The Compliance Conversation: Navigating Variations in Sterile Processing Practices

Because of the variety of guidelines for instrument processing and sterilization (eg, government regulations on infection prevention and control [IPC], manufacturers' instructions for use, publications from professional organizations), practices may vary from one country or facility to another. The Joint Commission recommends that when creating or revising IPC-related policies, organizations should use a hierarchical model to address relevant IPC requirements. Joint Commission International accredits health care organizations outside the United States using standards and a survey process similar to, but not the same as, The Joint Commission. During a survey, perioperative nurses should use facility policies and procedures to provide evidence of compliance with regulations, guidelines, and best practices for surgical instrument processing. This article provides an overview of national and international IPC guidelines, the hierarchical models for organizations to use to update policies at their facilities, and differences in sterilization load release practices inside and outside the United States.