Sterile Processing Skills Checklist

Sterile Processing

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Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency : -	1 = Never Performed	2 = Limited Experience	3 = Comfortable Performing	4 = Proficient
Frequency : -	1 = Never	2 = Sometimes	3 = Often	4 = Always

Age Specific Proficiency Frequency

Infant (Birth to 1year)

1

2

3

4

1

2

3

4

Toddler (1-3 years)

1

2

3

4

1

2

3

4

Pre-school (3-6 years)

1

2

3

4

1

2

3

4

School Age (6-12 years)

1

2

3

4

1

2

3

4

Adolescent (12-18 years)

1

2

3

4

1

2

3

4

Young Adult (18-30 years)

1

2

3

4

1

2

3

4

Mature Adult (30-60 years)

1

2

3

4

1

2

3

4

Elderly(>60 years)

1

2

3

4

1

2

3

4

Personal protective equipment (PPE) in decontamination

1

2

3

4

1

2

3

4

Precleaning

1

2

3

4

1

2

3

4

Soiled receiving

1

2

3

4

1

2

3

4

Sink arrangement

1

2

3

4

1

2

3

4

Manual cleaning techniques

1

2

3

4

1

2

3

4

Mechanical cleaning techniques

1

2

3

4

1

2

3

4

Brushes and cleaning tools

1

2

3

4

1

2

3

4

Handling sharps

1

2

3

4

1

2

3

4

Disposable items

1

2

3

4

1

2

3

4

Sending items for external maintenance

1

2

3

4

1

2

3

4

Water quality

1

2

3

4

1

2

3

4

Detergents

1

2

3

4

1

2

3

4

Ultrasonic cleaners

1

2

3

4

1

2

3

4

Irrigating sonics

1

2

3

4

1

2

3

4

Water disinfectors

1

2

3

4

1

2

3

4

Automated cart washers

1

2

3

4

1

2

3

4

Enzyme products

1

2

3

4

1

2

3

4

Instrument inspection

1

2

3

4

1

2

3

4

Pasteurizers

1

2

3

4

1

2

3

4

Flexible endoscopes

1

2

3

4

1

2

3

4

Rigid endoscopes

1

2

3

4

1

2

3

4

Leak testing endoscopes

1

2

3

4

1

2

3

4

Automated endoscope reprocessors

1

2

3

4

1

2

3

4

Paper materials

1

2

3

4

1

2

3

4

Packaging labeling

1

2

3

4

1

2

3

4

Heat sealing

1

2

3

4

1

2

3

4

Instrument count sheets

1

2

3

4

1

2

3

4

Preparing instrument trays

1

2

3

4

1

2

3

4

Instrument identification

1

2

3

4

1

2

3

4

Instrument inspection

1

2

3

4

1

2

3

4

Pass-thru window

1

2

3

4

1

2

3

4

Magnifying lamps

1

2

3

4

1

2

3

4

Light tables

1

2

3

4

1

2

3

4

Instrument testing

1

2

3

4

1

2

3

4

Lubricating instruments

1

2

3

4

1

2

3

4

Mutifaceted instruments

1

2

3

4

1

2

3

4

Demagnetizer

1

2

3

4

1

2

3

4

Rigid containers

1

2

3

4

1

2

3

4

Tray filters

1

2

3

4

1

2

3

4

Peel pouches

1

2

3

4

1

2

3

4

Reusable materials(e.g., woven,towels)

1

2

3

4

1

2

3

4

Disposable packaging material (eg., paper,flat wrap)

1

2

3

4

1

2

3

4

Protects instruments (e.g.,tip protectors, silicone mats,sleeves)

1

2

3

4

1

2

3

4

Tamper-evident seals

1

2

3

4

1

2

3

4

Wicking material (e.g., towels)

1

2

3

4

1

2

3

4

Wrapping techniques

1

2

3

4

1

2

3

4

Autoclave tape

1

2

3

4

1

2

3

4

Sending defective items for repair

1

2

3

4

1

2

3

4

Single-use instruments

1

2

3

4

1

2

3

4

Powered surgical instruments

1

2

3

4

1

2

3

4

Loaner instruments

1

2

3

4

1

2

3

4

Flexible endoscopes

1

2

3

4

1

2

3

4

Rigid endoscopes

1

2

3

4

1

2

3

4

Robotic instruments

1

2

3

4

1

2

3

4

Pneumatic-powered equipment

1

2

3

4

1

2

3

4

Implants

1

2

3

4

1

2

3

4

Biological indicators

1

2

3

4

1

2

3

4

Chemical indicators

1

2

3

4

1

2

3

4

Sterilizer cycle reports

1

2

3

4

1

2

3

4

Ethylene oxide

1

2

3

4

1

2

3

4

Hydrogen peroxide systems

1

2

3

4

1

2

3

4

Ozone sterilization

1

2

3

4

1

2

3

4

Tabletop sterilizers

1

2

3

4

1

2

3

4

Gravity air displacement sterilizers

1

2

3

4

1

2

3

4

Steam-flush pressure-pulse sterilizers

1

2

3

4

1

2

3

4

Prevacuum sterilizers

1

2

3

4

1

2

3

4

Immediate Use Steam Sterilization (IUSS)

