ASC Coverage Guidelines

Single Use Devices

Practices to be Assessed Was Practice performed? Manner of confirmation
A.If single-use devices are reprocessed, they are devices that are:

a. Approved by the FDA for reprocessing

b. Reprocessed by an FDA-approved reprocessor

(Choose N/A if single-use devices are never reprocessed and used again)

(Surveyor to confirm there is a contract or other documentation of an arrangement for off-site sterilization by viewing it)
1 Yes 2 No 3 N/A
1 Yes 2 No 3 N/A
4 Observation 5 Interview 6 Both
4 Observation 5 Interview 6 Both

Sterilization

Practices to be Assessed Was Practice performed? Manner of confirmation
A. Critical equipment is sterilized 1 Yes 2 No 3 N/A 4 Observation 5 Interview 6 Both
B. Are sterilization procedures performed on site?

If No, Skip to “F”

(A “No” answer does not result in a citation, since ASCs are permitted to provide for sterilization off-site under a contractual arrangement)

(Surveyor to confirm there is a contract or other documentation of an arrangement for off-site sterilization by viewing it)

If YES, please indicate method of sterilization,

___Steam autoclave
___Peracetic acid
Other (specify): ___________
1 Yes 2 No 3 N/A
1 Yes 2 No 3 N/A
4 Observation 5 Interview 6 Both
4 Observation 5 Interview 6 Both
C. Items are pre-cleaned according to manufacturer’s instruction or evidence-based guidelines prior to sterilization 1 Yes 2 No 3 N/A
1 Yes 2 No 3 N/A
4 Observation 5 Interview 6 Both
4 Observation 5 Interview 6 Both



  • Millennium-Surgical-Testimonial-7
  • Millennium-Surgical-Testimonial-6
  • Millennium-Surgical-Testimonial-5
  • Millennium-Surgical-Testimonial-4
  • Millennium-Surgical-Testimonial-1
  • Millennium-Surgical-Testimonial-3
  • Millennium-Surgical-Testimonial-2
  • Millennium-Surgical-Testimonial-9
  • Millennium-Surgical-Testimonial-8
  • Millennium-Surgical-Testimonial-6
  • Millennium-Surgical-Testimonial-5
  • Millennium-Surgical-Testimonial-4
  • Millennium-Surgical-Testimonial-1
  • Millennium-Surgical-Testimonial-3
  • Millennium-Surgical-Testimonial-2

img satisfaction

surgical instrument sterilization catalog

Free App!

Surgical Instruments App Android
Surgical Instruments App iPhone

inc 500-MS

An Inc. Magazine "Fastest Growing Company" in 2011, 2012, 2016, and 2017.

Follow Us

linkedin 32 Millennium Surgical Facebook Millennium Surgical Twitter Millennium Surgical Blog Wordpress Millennium Surgical YouTube