I recently was given the task of ordering supplies for my clinic/urgent care/rural ED (but not a hospital) and I'm starting to do some research into current evidence based practices for steam sterilizing instruments with an autoclave. Primarily I'm looking into what cleaning agents we should be using for prep. Currently we use a detergent product (do not have the name in front of me) for initial soaking, and then use LpH to scrub prior to rinsing, drying, and autoclaving. We're wondering if LpH is more than we need for simple instruments (lac repair kits, forceps, etc) and we're finding it's doing damage to our instruments over time. We're currently using it because that's just what we've been using for years since someone way-back-when ordered it...we don't really have a good reason to back up why we use that particular product.
Does anyone have suggestions for where to start looking for info or have examples of what they do in their facility??