Sterile Processing Tech Skills Checklist

STERILE PROCESSING TECH SKILLS CHECKLIST

One program to handle all talent management needs from acquisition to development

Personal Information

Hidden

Overall Score

Name(Required)

First Middle Last

Last 4 Digits of Social Security Number

Email(Required)

Hidden

Date

Proficiency Scale

1 – No Experience
2 – Need Training
3 – Able to perform with supervision
4 – Able to perform independently

Work Settings

Inpatient hospital(Required)

Level 1 trauma center(Required)

Outpatient setting(Required)

Processing

Single instruments(Required)

Endoscopes(Required)

Repair(Required)

Sets/ Trays(Required)

Care of instruments(Required)

Decontamination

Manual cleaning(Required)

Washer sterilizer(Required)

Ultrasonic Cleaner(Required)

Soiled linen(Required)

Chemical Agents for Decontamination(Required)

Disinfectants(Required)

Sharps(Required)

Disposable items(Required)

Cleaning equipment(Required)

Detergents(Required)

Assembly and Preparation

Selection of wrapping materials(Required)

Wrapping procedure(Required)

Autoclave tape(Required)

Selection of sterilization tapes(Required)

Dust covers(Required)

Proper towel/ linen folding(Required)

Proper labeling standards(Required)

Expiration dates(Required)

Assembly of peel pack items(Required)

Heat sealing(Required)

Instrument count sheets(Required)

Instrument Set Assembly(Required)

Assembly and Preparation cont.

Preparation of hard instrument containers(Required)

Physician preference cards(Required)

Case picking(Required)

Sterile storage standards(Required)

Tests

Test control(Required)

Recording(Required)

Safety Procedures

Dress Code(Required)

Protective Attire(Required)

Standard Precautions(Required)

Sharps Handling(Required)

Managing Biohazardous waste(Required)

Specialty Equipment Processing

General(Required)

Cardiac(Required)

Endoscopy(Required)

Laparoscopic(Required)

Neurology(Required)

OB/GYN(Required)

Ophthalmology(Required)

Orthopedics(Required)

Plastics(Required)

Robotics(Required)

Urology(Required)

Pediatrics(Required)

Sterilization - 1. Steam Autoclave

Gravity Displacement(Required)

Prevacuum(Required)

Flash(Required)

Sterilization - 2.Sterility Assurance Tests

Bowie Dick(Required)

Biological(Required)

Chemical(Required)

Sterilization - 3.Steam Sterilization

Load documentation(Required)

Cart loading(Required)

Testing validation procedures(Required)

Trouble shooting(Required)

Sterilization - 4.Gas (ETOH)

Load Documentation(Required)

Loading procedures(Required)

Testing validation procedures(Required)

Trouble Shooting(Required)

Sterilization - 5.Sterrad

Load documentation(Required)

Loading procedures(Required)

Testing validation procedures(Required)

Trouble shooting(Required)

Sterilization - 6.Steris

Load documentation(Required)

Tray Loading procedures(Required)

Testing validation procedures(Required)

Trouble shooting(Required)

Computer Charting/EMR

Other Computerized System(Required)

Computerized Physician Order Entry(Required)

Bar Coding for Medication Administration(Required)

Age Specific Practice Criteria

Newborn/Neonate (birth - 30 days)(Required)

Infant (30 days - 1 year)(Required)

Toddler (1 - 3 years)(Required)

Preschooler (3 - 5 years)(Required)

School age children (5 - 12 years)(Required)

Adolescents (12 - 18 years)(Required)

Young adults (18 - 39 years)(Required)

Middle adults (39 - 64 years)(Required)

Older adults (64+ years)(Required)

Authorizations

Legal Consent(Required)

I agree to the terms and conditions.

Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures

Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. By signing this document you are agreeing that you have reviewed this Consumer Disclosure and consent and intend to transact business electronically; to use electronic signatures instead of wet ink signatures and paper documents, and to receive notices and disclosures electronically.

You are not required to sign documents electronically or to receive notices and disclosures electronically. If you prefer not to transact business electronically, you may request paper copies from the “sending party” and withdraw your consent at any time, as described below.

Scope of Consent
By utilizing this Service, you agree to receive electronic signature documents with all related and identified documents, notices, and disclosures provided during your relationship with the “sending party.” You may withdraw your consent, at any time, by following the procedures outlined below.

Paper Copies
You are not required to sign documents electronically, or receive notices or disclosures electronically, and may request paper copies of documents or disclosures, if you prefer. You also have the ability to download and print any signed or unsigned documents sent to you through the electronic signature service. We may also email you a copy of all documents you sign using the electronic signature service. If you wish to receive paper copies instead of electronic documents you may close this web browser and request paper copies from the “sending party” by following the procedures outlined below. The “sending party” may apply a charge for additional expenses incurred by printing and mailing paper copies.

Withdrawal of Consent
You may withdraw your consent to receive electronic documents, notices or disclosures at any time. In order to withdraw consent you must notify the “sending party” that you wish to withdraw your consent to transact business electronically and to provide your future documents, notices, and disclosures in paper format. If at any time, after withdrawing your consent you choose to use our electronic signature system your use of this Service will, once again, evidence your consent to receive documents, notices, and disclosures, electronically. You may withdraw your consent to receive electronic notices and disclosures or execute an electronic signature by following the procedures described below.

Withdrawing your consent, requesting a paper copy, or updating your contact information
You always have the ability to download and print any documents sent to you through our electronic signature system. To withdraw your consent to conduct business electronically, sign documents electronically, and receive documents, notices, or disclosures electronically, please contact the “sending party” directly; by telephone, by email (sent to the “sending party” with any of the topics outlined below stated in the subject line of your email) or by postal mail to their mailing address specified to receive such notices.

“Withdrawal of Consent To Transact Business Electronically” To allow the “sending party” to identify and facilitate your withdrawal of consent to transact business electronically, please provide your name, email address, the date on which you are withdrawing your consent, your telephone number and mailing address.

“Requesting A Paper Copy” To allow the “sending party” to identify you to provide a paper copy of the document requiring your signature, the notice, or disclosure, please provide the sending party with your name, email address, mailing address, telephone number, and name of the document of which you are requesting a paper copy .

“Update Your Contact Information” To allow the “sending party” to identify you in order to update your contact information, please provide them with your name, email address, mailing address, and telephone number.

The “sending party” will inform you of any fees related to costs for printing and mailing paper copies or your withdrawal consent to transact business electronically.

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