Preparation and packaging (21%)

Inspect before you wrap

Preparation and packaging is 21 percent of the outline. Clean is not the same as functional. You look for residual soil, check sharpness and insulation where the IFU calls for it, take broken instruments out of service, and lubricate only the way the IFU describes. Count sheets are the checklist, not a suggestion.

Instrument protection, stringers, and weight distribution exist so the sterilant can reach every surface and so the set is safe to lift. The maximum weight is whatever the container IFU and facility policy say, for penetration, drying, and ergonomics. Do not invent a heavier tray because the case is short.

Package, close, label

Paper-plastic pouches are a steam package. Write on the plastic side, not the paper. Cellulose packaging is a problem for hydrogen peroxide processes; use the packaging the low-temperature sterilizer's IFU allows. Rigid containers need intact filters, gaskets, and locks, plus an external indicator.

Every package gets an internal chemical indicator and an external process indicator. Labels belong on tape, not scribbled across a wrapper. Include the set name, sterilizer and load, date, and your identifier so a recall can find the set later.