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National Certificate: Specialist Hygiene and Cleaning Services NQF LEVEL 2 QUAL ID: 36233 SAQA:110440 Clean and sterilise operating theatre central supply items CREDITS: 16 NQF LEVEL: 02 LEARNER GUIDE Module : 04- Clean, Sterilize and Disinfect Healthcare Areas

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Page 1: National Certificate: Specialist Hygiene and Cleaning ... · National Certificate: Specialist Hygiene and Cleaning Services NQF LEVEL 2 ... (CSSD items) in hospitals and ... different

US ID:110440 Page1

Learner Guidev1 ©ympg ReviewDate:June2014

National Certificate:

Specialist Hygiene and Cleaning Services

NQF LEVEL 2

QUAL ID: 36233

SAQA:110440 Clean and sterilise operating

theatre central supply items

CREDITS: 16

NQF LEVEL: 02

LEARNER GUIDE

Module : 04- Clean, Sterilize and Disinfect

Healthcare Areas

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TABLE OF CONTENT

Unit: 01 Prepare to clean and sterilise items. 14

Unit: 02 Cleans and disinfects operating

theatre CSSD items.

37

Unit: 03 Sterilises operating theatre CSSD

items.

57

Unit: 04 Controls the central sterile supply

department store.

75

Unit: 05 Perform end of shift procedures. 96

RESOURCES

103

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SECTION A: PROGRAMME/MODULE INFORMATION

1. Introduction

2. Module Introduction

3. Purpose of the Module

4. Duration & Notional Hour Grid

5. Programme delivery structure

SECTION B: LEARNING MAP

1. Purpose

2. Specific Outcomes

3. Learner Support Pack

4. Formative Assessment

5. Summative assessment

SECTION C: SELF-REFLECTION

Addendums: Templates

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SECTION A: PROGRAMME/MODULE INFORMATION

1. Introduction

The learning experiences are designed to enable the learners to master the learning

content at the appropriate level.

The Learner Pack for this module contains the following documents/prescribed books:

Learner Orientation Guide

Learner Guide

Prescribed Material

Portfolio of Evidence

Logbook

2.Module Introduction

The module introduction with the facilitator will cover:

Overview of the module, including tasks and activities - expectations

Timetable

The Learner Guide

The Learner Portfolio of Evidence

Assessment: The importance of completing all tasks in the PoE; the neat and orderly

submission of evidence in the PoE; all forms completed and signed

Exit leaning outcomes Component

The Summative Assessment

Programme Assessment timetable schedule

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3. Purpose of the Module

NQF Unit Standard 110440 Clean and sterilize operating theatre central supply items

Field Field 11 - Services

Subfield Cleaning, Domestic, Hiring, Property and Rescue Services

NQF Level Credit Value

Range of assessment methods and tools used

during the training session

Case Studies

Demonstrations

Discussions, questioning and feedback sessions

Group and small group work

Oral and Written Individual and Group Exercises

Practical Assignments

Practical, workplace-related Examples

Presentations and Observations

Questioning and Feedback Sessions

Skills practices

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1st/2nd /3rd/4thSemester

Quadmester system divides the academic year into four terms, up to 12 weeks each, and generally

counts the summer as one of the terms.

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152

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Notes to the Learn

Learner Guide Introduction

Dear Learner,

Welcome to this Learning Programme. We trust that this Learning

Programme will be of great value to you during your studies and in your

future career.

To succeed in anything in life requires a lot of hard work.

It will be expected of you to work through this study guide with a great

deal of attention. It provides you with information on how to work

through the material, details exactly what will be expected of you and

what objectives you need to achieve during the study of this Learning

Programme. You will have to:

Complete your assignments with dedication and submit them in time.

Complete the self study sections for your own benefit. The self study

sections provide you with the opportunity to practice what you have

learnt.

Act as adult learners.

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Competencies

Essential Embedded

Knowledge of:

Embedded knowledge is reflected within the assessment criteria of

each specific outcome.

Critical Cross Field Outcomes

Learners working towards this standard will be learning towards

the full qualification, or will be involved in or working within a high

risk cleaning services environment. Qualifying learners are able to

clean and sterilise operating theatre central supply department

items (CSSD items) in hospitals and day clinics operating rooms,

and wards and dental surgeries.

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SECTION B: LEARNING MAP

Introduction

1. Wears protective clothing. 2. Explains why protective clothing must be

worn. 3. Explains the reasons for checking the

condition of the steriliser/autoclave/hot air oven.

4. Checks the condition of the steriliser/autoclave/hot air oven.

5. Cleans the steriliser/autoclave/hot air oven. 6. Explains the reasons for cleaning the

steriliser/autoclave/hot air oven. 7. Checks and/or performs the autoclave test for

sterility daily, and keeps records according to manufacturers` requirements.

