Sterilization Packaging Systems
Publication Date: October 1, 2019
Last Updated: March 14, 2022
Recommendations
Chemical Indicators (CIs)
Select CIs specific to the sterilization method and cycle. (R)
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Place a CI on both the outside and inside of the package to be processed. (R)
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Place the CI in an area within the package that presents the greatest challenge for air removal and sterilant contact. (R)
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Packaging Systems
Inspect and monitor reusable woven sterilization wrap by
- visually inspecting it on a lighted table for defects (eg, holes, tears, worn spots) and
- following the manufacturer’s [instructions for use (IFU)] for the number of times the reusable woven materials can be processed.
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Inspect all single-use sterilization wrap for defects and cleanliness before use. Do not use packaging materials with defects. (R)
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Select the wrapping material size that completely covers the item(s) being packaged. Wrap the item(s) securely to prevent gapping, billowing, or formation of air pockets. (R)
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Use peel pouches only for small, lightweight, low-profile items. (R)
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Unless otherwise specified in the manufacturer’s IFU, when double pouching, place the sealed inner pouch
• within the outer pouch without folding it and
• facing in the same direction as the outer pouch (ie, plastic or polyester film faces plastic or polyester film, and paper or polyethylene material faces paper or polyethylene material)
()• facing in the same direction as the outer pouch (ie, plastic or polyester film faces plastic or polyester film, and paper or polyethylene material faces paper or polyethylene material)
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Inspect all parts of rigid sterilization containers before each use and on a scheduled basis, including that: the mating surfaces and edges of the container and lid are free of dents and chips;
- the lid and container fit together properly and securely;
- the filter retention mechanisms and fasteners are secure and not distorted or burred;
- the latching mechanisms are functioning to maintain the seal;
- the handles are in working order;
- the integrity of the filter media is not compromised;
- the gaskets are pliable, securely fastened, and without breaks or cuts; and
- the valves are in working order.
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Do not use sterilization containers that do not pass the inspection. Remove damaged items from service for repair or replacement. (R)
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Consult the container’s manufacturer’s IFU to determine limitations related to density of materials, weight, and distribution of contents before placing instruments or devices within rigid sterilization containers. (R)
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Education
Provide education and competency verification activities that address specific knowledge and skills related to the selection and use of packaging systems. (R)
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Recommendation Grading
Disclaimer
Overview
Title
Sterilization Packaging Systems
Authoring Organization
Association of periOperative Registered Nurses
Publication Month/Year
October 1, 2019
Last Updated Month/Year
January 5, 2023
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Female, Male, Adolescent, Adult, Child, Infant, Older adult
Health Care Settings
Hospital, Operating and recovery room
Intended Users
Surgical technologist, nurse, medical techologist technician, nurse practitioner, physician, physician assistant
Scope
Prevention
Diseases/Conditions (MeSH)
D013242 - Sterilization, D019064 - Product Packaging
Keywords
packaging systems, sterilzation