1

2

3

4

1

2

3

4

Steam sterilization parameters

1

2

3

4

1

2

3

4

Loading/unloading sterilizers

1

2

3

4

1

2

3

4

Maintaining and cleaning sterilizers

1

2

3

4

1

2

3

4

Wet packs

1

2

3

4

1

2

3

4

Low to Intermediate-Level Disinfectants

1

2

3

4

1

2

3

4

High-Level Disinfectants

1

2

3

4

1

2

3

4

Minimum effective concentration (MEC) of the active ingredient

1

2

3

4

1

2

3

4

Vapor exposure levels

1

2

3

4

1

2

3

4

Cleaning noncritical Items and surfaces

1

2

3

4

1

2

3

4

Disinfectant labeling

1

2

3

4

1

2

3

4

Drying and storing endoscopes

1

2

3

4

1

2

3

4

Stock rotation

1

2

3

4

1

2

3

4

Shelf-life events that compromise sterility

1

2

3

4

1

2

3

4

Storage carts

1

2

3

4

1

2

3

4

Environmental conditions

1

2

3

4

1

2

3

4

Dust covers

1

2

3

4

1

2

3

4

Closed shelving

1

2

3

4

1

2

3

4

Semi-closed shelving

1

2

3

4

1

2

3

4

Open shelving

1

2

3

4

1

2

3

4

Shelf-life events that compromise sterility

1

2

3

4

1

2

3

4

Hazardous materials and sharps

1

2

3

4

1

2

3

4

Contaminated items

1

2

3

4

1

2

3

4

Event-related sterility

1

2

3

4

1

2

3

4

Leakproof, puncture-resistant containers

1

2

3

4

1

2

3

4

Endoscope storage cabinets

1

2

3

4

1

2

3

4

Transporting sterile items

1

2

3

4

1

2

3

4

Endoscopes

1

2

3

4

1

2

3

4

Entering and receiving sterile/unsterile inventory

1

2

3

4

1

2

3

4

Tracking packages

1

2

3

4

1

2

3

4

First-in, first-out (FIFO) system

1

2

3

4

1

2

3

4

Automated (PAR) levels for items

1

2

3

4

1

2

3

4

Preference card/pick list

1

2

3

4

1

2

3

4

Exchange cards

1

2

3

4

1

2

3

4

Radio-frequency identification (RFID)

1

2

3

4

1

2

3

4

Preparing case carts (RFID)

1

2

3

4

1

2

3

4

Attire (semi-restricted and restricted areas)

1

2

3

4

1

2

3

4

Testing/monitoring

1

2

3

4

1

2

3

4

Routine cleaning

1

2

3

4

1

2

3

4

Environmental standards

1

2

3

4

1

2

3

4

Negative/positive pressure airflow

1

2

3

4

1

2

3

4

Air exchange rate

1

2

3

4

1

2

3

4

Hand hygiene

1

2

3

4

1

2

3

4

Chain of infection

1

2

3

4

1

2

3

4

Biofilm formation

1

2

3

4

1

2

3

4

Personal protective equipment (PPE)

1

2

3

4

1

2

3

4

Traffic control

1

2

3

4

1

2

3

4

Spaulding Classification system

1

2

3

4

1

2

3

4

Record Keeping

1

2

3

4

1

2

3

4

Location safety data sheets (SDS)

1

2

3

4

1

2

3

4

Location of emergency eyewash stations

1

2

3

4

1

2

3

4

Following manufacturer’s instruction for use (IFU)

1

2

3

4

1

2

3

4

Ethical considerations

1

2

3

4

1

2

3

4

Legal responsibilities

1

2

3

4

1

2

3

4

Health Insurance Portability and Accountability Act (HIPAA)

1

2

3

4

1

2

3

4

Workplace safety

1

2

3

4

1

2

3

4

Scope of practice

1

2

3

4

1

2

3

4

Documentation

1

2

3

4

1

2

3

4

Professional development

1

2

3

4

1

2

3

4

Personal development

1

2

3

4

1

2

3

4

Job responsibilities

1

2

3

4

1

2

3

4

Therapeutic communication

1

2

3

4

1

2

3

4

Collaboration

1

2

3

4

1

2

3

4

Time management

1

2

3

4

1

2

3

4

Active listening

1

2

3

4

1

2

3

4

Confliction resolution

1

2

3

4

1

2

3

4

Years Experience in Clinical Specialty :

Most recent facility worked at :

*

I hereby certify that ALL information I have provided to Clover Health Services, on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.