8. Explains the reasons for checking the autoclave test outcome before use according to test (as per site procedure).

9. Records all control tests according to work site procedures.

10. Prepares and applies the correct concentration of cleaning chemicals.

11. Explains the reasons for the correct cleaning chemical concentration and application.

12. Identifies, sorts and checks instruments according to work site procedures.

13. Lists the things that should not be done when working in a sterile environment.

14. Describes necessary precautions to take in a sterile environment.

15. Describes at least 2 potential health risks of incorrect implementation of procedures.

16. Describe at least two potential medico-legal risks of incorrect implementation of procedures.

17. Explains the reasons and importance for correct identification of instruments.

UNIT 1 Prepare to clean and

sterilise items.

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18. Explains the reasons why it is important to report faulty autoclave/sterilising equipment and or instruments.

Conclusion

Introduction

1. Applies the correct cleaning, washing and disinfecting procedures for operating theatre CSSD items, according to work site procedures.

2. Explains the reasons for applying the correct cleaning and/or disinfecting procedures.

3. Applies the correct folding procedure of cleaned protective clothing items according to work site procedures.

4. Explains why protective clothing is folded in a particular manner.

5. Applies the correct packing procedure of operating theatre CSSD items according to work site procedures.

6. Explains the importance of using the correct packing procedures for operating theatre CSSD items.

7. Checks that the correct items are packed according to checklists, site or operational procedures.

8. Explains 3 reasons for using checklists. 9. Before closing the pack adds the control

indication strip for sterilising purposes. 10. Tapes the pack and labels with pack name

and expiry date as per checklist and site procedures.

11. Explains the term disinfection. 12. Explains the term sterilisation. 13. Explains why different chemicals are used

such as enzymatic, disinfectants or lubrication milk.

14. Explains why the sterilising control indication strip must be added to the pack prior to sterilisation.

15. Explains why the pack must be strapped and labelled.

Conclusion

UNIT 2 Cleans and disinfects

operating theatre CSSD items.

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Introduction

1. Prepares the sterilising equipment according to the work site procedures.

2. Explains the importance of correctly preparing sterilising equipment.

3. Applies the correct loading and unloading according to work site procedures.

4. Explains the importance of following the correct loading and unloading procedures.

5. Operates the sterilising equipment according to work site and safety procedures.

6. Describes the operating and safety procedures of the sterilising equipment.

7. Checks control indicators of sterilising equipment according to work site procedures.

8. Explains the reason for performing daily checks of the control indicator procedure.

9. Explains why control tests must be performed daily.

10. Reports faulty equipment according to work site procedures.

11. Explains the reporting procedure applicable to faulty equipment.

Conclusion

Introduction 1. Keeps the storeroom clean and dust free at all

times according to the work site procedures. 2. Explains reasons for keeping the storeroom

clean and dust free at all times. 3. Uses only cleaning equipment dedicated to

the CSSD. 4. Explains why only dedicated CSSD cleaning

equipment should be used. 5. Handles the sterilised items and stock

according to work site procedures. 6. Explains why sterilised items and stock are

handled in accordance with work site procedures.

7. Identifies the expiry dates on sterile packs. 8. Explains the implications of expiry dates on

the sterile packs. 9. Removes CSSD items before expiry. 10. Gives at least 2 examples of items with a

different shelf life.

UNIT 3 Sterilises operating theatre

CSSD items.

UNIT 4 Controls the central sterile

supply department store.

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11. Checks and reports that there is enough stock. 12. Determines the quality of his work by using a

systematic checking procedure. 13. Identifies and solves problems within his

scope of work procedures. 14. Packs the sterilised items according to work

site procedures. 15. Explains why the completed work must be

inspected. 16. Explains the reasons for doing the work right

first time. Conclusion

Introduction 1. Follows the correct hand-over procedures. 2. Explains the importance of following the

correct hand-over procedures. 3. Informs next shift of all relevant information. 4. Explains why information sharing is important

at shift hand-over. Conclusion

UNIT 5 Perform end of shift

procedures.

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ICONS

Icons Type of assessment Description

Formative knowledge

assessment:

This comprises of questions

to assess your knowledge.

You must obtain at least

80% in each assessment

criterion.

Self-reflexive assessment You will be required to

answer a few reflexive

questions.

Teamwork Self-Assessment

Form

After you completed this

course, you will be required

to assess your own

behaviour regarding team

work.

Work place experience After you completed this

course, you will be required

to assess your own

behaviour regarding work

experience.

Project research After you completed this

course, you will be required

to assess your own

behaviour regarding

research.

