disinfectant solutions shall be mixed according to manufacturer label
instructions. The manufacturer's listed contact time for effectively
eliminating all pathogens shall be adhered to at all times.
(2) Nonimmersion method. After each use, any
nonporous item that cannot be immersed in a disinfectant shall be cleaned with
soap or detergent and water to remove all organic material and then sprayed or
wiped with disinfectant . Minimum disinfectant contact time as listed on the
manufacturer's label shall be followed. Nonimmersible tools and implements
include but are not limited to scissors, trimmers, clippers, handles of hair
dryers and curling/flat irons.
b. Disinfected implements shall be stored in
a disinfected, dry, covered container and shall be isolated from contaminants.
Such container shall be disinfected at least once each week and whenever
visibly dirty.
c. Disinfectant
solutions shall be changed as instructed on the solution's manufacturer label
or whenever visibly dirty.
d.
Electric file bits.
(1) After each use, all
visible debris shall be removed from diamond, carbide, natural and metal bits
by cleaning with either an ultrasonic cleaner or immersion of each bit in
acetone for five to ten minutes.
(2) After they are cleaned, diamond, carbide,
natural and metal bits shall be disinfected by complete immersion in an
appropriate disinfectant . Minimum disinfectant contact time as listed on the
manufacturer's label shall be followed.
(2)
Sterilization .
Ultraviolet (UV) light boxes are prohibited and are not an acceptable method of
sterilization .
a. Tools and implements may be
sterilized by one of the following methods:
(1) Steam sterilizer, registered and listed
with the FDA and used according to the manufacturer's instructions. If steam
sterilization , or moist heat, is utilized, heat exposure shall be at a minimum
of 121°C/250°F for at least 30 minutes;
(2) Dry heat sterilizer, registered and
listed with the FDA and used according to the manufacturer's instructions. If
dry heat sterilization is utilized, heat exposure shall be at a minimum of
171°C/340°F for at least 60 minutes;
(3) Autoclave sterilization equipment,
calibrated to ensure that it reaches the temperature required by the
manufacturer's instructions. If autoclave sterilization equipment is utilized,
spore testing by a contracted independent laboratory shall be performed at
least every 30 days. If a positive spore test is received, the autoclave may
not be used until a negative spore test is received. The establishment must
maintain a log of each autoclave use, all testing samples and results, and a
maintenance log of all maintenance performed on the device. Maintenance shall
be performed according to the manufacturer's instructions. The establishment
must have available for inspection the autoclave maintenance log for the most
recent 12 months; or
(4) Chemical
sterilization with a hospital grade liquid which, if used, shall be used
according to the directions on the label. When chemical sterilization is used,
items shall be fully submerged for at least ten minutes.
b. Sterilization equipment shall be
maintained in working order. The equipment shall be checked at least monthly
and calibrated to ensure that it reaches the temperature required by the
manufacturer's instructions.
This rule is intended to implement Iowa Code section 157.6.
Notes
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