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Most likely to accur during international travel, Those which occur in the course of being treated in the hospital, On the handles to check proper identification, Placing hot or warm packages in cold surfaces, It depends on the water temperature and exposure time, Not all endoscopes can be processed in the AER, Ultrasonic cleaning is the process of choice for endoscopes, Flexible endoscopes are not easily damaged, All endoscopes should be steam sterilized, Allow air removal,steam penetration and facilitate drying, Cushion instruments from the extreme force in steam sterilizer chambers, Hold water away from the bottom of instrument trays, The way in which the most packages can be placed in the sterilizer, Lock the handles to prevent damage during sterilization, Arrange the instruments in alphabetical order, Arrange the instruments in the order of their use, Unlock the handles and open the instruments, The use of flash sterilization be minimized or decreased, Flash sterilization be performed in only one sterilizer per facility, Healthcare facility get FDA approval for flash sterilization, Only central service technicians operate flash sterilizers, Should be flash sterilized in extended cycles, Should only be sterilized using ethylene oxide. 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