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Ensure Safe, Compliant Water for Sterile Processing

Ensure compliance and protect patient safety with central sterilization processing solutions tailored for the healthcare and hospital industry.
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Meet AAMI ST108 Compliance in Sterile Processing

Sterile processing departments have a lot to manage, with water and steam touching nearly every step. If water purity doesn’t meet ANSI/AAMI ST108 requirements for cleaning, rinsing, or sterilization—or you can’t document that it does—patient risk increases and surveyors can cite noncompliance.

Apex is a full-service solution provider for SPD water and steam under ST108. In a single monthly program we can:

  • Assess and upgrade critical water treatment systems
  • Deliver preventative maintenance
  • Provide scheduled service and disinfections
  • Perform compliance testing for utility and critical water
  • Implement Water Management Programs (WMPs).

Our team trends results, maintains documentation, and guides corrective actions so your team stays safe, compliant, and inspection-ready.

Watch this short video to see how team Apex can help you stay compliant and optimize your sterile processing operations to protect your patients, your team and your community.

 

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Download Our SPD Program Guide

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Video: ST108 Standard Overview

Video: Apex SPD Service Programs

Apex Healthcare ST108 Compliance Self-audit Checklist

This self-audit checklist has been developed by Apex as a complimentary professional resource to assist Sterile Processing personnel, Water Management Specialists, and facility leadership in assessing current readiness for ANSI/AAMI ST108:2023 compliance. This tool is provided for informational and educational purposes only. It is not intended to constitute legal, regulatory, accreditation, engineering, or clinical advice, nor does it replace a formal compliance review, independent validation, or professional consultation.

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Central Sterile Processing Solutions

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Reverse Osmosis Systems

An affordable line of RO systems designed in small footprint for high purity water applications.

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SteriOne TF System

A complete water treatment system for small hospitals, surgery centers, dental offices, and eye clinics.

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SteriOne RL System

A complete, plug & play solution for distribution & disinfection of high purity loops.

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Electro Deionizer

Produce high quality deionized water without the expense of chemicals, labor and service associated with exchange tanks.

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AquaMed System

The ultimate solution for producing high quality water on demand for dentistry, eye clinics and other small surgical applications.

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Water Storage Tank

Designed for pure water storage with minimal bacteria growth.

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Apex Water Safety Management Programs

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Utility & Critical Water and Steam Compliance Testing

Accredited testing and reporting to verify that your water and steam meet AAMI ST108 and other regulatory standards.

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Water Management Plans

Custom WMPs designed to meet CMS, CDC, and ASHRAE requirements—keeping your facility compliant and audit-ready.

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Point of Use Filtration

Targeted filtration solutions that protect high-risk areas and reduce exposure to waterborne pathogens.

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Proactive Equipment Maintenance Programs

Scheduled service and preventive care to reduce downtime, extend system life, and keep sterile processing running smoothly.

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Trusted by 350+ Hospitals and Surgical Centers Nationwide

The Best Water Treatment Company

“Apex is exceptional at listening to customer needs and executing plans to maintain chemistry. Hands down, the best water treatment company and vendor I’ve worked with so far.”

Facilities Manager, VA Hospital in the Western Region

Thorough Testing Procedure

“Our team at Apex offers alternatives and makes adjustments as our needs change. They also implement thorough testing procedures and ensure results are accurate.”

Operations Manager, Regional Medical Center in the Midwest

Unmatched Commitment to Quality

“What truly sets our Apex account manager apart is their willingness to go above and beyond. They implement innovative solutions, adapt to unforeseen challenges, and deliver results that exceed expectations. Their attention to detail and commitment to quality are unmatched.”

Facilities Supervisor, Regional Hospital in the Southwest

We’ve Seen Significant Improvements

“Since Apex took over, we’ve seen significant improvements in our water treatment results. We are now preparing to clean and flush our main chiller loop, thanks to their expertise.”

Senior Manager – Facilities Operations, Medical Center in the Western Region

An Invaluable Partner

“Our Apex representative is always available to answer questions and address our needs. Their positive outlook and willingness to train our team on water testing—even on unscheduled days—make them an invaluable partner. Their commitment to excellence shines in everything they do.”

Associate Manager – Facilities Operations, Regional Medical Center in the Western Region

Utmost Professionalism

“Our Apex representative always goes out of their way to explain what needs to be done to get our water chemistry right. They respond to questions promptly and conduct themselves with the utmost professionalism.”
Maintenance Manager, Senior Living Facility in the Midwest

Why Sterile Processing Departments Choose Apex

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Simplified Compliance

Ensure adherence to AAMI ST108, CMS, and Joint Commission standards with proven solutions and simplified budget management—a simple monthly payment plan.
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Tailored Solutions

Our flexible water safety solutions can meet your sterile processing needs no matter how complex your water system or how specialized your working demands may be.
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Reliable Sterilization Operation

Maintain high-purity water and safeguard critical equipment with customized treatments designed for CSP operations to maximize your efficiency and performance.
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Continuous Support & Monitoring

Prevent downtime and maintain peak performance with 24/7 remote monitoring, expert guidance, and proactive system maintenance.

Featured Apex Articles

Efficacy of Secondary Disinfection against Opportunistic Waterborne Pathogens

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Practical Recommendations for Meeting the Objectives of the CMS Memorandum

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CMS QSO-17-30 Legionella Requirement

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AAMI ST108: Water for Processing of Medical Devices

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Frequently Asked Questions

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How do AAMI standards impact our sterile processing department?

AAMI standards set the expectations for water quality, sterilization practices, and documentation. For SPDs, compliance with ANSI/AAMI ST108 is critical. If your water used for cleaning, rinsing, or sterilization doesn’t meet requirements — or if you can’t document that it does — you risk patient safety and surveyor citations.

What steps can we take to stay compliant with ST108?

Your sterilization processing department can stay compliant by:

  • Performing regular water and steam testing
  • Scheduling preventative maintenance and disinfections
  • Maintaining documentation and trending results
  • Implementing a Water Management Program (WMP) aligned with CMS, CDC, and ASHRAE standards

Working with a full-service partner ensures you’re audit-ready and can focus on patient care.

What support is available for central sterile processing departments managing compliance?

Apex provides single-program support for central sterile processing departments, including assessments, system upgrades, preventative maintenance, compliance testing, and corrective guidance. Our team maintains your documentation, trends results, and ensures your SPD is inspection-ready.

Need ST108 managed end-to-end for your Sterile Processing Department?

Partner with Apex today to ensure compliance, protect patient safety, and maintain peak performance.

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