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Unit1

Unit Outcomes

At the end of this unit you should be able to:

Unit1 Unit2 Unit3 Unit4

Exit Learning Outcomes:

Introduction

1. Wears protective clothing. 2. Explains why protective clothing must be worn. 3. Explains the reasons for checking the condition of the steriliser/autoclave/hot air

oven. 4. Checks the condition of the steriliser/autoclave/hot air oven. 5. Cleans the steriliser/autoclave/hot air oven. 6. Explains the reasons for cleaning the steriliser/autoclave/hot air oven. 7. Checks and/or performs the autoclave test for sterility daily, and keeps records

according to manufacturers` requirements. 8. Explains the reasons for checking the autoclave test outcome before use according

to test (as per site procedure). 9. Records all control tests according to work site procedures. 10. Prepares and applies the correct concentration of cleaning chemicals. 11. Explains the reasons for the correct cleaning chemical concentration and

application. 12. Identifies, sorts and checks instruments according to work site procedures. 13. Lists the things that should not be done when working in a sterile environment. 14. Describes necessary precautions to take in a sterile environment. 15. Describes at least 2 potential health risks of incorrect implementation of procedures. 16. Describe at least two potential medico-legal risks of incorrect implementation of

procedures. 17. Explains the reasons and importance for correct identification of instruments. 18. Explains the reasons why it is important to report faulty autoclave/sterilising

equipment and or instruments.

Conclusion

Prepare to clean and sterilise items.

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Home cleaning products

Many cleaning products are made with toxic chemicals that make people sick. When these

toxic products are breathed in, swallowed, or absorbed through the skin, they can cause

health problems right away or illnesses that may appear years later, such as cancer.

Some common home cleaning products

are harmful to health.

The labels on most products do not say if they are toxic, or how to protect yourself. Some

labels sometimes say “caution” or “keep out of the reach of children.” That is a good sign

you may want to change to a different product. But lack of a warning on the label does not

mean you should not be careful.

Usually, if a product smells very strong and makes your eyes water, your chest hurt, or

creates a bad taste in your mouth, it is toxic. The best way to get rid of the health risks from

chemicals used in the home is to safely get rid of the chemicals and use safer cleaning

products. Often, cleaning with soap and water is just as good, safer, and less costly than

using harmful products.

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Safer cleaning products

Unlike some chemical cleaners, natural cleaners work more effectively when you let them

soak in before scrubbing, use tools like scrubbers and spatulas to lift grease and scum, and

apply the cleaner more than once.

Soap is better than detergent because it is not made from petroleum and does not leave

toxins in the water. Borax and washing soda (sodium carbonate) are safe for cleaning

surfaces. White vinegar or lemon juice can be used to clean away kitchen grease, and

vinegar and baking soda to unclog drains. These cleaners can be stored more easily

because they are safe, do not go bad, and do not need to stay cold. But they still should be

kept out of the reach of children.

How to make safer cleaning products

Cleaning without toxic chemicals leaves the house smelling good, and it doesn’t harm my health!

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All-purpose cleaner

Ingredients

1 teaspoon liquid soap, 1 quart of

water, plus ¼ cup undiluted white

vinegar or washing soda to clean

away grease

Directions

Mix all the ingredients and store in a

spray bottle or a bottle with a lid.

Shake until mixed. Use for cleaning

walls, stoves, cooking or food

preparation areas, carpets, and

upholstery.

Laundry starch

Ingredients

Corn or yucca starch, 1 pint cold

water

Directions

Put starch in a bottle with a small

amount of water and shake until

all the starch dissolves. Fill the

bottle with water and shake again.

Seal bottle with a sprinkle cap or

lid to store. Sprinkle damp clean

garment with starch, lay flat or

hang to dry.

Glass cleaner

Ingredients

1 quart water plus

¼ cup white vinegar or

2 tablespoons lemon juice

Directions

Mix ingredients and store in a spray

bottle.

Surface disinfectant

Ingredients

½ cup borax, 2 liters water

Directions

Dissolve borax in water. Wipe the

surface that needs cleaning with the

solution on a sponge or rag, followed

by water. To prevent mold or mildew

from forming, do not rinse off the

borax solution.

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Formative assessment

Role play

Activity: 1

Instructions Describe wears protective clothing. (SO,1 AC,1)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 2

Instructions Explain why protective clothing must be worn. (SO,1 AC,2)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 3

Instructions Explain the reasons for checking the condition of the

steriliser/autoclave/hot air oven. (SO,1 AC,3)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 4

Instructions Identify how checks the condition of the steriliser/autoclave/hot

air oven. (SO,1 AC,4)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Formative assessment

Role play

Activity: 5

Instructions Describe how cleans the steriliser/autoclave/hot air oven.

(SO,1 AC,5)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 6

Instructions Explain the reasons for cleaning the steriliser/autoclave/hot air

oven. (SO,1 AC,6)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 7

Instructions Describe how checks and/or performs the autoclave test for

sterility daily, and keeps records according to manufacturers` requirements. (SO,1 AC,7)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 8

Instructions Explain the reasons for checking the autoclave test outcome

before use according to test (as per site procedure).

(SO,1 AC,8)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Formative assessment

Role play

Activity: 9

Instructions Describe how records all control tests according to work site procedures. (SO,1 AC,9)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 10

Instructions Describe how to prepare and applies the correct concentration

of cleaning chemicals. (SO,1 AC,10)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 11

Instructions Explain the reasons for the correct cleaning chemical

concentration and application. (SO,1 AC,11)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 12

Instructions Identify sorts and checks instruments according to work site

procedures. (SO,1 AC,12)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Formative assessment

Role play

Activity: 13

Instructions Describe how lists the things that should not be done when working in a sterile environment. (SO,1 AC,13)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 14

Instructions Describe how necessary precautions to take in a sterile

environment. (SO,1 AC,14)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 15

Instructions Describe how at least 2 potential health risks of incorrect

implementation of procedures. (SO,1 AC,15)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 16

Instructions Describe at least two potential medico-legal risks of incorrect

implementation of procedures. (SO,1 AC,16)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Formative assessment

Role play

Activity: 17

Instructions Explain the reasons and importance for correct identification of instruments. (SO,1 AC,17)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 18

Instructions Explain the reasons why it is important to report faulty

autoclave/sterilising equipment and or instruments. (SO,1 AC,18)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Essay

Take some time to reflect on what you have learnt in this module and assess your knowledge against the following pointers. Write down your answers. Should you not

be able to complete each of these statements, go back to your notes and check on

your understanding? You can also discuss the answers with a colleague.

Discuss how lists the things that should not be done when working in a sterile environment.

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Unit2

Unit Outcomes

At the end of this unit you should be able to:

Unit1 Unit2 Unit3 Unit4

Exit Learning Outcomes:Introduction

1. Applies the correct cleaning, washing and disinfecting procedures for operating theatre CSSD items, according to work site procedures.

2. Explains the reasons for applying the correct cleaning and/or disinfecting procedures.

3. Applies the correct folding procedure of cleaned protective clothing items according to work site procedures.

4. Explains why protective clothing is folded in a particular manner. 5. Applies the correct packing procedure of operating theatre CSSD items according to

work site procedures. 6. Explains the importance of using the correct packing procedures for operating

theatre CSSD items. 7. Checks that the correct items are packed according to checklists, site or operational

procedures. 8. Explains 3 reasons for using checklists. 9. Before closing the pack adds the control indication strip for sterilising purposes. 10. Tapes the pack and labels with pack name and expiry date as per checklist and site

procedures. 11. Explains the term disinfection. 12. Explains the term sterilisation. 13. Explains why different chemicals are used such as enzymatic, disinfectants or

lubrication milk. 14. Explains why the sterilising control indication strip must be added to the pack prior

to sterilisation. 15. Explains why the pack must be strapped and labelled.

Conclusion

Cleans and disinfects operating theatre CSSD

items.

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One day her job ended. Though she was out of work, she soon began to feel better. Then

she learned about another cleaning company, the Natural Home Cleaning Professionals,

which used nontoxic cleaning products. The women at Natural Home Cleaning said that

many cleaning products people used were harmful and made people feel ill. Suddenly

Maribel knew what had made her sick!

Natural Home Cleaning is a worker-owned cooperative. The women who are the cleaners

own the business, so they decide what products to clean with. The workers decided to use

only healthy products like vinegar, baking soda, liquid soap, and warm water. With practice,

they learned how to make these materials more effective by using cleaning tools like

spatulas and scrubbing sponges. As part of their work, they also trained other women to

clean using natural methods.

When Maribel started working with Natural Home Cleaning, she told her neighbors, friends,

and even strangers at the market how to replace toxic cleaners with natural ones. Cleaning

with natural products is sometimes harder than working with chemicals, but it is healthier.

While she works, Maribel remembers how her grandmother used to clean, and she wants to

hand this knowledge down to her sons and daughters. For Maribel, training people in

natural home cleaning is not just part of her job. It is now an important part of her life as

well.

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Safe Food Preparation

In this chapter:

Chapter 17: A Healthy Home

Health Problems at Home

Indoor Air Pollution

Allergies

Improved Stoves

Fuels for Cooking and Heating

Fire Safety

Controlling Pests

Toxics in the Home

Safe Food Preparation

Do Not Bring Work Hazards Home

Building a Healthy Home

Planning with Communities

Preparing food for the family is the center of home life. But food itself, and the surfaces on

which it is prepared, can carry many kinds of germs. Eating food or drinks contaminated

with germs can cause food poisoning, stomach pain, cramps, diarrhea, swollen belly,

parasites, fever, hepatitis, typhoid, weakness and dehydration, constipation, and other

problems.

Reduce food-borne illness at home

Spoiled food — Throw away food that smells bad, or has mold on it, or strange textures.

Do not eat food from cans that are dented or bulging because the food inside is spoiled by

germs that are already inside the can.

Food handling — Wash hands before and after preparing food.

Food surfaces — Clean dishes, pots, and surfaces where food is prepared with hot water

and soap before and after preparing food and eating. To remove germs from cloths used to

clean kitchen surfaces, wash the cloths with soap and hang them in the sun to dry, or iron

them.

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Because germs are invisible, they

can cause illness even in kitchens

that look clean.

Fruits and vegetables — Wash or peel all fruits and vegetables before eating.

Cooking — Heat kills germs. To make sure food is safe, make sure it is well-cooked, and

eat it soon after it is prepared. Cook meats until they are no longer bloody or red in color.

Cook eggs until the yolks and whites are firm. Cook fish until it flakes easily with a fork.

Meat handling and storage — Because germs from raw meat, chicken, and seafood

spread easily to other foods, store meat separately or wrap it carefully so juice does not drip

onto other foods. Use a separate cutting board and knife when preparing meat, and clean

cooking tools well with hot water and soap before cutting other foods. It is not safe to place

cooked food on a plate or surface that held raw meat.

Safe food storage — Store leftover food safely in secure containers in a cool and dry

place, and dispose of trash right away. (See ways to safely store food and crops.)

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Formative assessment

Role play

Activity: 19

Instructions Explain how to apply the correct cleaning, washing and disinfecting procedures for operating theatre CSSD items, according to work site procedures. (SO,2 AC,1)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 20

Instructions Explain the reasons for applying the correct cleaning and/or

disinfecting procedures. (SO,2 AC,2)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 21

Instructions Describe how to apply the correct folding procedure of cleaned

protective clothing items according to work site procedures.

(SO,2 AC,3)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 22

Instructions Explain why protective clothing is folded in a particular manner.

(SO,2 AC,4)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Formative assessment

Role play

Activity: 23

Instructions Describe how apply the correct packing procedure of operating theatre CSSD items according to work site procedures.

(SO,2 AC,5)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 24

Instructions Explain the importance of using the correct packing procedures

for operating theatre CSSD items. (SO,2 AC,6)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 25

Instructions Describe how checks that the correct items are packed

according to checklists, site or operational procedures. (SO,2 AC,7)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 26

Instructions Explain 3 reasons for using checklists. (SO,2 AC,8)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Formative assessment

Role play

Activity: 27

Instructions Identify before closing the pack adds the control indication strip for sterilising purposes. (SO,2 AC,9)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 28

Instructions Explain how to tape the pack and labels with pack name and

expiry date as per checklist and site procedures. (SO,2 AC,10)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 29

Instructions Explain the term disinfection. (SO,2 AC,11)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 30

Instructions Explain the term sterilisation. (SO,2 AC,12)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Formative assessment

Role play

Activity: 31

Instructions Explain why different chemicals are used such as enzymatic, disinfectants or lubrication milk. (SO,2 AC,13)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 32

Instructions Explain why the sterilising control indication strip must be

added to the pack prior to sterilisation. (SO,2 AC,14)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 33

Instructions Explain why the pack must be strapped and labelled. (SO,2

AC,15)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Essay

Take some time to reflect on what you have learnt in this module and assess your knowledge against the following pointers. Write down your answers. Should you not

be able to complete each of these statements, go back to your notes and check on

your understanding? You can also discuss the answers with a colleague.

Discuss how explains why the sterilising control indication strip must be added to the pack prior to sterilisation.

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Unit3

Unit Outcomes

At the end of this unit you should be able to:

Unit1 Unit2 Unit3 Unit4

Exit Learning Outcomes:

Introduction

1. Prepares the sterilising equipment according to the work site procedures. 2. Explains the importance of correctly preparing sterilising equipment. 3. Applies the correct loading and unloading according to work site procedures. 4. Explains the importance of following the correct loading and unloading procedures. 5. Operates the sterilising equipment according to work site and safety procedures. 6. Describes the operating and safety procedures of the sterilising equipment. 7. Checks control indicators of sterilising equipment according to work site procedures. 8. Explains the reason for performing daily checks of the control indicator procedure. 9. Explains why control tests must be performed daily. 10. Reports faulty equipment according to work site procedures. 11. Explains the reporting procedure applicable to faulty equipment.

Conclusion

Sterilises operating theatre CSSD items

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Definition

The CSSD is a service catering to the needs of a hospital or a group of hospitals for the

supply of sterilised articles to all the departments including the wards, OPDs, other special

units and the operation theatre if there is no Theatre Sterile Supply Unit.

Scope

Diet, drugs, linen, bedding, bedpan, urinals are not included in the scope of CSSD. The

hospitals are suggested to buy from manufacturers only those sterile disposables which

they cannot process satisfactorily such as sutures etc.

Physical Facility and Equipment Availability

Sr.

No. Rooms in the CSSD

Nature of

the work

Provision of the

Space (%)

1. Wash Rooms Dirty 10

2. Work Room

(Packing Room) Clean 26

3. Syringe & Needle

Processing Clean 9

4. Unsterile Pack Store Clean 4

5. Bulk Store Clean 11

6. Sterile Store Sterile 16

7.

Miscellaneous

(a)Gloves room

(b)Office room

(c)Rest room

Clean 19

8. Autoclaves Clean 5

Aim

The CSSD is to provide an efficient, economic, continuous and quality supply of sterilised

material to various areas of the hospital to deliver quality and infection free patient care.

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Objectives

To provide all the departments with an adequate supply of reliably sterilised material

for immediate and emergency use. The sterilisation process is conducted under

controlled conditions at minimum cost to reduce the incidence of hospital associated

infections.

To supervise and provide facilities for the bulk-sterilisation of the materials.

To pool in the equipment resource of the hospital for economical and effective

utilisation under adequate managerial and technical supervision.

