AAMI ST65 : 2008

Glossary of equivalent standards
Committee representation
Foreword
Introduction: Need for the recommended practice
1 Scope
   1.1 General
   1.2 Inclusions
   1.3 Exclusions
2 Definitions, symbols, and abbreviations
3 Design consideration
   3.1 General ratio
   3.2 Work area design and functional work flow
        3.2.1 Definitions of work areas
        3.2.2 Design criteria for work areas
        3.2.3 Functional work flow patterns
        3.2.4 Traffic control
   3.3 Physical facilities: laundry area
        3.3.1 Space requirements
        3.3.2 Mechanical systems
        3.3.3 Floors, walls, ceilings, and vents
        3.3.4 Ventilation
        3.3.5 Temperature and humidity control
        3.3.6 Lighting systems
        3.3.7 Handwashing facilities
        3.3.8 Emergency eyewash/shower equipment
        3.3.9 Soil-sort area
        3.3.10 Chemical storage area
        3.3.11 Storage area for clean textile packs
        3.3.12 Housekeeping
   3.4 Physical facilities: surgical pack assembly area
        3.4.1 Space requirements
        3.4.2 Mechanical systems
        3.4.3 Floors, walls, ceilings, and vents
        3.4.4 Ventilation
        3.4.5 Temperature and humidity control
        3.4.6 Lighting systems
        3.4.7 Hand hygiene facilities
        3.4.8 Storage area for clean textile packs
        3.4.9 Surgical pack sterilization area
        3.4.10 Sterile storage area
        3.4.11 Housekeeping
4 Personnel considerations
   4.1 General rationale
   4.2 Qualifications
        4.2.1 Supervisors/managers
        4.2.2 Personnel
   4.3 Training and education
   4.4 Health and personal hygiene
   4.5 Attire
        4.5.1 General
        4.5.2 Personal protective equipment (PPE)
5 Receiving and handling of reusable surgical textiles
   5.1 General rationale
   5.2 Newly purchased items
        5.2.1 Identification and handling
        5.2.2 Washing
   5.3 Collecting and transporting soiled surgical textiles
        5.3.1 Collecting soiled surgical textiles at the
               point of use
        5.3.2 Transporting soiled surgical textiles
   5.4 Sorting of soiled textiles
        5.4.1 General considerations
        5.4.2 Pre-sort systems
        5.4.3 Post-sort systems
6 Laundry processing recommendations
   6.1 General rationale
   6.2 Washing
        6.2.1 Procedures
        6.2.2 Loading of washing equipment
        6.2.3 Steps in the washing process: laundry formulas
   6.3 Drying
        6.3.1 Procedures
        6.3.2 Equipment loading
        6.3.3 Steps in the drying process: drying formulas
   6.4 Process monitoring
        6.4.1 Rationale for process monitoring
        6.4.2 Process monitoring: supplies
        6.4.3 Process monitoring: equipment operation
        6.4.4 Process monitoring: finished products
7 Inspection, testing, and maintenance of laundered textiles
   7.1 General rationale
   7.2 Visual inspection
        7.2.1 Quality standards
        7.2.2 Stains
        7.2.3 Physical defects
        7.2.4 Chemical or thermal damage
        7.2.5 Foreign debris
        7.2.6 Labeling
        7.2.7 Tracking system
   7.3 Testing
        7.3.1 Test procedures
        7.3.2 Microbiological cleanliness
        7.3.3 Effective life
        7.3.4 Important functional attributes
   7.4 Maintenance
        7.4.1 Patching
        7.4.2 Mending
        7.4.3 Rewash
        7.4.4 Rejuvenation
        7.4.5 Retirement or alternate use
8 Preparation and packaging
   8.1 General rationale
   8.2 Procedures
   8.3 Folding
        8.3.1 General considerations
        8.3.2 Guidelines for folding gowns
        8.3.3 Guidelines for folding drapes
   8.4 Pack assembly
   8.5 Wrapping
   8.6 Labeling/identification of packs
9 Handling, transport, and storage of laundered textiles
   9.1 General rationale
   9.2 Procedures
   9.3 Personnel attire and hygiene
   9.4 Handling clean/sterile textiles
   9.5 Transport
        9.5.1 General considerations
        9.5.2 Method of transport
        9.5.3 Separation of clean/sterile and soiled textiles
        9.5.4 Laundry cart cleaning, disinfection, and loading
        9.5.5 Truck cleaning and loading
   9.6 Storage
        9.6.1 Storage conditions
        9.6.2 Storage shelving
        9.6.3 Stock rotation
10 Installation, operation, care, and maintenance of laundry
   equipment
   10.1 General rationale
   10.2 Documentation
        10.2.1 Identification
        10.2.2 Safety
        10.2.3 Manuals and installation/operating instructions
   10.3 Installation
        10.3.1 General considerations
        10.3.2 Utilities
   10.4 Operation
        10.4.1 General considerations
        10.4.2 Washing, extraction, and drying equipment
        10.4.3 Support systems
   10.5 Routine care and maintenance
        10.5.1 Routine care
        10.5.2 Scheduled (preventive) maintenance
        10.5.3 Unscheduled maintenance (repairs)
        10.5.4 Calibration
        10.5.5 Recordkeeping
11 Quality control
   11.1 General rationale
   11.2 General quality control criteria
        11.2.1 Functional performance criteria
        11.2.2 Verification of laundry processes
   11.3 Policies and procedures
   11.4 Barrier efficacy
   11.5 Tracking uses of reusable surgical textile products
   11.6 Process performance
        11.6.1 Quality assessment
        11.6.2 Quality process
12 Medical device regulatory considerations
Annexes
A - Examples of folding procedures
B - Bibliography

Describes guidelines for properly handling, processing, and preparing of reusable surgical textiles for use in health care facilities.