What does SANITIZE mean? "to free from dirt, germs, etc., as by cleaning or sterilizing."
What does CLEAN mean? "free from dirt, marks, or stains."
What does DISINFECT mean? "clean (something), especially with a chemical, in order to destroy bacteria."
What does STERILIZE mean?: "make (something) free from bacteria or other living microorganisms."
This means that the overall process is to SANITIZE, the three steps in that process are to clean, to disinfect, and to sterilize. Washington state requires us to do the first two steps, we have always cleaned our implements with hot water, antibacterial soap, and a brush. This removes the debris from the implements and cleans them. Then we rinse with hot water, and place the implements in a disinfection solution, usually we use Barbicide, for ten minutes. We remove the implements, rinse in hot water, dry them and either use them or store them in a tub for the next service.
Sterilization of implements is not required, only two state do require sterilization. One of the arguments against sterilizing implements is that the environment we work in is not sterile, like an operating room in a hospital is, so sterilized implements are no longer sterile as soon as you take them out of the pouch. Buuuut it seems to us that they would be much cleaner even in our non-sterile environment! So we have updated our "sanitation process" to the following: