AAMI ST65 2008 RA 2018
$140.32
ANSI/AAMI ST65:2008/(R)2018 – Processing of reusable surgical textiles for use in health care facilities
| Published By | Publication Date | Number of Pages |
| AAMI | 2008 | 69 |
This recommended practice provides guidelines for the proper handling, processing, and preparation of reusable surgical textiles either on-site or off-site for use in health care facilities. This recommended practice specifically addresses design criteria for functional work areas; staff qualifications, education, training, dress codes, and other personnel considerations; receiving and handling of soiled surgical textiles; laundry processing considerations; transport of both soiled and clean surgical textiles; installation, care, and maintenance of laundry equipment; quality control; and regulatory considerations. Definitions of terms and a bibliography are also provided
PDF Catalog
| PDF Pages | PDF Title |
|---|---|
| 1 | ANSI/AAMI ST65:2008/(R)2018, Processing of reusable surgical textiles for use in health care facilities |
| 2 | Objectives and uses of AAMI standards and recommended practices |
| 3 | Title page |
| 4 | AAMI Recommended Practice Copyright information |
| 5 | Contents |
| 9 | Glossary of equivalent standards |
| 11 | Committee representation |
| 13 | Foreword |
| 14 | Introduction: Need for the recommended practice |
| 15 | 1 Scope 1.1 General 1.2 Inclusions 1.3 Exclusions |
| 16 | 2 Definitions, symbols, and abbreviations |
| 19 | 3 Design considerations 3.1 General rationale |
| 20 | 3.2 Work area design and functional work flow 3.2.1 Definitions of work areas 3.2.1.1 Laundry area 3.2.1.2 Surgical pack assembly area |
| 21 | 3.2.1.3 Other areas 3.2.2 Design criteria for work areas |
| 22 | 3.2.3 Functional work flow patterns 3.2.3.1 Laundry area 3.2.3.2 Surgical pack assembly area 3.2.4 Traffic control 3.3 Physical facilities: laundry area 3.3.1 Space requirements 3.3.2 Mechanical systems 3.3.3 Floors, walls, ceilings, and vents |
| 23 | 3.3.4 Ventilation 3.3.5 Temperature and humidity control 3.3.6 Lighting systems 3.3.7 Handwashing facilities 3.3.8 Emergency eyewash/shower equipment |
| 24 | 3.3.9 Soil-sort area 3.3.10 Chemical storage area 3.3.11 Storage area for clean textile packs 3.3.12 Housekeeping |
| 25 | 3.4 Physical facilities: surgical pack assembly area 3.4.1 Space requirements 3.4.2 Mechanical systems 3.4.3 Floors, walls, ceilings, and vents 3.4.4 Ventilation 3.4.5 Temperature and humidity control |
| 26 | 3.4.6 Lighting systems 3.4.7 Hand hygiene facilities 3.4.8 Storage area for clean textile packs 3.4.9 Surgical pack sterilization area 3.4.10 Sterile storage area 3.4.11 Housekeeping 4 Personnel considerations 4.1 General rationale |
| 27 | 4.2 Qualifications 4.2.1 Supervisors/managers 4.2.2 Personnel 4.3 Training and education |
| 28 | 4.4 Health and personal hygiene |
| 29 | 4.5 Attire 4.5.1 General 4.5.2 Personal protective equipment (PPE) 5 Receiving and handling of reusable surgical textiles 5.1 General rationale |
| 30 | 5.2 Newly purchased items 5.2.1 Identification and handling 5.2.2 Washing 5.3 Collecting and transporting soiled surgical textiles 5.3.1 Collecting soiled surgical textiles at the point of use 5.3.2 Transporting soiled surgical textiles |
| 31 | 5.4 Sorting of soiled textiles 5.4.1 General considerations 5.4.2 Pre-sort systems 5.4.3 Post-sort systems |
| 32 | 6 Laundry processing recommendations 6.1 General rationale 6.2 Washing 6.2.1 Procedures 6.2.2 Loading of washing equipment 6.2.3 Steps in the washing process: laundry formulas 6.2.3.1 General considerations |
| 33 | 6.2.3.2 Flush 6.2.3.3 Break 6.2.3.4 Main wash (suds) 6.2.3.5 Bleach |
| 34 | 6.2.3.6 Rinsing 6.2.3.7 Finishing (final rinsing) 6.2.3.8 Extraction 6.3 Drying 6.3.1 Procedures 6.3.2 Equipment loading |