To Provide facilities for in-service teaching and training of nursing and ancillary

personnel in the sterilisation practices.

To undertake operation research techniques for improving sterilisation practices and to

participate in research pertaining to supply of equipment.

To provide the most suitable material for the patient care.

To play an effective role in hospital infection control activities.

To ensure quality control for infection free patient care.

Planning

The size and location usually depends on the number of the

hospitals the CSSD will serve as well as the number of beds and the

future expansion of the hospital. However seven to 10 square feet

per bed is recommended as an area of requirement for the CSSD.

According to Thomson an area of 2000 square feet for a 500

bedded and 3500 square feet for 1000 bedded hospital will be

adequate for Indian conditions.

There should be no back tracking of sterile goods.

The materials/ items from contaminated and sterile areas should not get mixed.

There should be physical barrier between clean and dirty areas.

The floor should be smooth, impervious, non skid and robust.

Light fittings should be recessed

Relative humidity should be maintained at 45±5 per cent

The clean area should be provided with air locks and maintained at positive pressures

relative to the adjoining spaces. The minimum ventilation rate should be six to 10 air

changes per hour.

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The work area should be made of marble / granite / stainless steel

The sterilisation must be planned for autoclaving by steam as well as by gas since

certain items such as rubber, plastic or delicate instruments can not be autoclaved.

Location

The CSSD should be close to the casuality, operation theatre and wards which are the

largest consumer of the sterilised material. In multi-storeyed buildings CSSD may be

planned in the lower floor right under the operation theatre where vertical movement will be

the quickest possible movement of the material.

Layout

The CSSD should have four zones for a smooth work flow. The following facilities should be

provided in the lay out:

1. Entrance lobby

2. Reception and Cleaning room

3. Glove room

4. Work room (Preparation and assembling of packs)

5. Syringe room

6. Sterilisation room

7. Store room

8. Nurses room

9. Staff changing room

10. Cloak room

Functions and Activities

Receipt: This includes receiving the materials, supplies and equipment, dressings and

other specialised surgical items for processing.

Cleaning: This function means cleaning of the used equipments/materials, rubber and

plastic goods either manually or by machines eg., ultrasonic cleaner, jet glove washing

machines, washer disinfectors, anesthetic tubing washers and dryers. This function may

also include cleaning of the delivery trolleys.

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Checking, Assembling and Packaging: It includes checking of glass items for breakages,

needles and instruments for sharpness and breakages, assembling of the equipment after

washing and drying, making sets and packaging for sterilization.

Sterilisation: It renders materials bacteriologically safe for quality patient care.

Labelling: Easy identification for prompt and proper use.

Storage: The function includes storage of sterilised packs, drums and disposables,

dressing materials, spare parts of machines or sterilisers for routine maintenance and

broken/ unserviceable items for condemnation. Paper is fast replacing linen wrappers.

Space should also be provided for storing distribution trolleys. Sterile store maintains

inventory of all types of sterile packs.

Issue and Distribution: The function entails issue of the sterilised packages, dressings,

linen, instruments and disposables to various departments of the hospitals.

Methods of Distribution of Supplies

The aim is to avoid hoarding of supplies in order to minimise unproductive storage of

expensive items, re-sterilisation of packs kept for long periods and also to avoid stock outs

during emergency needs. To satisfy above stated conditions there are four systems in use.

The one or mix that suits should be selected for particular CSSD.

One for One Exchange System: All the used articles are collected in the locked

canvas bags and similar number of packs and trays in sterile state are returned to

the respective areas. 2 such rounds of collection and distribution are done in a day.

The Milk Round System: Daily topping up of each department stock level to an

agreed level. Maximum daily requirement for all the packs are kept in each

department. Delivery and collection rounds are planned twice daily. If single round is

made stock provided needs to be 50 per cent extra and when two rounds are made

the stock provided should be 25 per cent extra of over and above the daily

consumption.

The Grocery System: The departments send their requisition to CSSD from where

deliveries are made in accordance with the demand. This system is sometimes not

practical as some departments demand the entire amount of stock from the CSSD

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having nothing left for the others. The efficiency of the system depends on the

wisdom and experience of the person making the indent.

The Clean for Dirty Exchange System: According to this system one clean article

is issued for each dirty returned to the CSSD.

Despite all measures and advancements in technology hospital acquired infections remain

a challenge in healthcare scenario today. The hospitals are required to adopt strict quality

control processes with the latest cutting technology to mitigate hospital acquired infections.

