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Surgical Instrument Packing Checklist

The document is an observation checklist for the decontamination and packing of surgical instruments, organized into sections covering preparation, packing process, wrapping and labeling, and storage & documentation. It includes specific items to observe, with options for 'Yes', 'No', or 'N/A', along with space for comments. The checklist aims to ensure compliance with standards for instrument handling and safety.

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Agnes Wanjiku
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194 views2 pages

Surgical Instrument Packing Checklist

The document is an observation checklist for the decontamination and packing of surgical instruments, organized into sections covering preparation, packing process, wrapping and labeling, and storage & documentation. It includes specific items to observe, with options for 'Yes', 'No', or 'N/A', along with space for comments. The checklist aims to ensure compliance with standards for instrument handling and safety.

Uploaded by

Agnes Wanjiku
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Observation Checklist for Decontamination of Instruments

Observation Checklist for Packing Surgical Instruments and Packs

Facility Name: _______________________

Department/Unit: _____________________

Observer Name: _______________________

Date: ________________________________

Time: ________________________________

Section A: Preparation Before Packing

# Observation Item Yes No N/A Comments

1 Work area is clean, dry, and well-lit

2 Hands washed and PPE appropriately worn

3 Sterile packaging materials are available and not expired

4 Instrument sets verified for completeness and functionality

5 Damaged or rusty instruments are removed and reported

Section B: Packing Process

# Observation Item Yes No N/A Comments

6 Correct pack contents used as per standard list

7 All instruments are arranged in order of use

8 Hinged instruments are in open/unlocked position

9 Lint-free towel used for wrapping instruments

10 Count sheet or checklist is included in the pack

11 Internal chemical indicator placed inside pack

12 Sharp instruments are safely covered/protected

13 Instrument set is not over-packed or overcrowded

Section C: Wrapping and Labeling

# Observation Item Yes No N/A Comments

14 Pack is wrapped using the correct wrapping technique (e.g., envelope or square fold)

15 Wrapping material is intact and of correct size

16 External chemical indicator tape is applied correctly

17 Label includes pack name, date, initials, and expiry date


Observation Checklist for Decontamination of Instruments

18 Pack is secured to prevent accidental opening

Section D: Storage & Documentation

# Observation Item Yes No N/A Comments

19 Packed sets are placed in clean trays or trolleys

20 Sets are transferred safely to the sterilization area

21 Packing register or logbook is filled accurately

22 Non-conformities are reported and documented

General Comments / Recommendations:

Observer Signature: ___________________

Date: ________________________________

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