Table B: Standard Recommendations for Flash Sterilization
CHARACTERISTICS OF ITEM(S) TO BE STERILIZED
GRAVITY
VACCUME
Nonporous
Non-Lumened
3 minutes @270°F (132°C) with no weight restrictions, load size restrictions, or density restrictions
Instruments must be properly decontaminated.
3 minutes @270°F with no weight restrictions, load size restrictions, or density restrictions. Instruments must be properly decontaminated
Porous
Lumened
Mixed Loads
10 minutes @270°F with no weight restrictions, load size restrictions, or density restrictions. Instruments must be properly decontaminated
4 minutes @270°F with no weight restrictions, load size restrictions, or density restrictions. Instruments must be properly decontaminated
Complex Instrumentation
Power Instrumentation
Special Substances
Please see Table D. Comply with manufacturers recommendations. Observe not only the sterilization parameters, but also adhere to drying recommendations and cool down protocols to prevent instrument damage. Never immerse, wrap in a moist towel, or run a hot power instrument in an attempt to cool it down. This will lead to premature ware to motor and bearings.
Generally a much shorter cycle. Please see Table D. Comply with manufacturers recommendations. Observe not only the sterilization parameters, but also adhere to drying recommendations and cool down protocols to prevent instrument damage. Never immerse, wrap in a moist towel, or run a hot power instrument in an attempt to cool it down. This will lead to premature ware of motor and bearings.
Implants
Not Recommended. If necessary, use a 10 minute cycle @ 270° F. You must run a biological indicator with the implant and report any adverse readings to the surgeon and infection control.
Not Recommended. If necessary, use a 4 minute cycle @ 270° F. You must run a biological indicator with the implant and report any adverse readings to the surgeon and infection control.
Record Keeping for Flash Sterilization.
Document the following for each cycle
1. The patients name or hospital ID
2. The load contents
3. The type and identification # of the autoclave
4. The parameters of the cycle used:
a. Cycle type: Gravity or Vacuum
b. Exposure time
c. Temperatures
5. The date and time of the cycle
6. Results of any internal chemical or biological indicators.
Document the following for each cycle
1. The patients name or hospital ID
2. The load contents
3. The type and identification # of the autoclave
4. The parameters of the cycle used:
a. Cycle type: Gravity or Vacuum
b. Exposure time
c. Temperatures
5. The date and time of the cycle
6. Results of any internal chemical or biological indicators.
For a complete list of references click here
From the Derby to the Decontam Room: Leadership Lessons for Sterile Processing
April 27th 2025Elizabeth (Betty) Casey, MSN, RN, CNOR, CRCST, CHL, is the SVP of Operations and Chief Nursing Officer at Surgical Solutions in Overland, Kansas. This SPD leader reframes preparation, unpredictability, and teamwork by comparing surgical services to the Kentucky Derby to reenergize sterile processing professionals and inspire systemic change.
Show, Tell, Teach: Elevating EVS Training Through Cognitive Science and Performance Coaching
April 25th 2025Training EVS workers for hygiene excellence demands more than manuals—it requires active engagement, motor skills coaching, and teach-back techniques to reduce HAIs and improve patient outcomes.
The Rise of Disposable Products in Health Care Cleaning and Linens
April 25th 2025Health care-associated infections are driving a shift toward disposable microfiber cloths, mop pads, and curtains—offering infection prevention, regulatory compliance, and operational efficiency in one-time-use solutions.