By Craig Wallace
Protecting the patient is the objective of all infection prevention programs. Safe and effective processing of medical devices that have been used in surgery and patient care is a critical element of every healthcare infection prevention program. The sterilization processes used in healthcare are designed to kill all microorganisms on the medical devices, rendering them sterile. The problem, of course, is that you can’t see sterility. You can’t just look at the instruments after processing and decide if they are sterile and safe for use on a patient. You need a quality testing system designed to provide you with the information you need to decide if the instruments are safe for patient use.
Learning Objectives
- Discuss the key elements of sterilization quality control.
- Review the information provided by sterilization monitoring tests.
- Examine the current best practice recommendations for sterilization monitoring.
About the Author

Craig Wallace, President of Wallace Sterilization Consulting, LLC, has over 26
years of experience in the field of medical device disinfection and sterilization.
Craig is the Convenor of the ISO Biological Indicator Working Group (TC 198, Working Group 4), the ISO committee responsible for international biological indicator performance standards, as well as a U.S. Technical Expert for Chemical Indicators (ISO WG 6) and Moist Heat Sterilization (WG 3). He is also the Co-Chair of the United States (AAMI) Biological Indicator Working Group,
and an active member of several other AAMI working groups including chemical
indicators, vaporized hydrogen peroxide sterilization, and ethylene oxide sterilization.

Critical Connections: Improving SP and OR Synergy
Sterilization Quality Control: Your Path to Protecting Your Patients
Ensuring Success: Become a Preceptor for Robotic Assisted Surgery Instruments in the Sterile Processing Department
Lost in Translation: Ethical Dilemmas in Medical Manufacturing Instructions
What Sterile Processing Should Know About Multidrug-Resistant Organisms (MDRO)
Making the Right Choice for Sterile Processing Consumable Stock Outages
UV-C Disinfection Technologies: How it works and what are the current applications for health care settings
The Differences Between Peracetic Acid High-level Disinfectants and Sterilants
The Mystery of Bowie & Dick: Alterations in the Vacuum on Your Sterilizer Throughout the Year
Meeting the Challenges of Endoscope Reprocessing and Documentation
Education Nation: Sterile Processing Quality Management Systems
Product testing: The overlooked 4th pillar of a robust sterilization process monitoring program
Importance of Water Quality for Medical Device Reprocessing
Mechanical Cleaning Safety: A Tale of Two Sides
Sterilization Choices for the SPD
When Is Disposable the Right Choice for SPD?
Education Nation: Sterile Processing Leadership Planning Sessions
How Safe Is Your Sink?
Sterile Processing Education – The balancing act between documentation and application
Moisture Absorption Devices….No This Is Not a Wet Pack Article
Positive Biological Indicators
Washer disinfector release for use after maintenance
Beyond the visual: The importance of quality cleaning verification programs
Education nation: Creating Sterile Processing Department SOPs
Cross out cross contamination in endoscope processing
What’s new in AAMI ST79:2017? A review
Healthcare soils 101: Identifying and removing them
Expiration dating in the SPD
The Science of Speed
The fantastic four: Sterile processing, operating room, quality and education
Ugh! Another wet pack. What’s a technician to do?
Sterilization quality control: Validation, routine monitoring go hand in hand
Manual cleaning – The critical human element
Water for cleaning medical devices
Can you afford to ignore obsolescence?
Automatic Equipment and Productivity in a Sterile Processing Department
External Transport of Medical Devices
Troubleshooting Washer-Disinfector Performance

