Cause identified by
Sterilization failure Send BI to lab the microbiologist
Cause
Load quarantine Inform CSSD in- Operator error If operator error
Identify the cause
Stop using sterilizer charge (ICO&DMS) Mechanical/electrical identify and rectify
error
Mechanical error
Identify the lot and
Recall back to last inform personnel
Recall Authorized
negative BI affected
Inform Biomedical
dept. Receive the devices
Inform to IC team
from different sites
Whether
repair required
Identify the affected device
and personnel and construct Repack and re-
the future plan sterilize
NO
YES
Rectify Patients or auth. Future plan of
Major repair with Surgeon attendants
cause Machine cutoff actions
and shut down
Minor
3 cycle BI PCD repair
3 Cycle Bowie-
dick test PASS
FAIL
Put the machine back into service
Re-sterilize items