We check everything as we pull it from the cart. We also check as we're opening the stuff, and accepting the stuff.
The pack gets checked for holes in the dust cover, and in the pack itself.
If it's wrapped in paper, the non-sterile person picks up the paper and holds it up to the light to check for holes.
We check to make sure there are integrators and filters in the boxes. We also check and make sure none of the filters are cracked.
ANYTHING that is even questionable, it's considered unsterile. When in doubt, throw it out.
CS is responsible for packing and sterilizing things appropriately, but we're responsible for double-checking and the maintenance of the sterility.
Instead, this set made it through CSR unsterile, to the OR unsterile, put away on the shelf unsterile, and then to the OR for a case before it was caught by a ST that it was unsterile.
How was it determined that this was unsterile (integrator, holes, no filter)?