white film on instruments

[Eva B]

We have just started having a white film on our instruments after sterilization. We are having the water and steam tested. The OR is concerned that the instruments are not sterile. Any suggestions???::

[pitbull]

What enzyme and lube's are you using for the instruments? No if there is a film the instruments are not sterile under the film.

[Eva B]

What enzyme and lube's are you using for the instruments? No if there is a film the instruments are not sterile under the film.

Thanks that is what I thought I just wanted to make sure.

[Eva B]

Ecolab is the brand. Thanks

[gphillips]

It is probably neutralising amines from the steam. Check with whoever provides the steam.

[jrc]

Some questions to ask to track down the source of the film:
*Is the film on handwashed items, as well as mechanically washed items? If so, you can rule out the washers as the source.
*Is the film on items sterilized in your low-temperature units, as well as your steam autoclaves? If so, you can rule out your autoclaves.
*What in your processes has changed recently? Are you using any new detergents, lubricants, enzymatic cleaners? Have you recently cleaned your sterilizers any differently than before? Do you have a new source of purified water?
*Have you just had service on your boilers or steam pipes?

[pnothum]

If you are routinely cleaning your sterilizer chamber and the cleaning compound you use is not completely rinsed off you will get a white film. Also, if you are using reusable towels in your sets, check with your laundry--if they have changed processes it can affect the rinsing of soap from the towels. A quick way to test if there is still soap residue in your reusable linen is to get a basin of water and swich a towel in it. It will be apparent if there is any soap residue.