Flash sterilization refers to steam sterilization that does not utilize a full or terminal cycle. The Joint Commission defines flash sterilization as the process of sterilizing unwrapped instruments using steam for three minutes, at 270 °F at 27-28 pounds of pressure.
The three critical steps included in the Joint Commission’s update include:
- Cleaning and decontamination — Facilities must remove all visible soil prior to sterilization and have manufacturers’ instructions are available for all instruments.
- Sterilization — Steam sterilization of all types, including flashing, must meet parameters (time, temperature and pressure) specified by both the manufacturer of the sterilizer, the maker of any wrapping or packaging and the manufacturer of the surgical instrument. In addition to these instructions, parametric, chemical and biological controls must be used as designed and directed by their manufacturers.
- Storage or return to the sterile field — Each sterilized instrument must be carefully protected to ensure that it is not re-contaminated. Instruments subjected to steam sterilization using methods other than full cycle sterilization may be transported in “flash pans” or other devices specifically designed for the prevention of contamination during and after the steam process. For full steam sterilization cycles, packs of instruments should be wrapped and sealed.
Joint Commission surveyors will update their survey processes in order to reflect these updates.
Read the Joint Commission’s news release on its updated position on flash sterilization.