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Formative assessment

Role play

Activity: 34

Instructions Describe how to prepare the sterilising equipment according to the work site procedures. (SO,3 AC,1)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 35

Instructions Explain the importance of correctly preparing sterilising

equipment. (SO,3 AC,2)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 36

Instructions Describe how to apply the correct loading and unloading

according to work site procedures. (SO,3 AC,3)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 37

Instructions Explain the importance of following the correct loading and

unloading procedures. (SO,3 AC,4)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Formative assessment

Role play

Activity: 38

Instructions Describe how to operate the sterilising equipment according to work site and safety procedures. (SO,3 AC,5)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 39

Instructions Describe the operating and safety procedures of the sterilising

equipment. (SO,3 AC,6)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 40

Instructions Describe how checks control indicators of sterilising equipment

according to work site procedures. (SO,4 AC,7)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 41

Instructions Explain the reason for performing daily checks of the control

indicator procedure. (SO,3 AC,8)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Formative assessment

Role play

Activity: 42

Instructions Explain why control tests must be performed daily. (SO,3 AC,9)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 43

Instructions Describe how reports faulty equipment according to work site

procedures. (SO,3 AC,10)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 44

Instructions Explain the reporting procedure applicable to faulty equipment.

(SO,3 AC,11)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Essay

Take some time to reflect on what you have learnt in this module and assess your knowledge against the following pointers. Write down your answers. Should you not

be able to complete each of these statements, go back to your notes and check on

your understanding? You can also discuss the answers with a colleague.

Discuss how to operate the sterilising equipment according to work site and safety procedures.

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Unit4

Unit Outcomes

At the end of this unit you should be able to:

Unit1 Unit2 Unit3 Unit4

Exit Learning Outcomes:

Introduction 1. Keeps the storeroom clean and dust free at all times according to the work site

procedures. 2. Explains reasons for keeping the storeroom clean and dust free at all times. 3. Uses only cleaning equipment dedicated to the CSSD. 4. Explains why only dedicated CSSD cleaning equipment should be used. 5. Handles the sterilised items and stock according to work site procedures. 6. Explains why sterilised items and stock are handled in accordance with work site

procedures. 7. Identifies the expiry dates on sterile packs. 8. Explains the implications of expiry dates on the sterile packs. 9. Removes CSSD items before expiry. 10. Gives at least 2 examples of items with a different shelf life. 11. Checks and reports that there is enough stock. 12. Determines the quality of his work by using a systematic checking procedure. 13. Identifies and solves problems within his scope of work procedures. 14. Packs the sterilised items according to work site procedures. 15. Explains why the completed work must be inspected. 16. Explains the reasons for doing the work right first time.

Conclusion

Controls the central sterile supply department

store.

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Keeping toxic work materials in

a locked cupboard will help keep

children safe.

People who use toxic materials in their jobs in farm labor, mining, health care, and factory

work often bring toxics home on their clothes and bodies. This can harm the workers and

everyone in their homes. (To avoid these risks, see How to Reduce Harm from Pesticide

Use; Preventing and Reducing Harm From Toxics; and Mining and Health.)

Many health problems are caused by jobs done at home with toxic materials and dangerous

machinery, such as assembling electronics or textiles, or taking apart batteries or

computers. Doing these kinds of work in the home is especially dangerous because

companies usually do not provide people who work at home with protective equipment. Nor

do they pay fair wages or other rights that all workers deserve. This dangerous work also

exposes other family members, especially children, to toxic materials.

When working at home with dangerous materials, take precautions.

Know what chemicals you are using and how to handle them safely.

Make sure there is proper ventilation.

Use protective equipment if you can get it.

Keep children away from work areas and materials.

Try not to work long hours that make you tired, and make the work more dangerous.

Talk to other people who do similar work, and organize to demand your rights to

health and safety.

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Fire Safety

In this chapter:

Chapter 17: A Healthy Home

Health Problems at Home

Indoor Air Pollution

Allergies

Improved Stoves

Fuels for Cooking and Heating

Fire Safety

Controlling Pests

Toxics in the Home

Safe Food Preparation

Do Not Bring Work Hazards Home

Building a Healthy Home

Planning with Communities

Smoke alarms warn if

a fire has started, and

are available at low

cost in some countries.

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An important part of a healthy home is preventing fires.

Keep cooking fires enclosed.

Keep fires away from children, and keep children away from fires.

Keep flammable and toxic materials (such as gasoline, paint, paint thinner, solvents

and kerosene) out of the house and in well-sealed containers. If such materials are

in the house, keep them far from any heat source.

Make sure electrical connections are safe.

Keep a covered water bucket, a bucket of sand or dirt, or a fire extinguisher near the

stove.

IMPORTANT! DO NOT put water on a fire caused by cooking grease. This will make the

fire spread! Grease fires are put out by stopping them from getting air. To put the fire out,

cover it with a blanket or heavy cloth, or throw sand or dirt on the grease.

Electricity

Even a small amount of electricity makes a big improvement in people’s lives, for cooking,

light, refrigeration, and so on. But unsafe electric wires can cause electric shocks and fires.

To prevent harm:

Make sure electric lines are properly installed and grounded.

Never run electric wires under carpets.

Avoid connecting many electric extension cords together to form one long cord. If

they are not designed to be connected, they can cause fires.

Do not install outlets or switches where they can get wet from water pipes, taps, or

sinks.

