1. Autoclave that monitors time, temp and pressure, preferably with printout
2. Unidirectional flow of instruments with no crossovers
3. Load logs which may include the printed “receipt” of a successful load
4. Proper size packaging for each instrument or set
5. Correct indicators/integrators used in each pack
6. Spore testing logs — staff should explain how they do it, what is “positive” and what is “negative”
7. Preventive maintenance records, cleaning documentation
8. Written policies and procedure
9. Proper products — enzymatic or instrument cleaner, etc.
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