HHC Health & Home Care Clinical Policy And

HHC HEALTH & HOME CARE Section: 13-8
Infection Control: Disinfection of Instruments By Moist Heat (Pasteurization) __RN __HHA
PURPOSE:
To prepare non-disposable equipment and instruments
for use by eliminating all microorganisms (except
bacterial spores) by moist heat.
CONSIDERATIONS:
1. There are many routine procedures performed in
the home requiring disinfection of reusable
instruments and equipment. Disinfection of
instruments/equipment may be accomplished by
use of heat or a chemical.
2. Pasteurization is high-level disinfection (not
sterilization) for instruments and equipment which
come in contact with mucous membranes or with
skin that is not intact.
3. Disinfection will only be effective if the instrument or
equipment is free from all foreign material.
EQUIPMENT:
Stainless steel pan with rack or strainer and lid
Item(s) to be disinfected
Gloves
PROCEDURE:
1. Adhere to Universal Precautions.
2. Explain procedure to patient/caregiver.
3. Place clean instruments and equipment in pan on
top of the rack or strainer.
4. Cover instruments with water, place lid on pan.
5. Boil at a rolling boil for 30 minutes. The instruments
and equipment are now disinfected.
6. Cool and drain, allow to dry before using in
procedure, storing, or returning to nursing bag.
7. Storage should be in a clean, dry, airtight container,
such as a plastic bag or jar with lid.
AFTER CARE:
1. Document in patient's record:
a. Date, time, and name of person performing
procedure, if applicable.
b. Equipment was tested and approved for use, if
applicable.
c. Instructions given to patient/caregiver.
2. Follow preventive maintenance policy of agency.
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