Documentation (Box B), in the form of a log, is an absolute requirement of quality assurance. The sterilization monitoring record (SMR), the fourth component of quality assurance, provides evidence the monitoring process is ongoing and that the cycle parameters are being confirmed in a timely manner by all appropriate indicators. The SMR also provides a mechanism for determining if a recall is indicated and, in combination with the date and sterilizer number on each pack, the extent of the recall. Finally, the SMR establishes accountability.2,3
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