Policy

Instrument Decontamination & Sterilisation Policy

The decontamination cycle from point of use to sterile storage, autoclave testing and validation, and the records that make sterility demonstrable

For Podiatry & ChiropodyRef BS-POD-POL-007See a sample (PDF) →
£44.99
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  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This policy is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. Single-use and single-patient-use
  • 6. The decontamination cycle
  • 7. Autoclave testing and validation
  • 8. Traceability
  • 9. Environment and staff safety
  • 10. Roles and responsibilities
  • 11. Training and competence
  • 12. Records, monitoring and audit
  • 13. Version control and review
  • 14. Common failure modes
  • 15. Appendix A - Daily autoclave check record
  • 16. Appendix B - Cycle and load record
  • 17. Related documents
  • 18. Disclaimer

CQC fundamental standard

Regulation 12 (Safe care and treatment)
This document is written to evidence that standard. Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Legislation & standards it maps to

  • Health and Social Care Act 2008: code of practice on the prevention and control of infections, and related guidance
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - in particular Regulation 12 (Safe care and treatment), Regulation 15 (Premises and equipment) and Regulation 17 (Good governance)
  • Control of Substances Hazardous to Health Regulations 2002 (COSHH)
  • Pressure Systems Safety Regulations 2000 - written scheme of examination for autoclaves
  • Medical Devices Regulations 2002 (SI 2002/618, as amended)
  • Health and Safety at Work etc. Act 1974 and the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013

Who it applies to

All clinical and assisting staff handling instruments, and the infection prevention lead, clinical lead and registered manager of [Organisation Name]

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Autoclave
A machine that sterilises instruments using pressurised steam.
Automatic control test
A check that the machine actually reached the temperature and pressure it was supposed to.
Bowie-Dick / Helix test
Tests that check steam is reaching right into a wrapped or hollow instrument.
Competent person
Someone with the training and authority to examine pressure equipment under the safety regulations.
Decontamination
The whole process of cleaning, disinfecting and sterilising instruments so they are safe to reuse.
Non-vacuum (type N) autoclave
A simpler steriliser suitable only for plain, unwrapped instruments used straight away.
Pouching
Sealing an instrument in a special bag before sterilising, so it stays sterile until opened.
Single-use
Marked to be used once and thrown away. It must never be cleaned and reused.
Sterile
Free from living micro-organisms.
Traceability
Being able to link the instruments used on a patient back to a particular sterilisation cycle.
Ultrasonic bath
A cleaning machine that uses high-frequency sound waves in water to loosen soil from instruments.
Vacuum (type B) autoclave
A steriliser that removes air first, so steam can reach inside pouches and hollow instruments.
Washer-disinfector
A machine that cleans and disinfects instruments automatically before sterilisation.
Written scheme of examination
The legally required plan for how and when a pressure vessel such as an autoclave is inspected.

How it works

  1. Buy securely with Stripe - instant, no VAT, no account needed.
  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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