| 35 | 6.3.3 Steps in the drying process: drying formulas 6.3.3.1 General considerations 6.3.3.2 Heating 6.3.3.3 Cooling 6.4 Process monitoring 6.4.1 Rationale for process monitoring 6.4.2 Process monitoring: supplies 6.4.2.1 General considerations 6.4.2.2 Verification of laundry chemicals used |
| 36 | 6.4.2.3 Pump delivery system 6.4.2.4 Water quality 6.4.2.5 Type and load size of soiled textiles being processed |
| 37 | 6.4.3 Process monitoring: equipment operation 6.4.4 Process monitoring: finished products |
| 38 | 7 Inspection, testing, and maintenance of laundered textiles 7.1 General rationale |
| 39 | 7.2 Visual inspection 7.2.1 Quality standards 7.2.2 Stains |
| 41 | 7.2.3 Physical defects 7.2.4 Chemical or thermal damage 7.2.5 Foreign debris |
| 42 | 7.2.6 Labeling 7.2.7 Tracking system 7.3 Testing 7.3.1 Test procedures |
| 43 | 7.3.2 Microbiological cleanliness 7.3.3 Effective life 7.3.4 Important functional attributes 7.3.4.1 General considerations |
| 44 | 7.3.4.2 Barrier efficacy 7.3.4.3 Liquid/fluid control 7.3.4.4 Strength properties 7.3.4.5 Drapeability |
| 45 | 7.4 Maintenance 7.4.1 Patching 7.4.2 Mending 7.4.3 Rewash |
| 46 | 7.4.4 Rejuvenation 7.4.5 Retirement or alternate use 8 Preparation and packaging 8.1 General rationale 8.2 Procedures 8.3 Folding 8.3.1 General considerations 8.3.2 Guidelines for folding gowns |
| 47 | 8.3.3 Guidelines for folding drapes 8.3.3.1 General considerations 8.3.3.2 Back table cover 8.3.3.3 Overhead table cover with skirt 8.3.3.4 Mayo stand cover 8.3.3.5 Sheets 8.3.3.6 Fenestrated drapes 8.3.3.7 Draping systems 8.3.3.8 Ancillary products |
| 48 | 8.4 Pack assembly 8.5 Wrapping 8.6 Labeling/identification of packs |
| 49 | 9 Handling, transport, and storage of laundered textiles 9.1 General rationale 9.2 Procedures 9.3 Personnel attire and hygiene 9.4 Handling clean/sterile textiles 9.5 Transport 9.5.1 General considerations 9.5.2 Method of transport |
| 50 | 9.5.3 Separation of clean/sterile and soiled textiles 9.5.4 Laundry cart cleaning, disinfection, and loading 9.5.4.1 Cleaning and disinfection 9.5.4.2 Loading 9.5.5 Truck cleaning and loading |
| 51 | 9.6 Storage 9.6.1 Storage conditions 9.6.2 Storage shelving 9.6.3 Stock rotation 10 Installation, operation, care, and maintenance of laundry equipment 10.1 General rationale |
| 52 | 10.2 Documentation 10.2.1 Identification 10.2.2 Safety 10.2.3 Manuals and installation/operating instructions 10.3 Installation 10.3.1 General considerations |
| 53 | 10.3.2 Utilities 10.3.2.1 General considerations 10.3.2.2 Water quality 10.3.2.3 Electrical power 10.3.2.4 Gas 10.3.2.5 Steam |
| 54 | 10.4 Operation 10.4.1 General considerations 10.4.2 Washing, extraction, and drying equipment 10.4.2.1 General considerations 10.4.2.2 Mechanical systems 10.4.2.3 Automated controls 10.4.3 Support systems 10.4.3.1 General considerations 10.4.3.2 Washer chemical delivery systems |
| 55 | 10.4.3.3 Water softeners 10.4.3.4 Water heaters 10.4.3.5 Boilers 10.4.3.6 Air compressors 10.4.3.7 Heat exchangers |
| 56 | 10.4.3.8 Water reuse systems 10.5 Routine care and maintenance 10.5.1 Routine care 10.5.2 Scheduled (preventive) maintenance 10.5.3 Unscheduled maintenance (repairs) 10.5.4 Calibration |
| 57 | 10.5.5 Recordkeeping 11 Quality control 11.1 General rationale 11.2 General quality control criteria 11.2.1 Functional performance criteria |
| 58 | 11.2.2 Verification of laundry processes 11.3 Policies and procedures 11.4 Barrier efficacy |
| 59 | 11.5 Tracking uses of reusable surgical textile products 11.6 Process performance 11.6.1 Quality assessment |
| 60 | 11.6.2 Quality process |
| 61 | 12 Medical device regulatory considerations |
| 62 | Annex A Examples of folding procedures |
| 65 | Annex B Bibliography B.1 Cited references |
| 67 | B.2 For further reading |