Electric transmission wires

High-voltage electrical cables give off large amounts of electric radiation that can cause

headaches, stress, irritation, and may lead to more serious health problems such as cancer

of the blood (leukemia). Just as light from a candle becomes dimmer as our eyes get farther

away from it, the harm from electricity grows weaker with distance. To reduce the danger:

Build houses 50 to 70 meters away from high-voltage power lines.

Utility companies should not build power lines or cellular telephone towers near

schools or hospitals.

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Power lines should be buried when possible, rather than run above ground

Formative assessment

Role play

Activity: 45

Instructions Explain how to Keep the storeroom clean and dust free at all times according to the work site procedures. (SO,4 AC,1)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 46

Instructions Explain reasons for keeping the storeroom clean and dust free

at all times. (SO,4 AC,2)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 47

Instructions Describe how to use only cleaning equipment dedicated to the

CSSD. (SO,4 AC,3)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 48

Instructions Explain why only dedicated CSSD cleaning equipment should

be used. (SO,4 AC,4)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Formative assessment

Role play

Activity: 49

Instructions Explain how to handle the sterilised items and stock according to work site procedures. (SO,4 AC,5)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 50

Instructions Explain why sterilised items and stock are handled in

accordance with work site procedures. (SO,4 AC,6)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 51

Instructions Identify the expiry dates on sterile packs. (SO,4 AC,7)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 52

Instructions Explain the implications of expiry dates on the sterile packs.

(SO,4 AC,8)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Formative assessment

Role play

Activity: 53

Instructions Describe how to remove CSSD items before expiry. (SO,4 AC,9)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 54

Instructions Give at least 2 examples of items with a different shelf life.

(SO,4 AC,10)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 55

Instructions Explain how to check and reports that there is enough stock.

(SO,4 AC,11)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 56

Instructions Explain how to determine the quality of his work by using a

systematic checking procedure. (SO,4 AC,12)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Formative assessment

Role play

Activity: 57

Instructions Identify and solves problems within his scope of work procedures. (SO,4 AC,13)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 58

Instructions Describe how to pack the sterilised items according to work

site procedures. (SO,4 AC,14)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 59

Instructions Explain why the completed work must be inspected. (SO,4

AC,15)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 60

Instructions Explain the reasons for doing the work right first time. (SO,4

AC,16)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Essay

Take some time to reflect on what you have learnt in this module and assess your knowledge against the following pointers. Write down your answers. Should you not

be able to complete each of these statements, go back to your notes and check on

your understanding? You can also discuss the answers with a colleague.

Discuss how to handles the sterilised items and stock according to work site procedures.

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Unit5

Unit Outcomes

At the end of this unit you should be able to:

Unit1 Unit2 Unit3 Unit4

Exit Learning Outcomes:

Introduction 1. Follows the correct hand-over procedures. 2. Explains the importance of following the correct hand-over procedures. 3. Informs next shift of all relevant information. 4. Explains why information sharing is important at shift hand-over.

Conclusion

Perform end of shift procedures.

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Shift End Procedure

Certain tasks should be performed at each shift end. The procedure below is a sample

procedure.

1. Perform a bucket check

a. Verify that the name, room number, rate, arrival and departure date on the

registration card matches the reservation details in Brilliant.

b. Make sure you have a credit card authorization if the guest will be paying by

credit card.

2. Choose Batches from the Report menu. Choose Shift End Reports followed by

Start. This will print several reports.

a. Find the Guests over credit limit report. Increase the authorized amount for all

reservations with a credit card authorization.

b. Find the Departures today, to depart report. Perform a follow up on all

reservations due out. The report will not be printed if there are no departures left.

c. Find the Arrivals today, to arrive reports. Verify that all guest printed on the

report are real arrivals (make sure that all arrived guests are checked in in

Brilliant).

d. Find the In House (room) report and perform a Bucket Check. Verify if the

details on the report match with the details on the registration card. Update the

details in Brilliant if necessary.

3. Balance and drop the money you received.

a. Find the report Journal payment report (current cashier) and count and

balance the cash money you received with the totals on the report.

b. Drop the money with all payment reports in the safe.

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Formative assessment

Role play

Activity: 61

Instructions Describe how to follow the correct hand-over procedures. (SO,5 AC,1)

Method Individual Activity

Media Method Flipchart

Answers:

CCFO

DEMONSTRATING

Marks 10

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Project

Group Activity: 62

Instructions Explain the importance of following the correct hand-over

procedures. (SO,5 AC,2)

CCFO

COMMUNICATING

Method Group Activity

Answers:

Media Method Flipchart

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Research PROJECT

Activity: 63

Instructions Describe how to inform next shift of all relevant information.

(SO,5 AC,3)

CCFO Collecting

Method Group Activity

Media Method Flipchart

Answers

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Summative assessment

Simulation

ACTIVITY: 64

Instructions Explain why information sharing is important at shift hand-over.

(SO,4 AC,4)

CCFO

ORGANISING

Method Group Activity

Media Method Flipchart

Mark 10

Answer:

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Essay

Take some time to reflect on what you have learnt in this module and assess your knowledge against the following pointers. Write down your answers. Should you not

be able to complete each of these statements, go back to your notes and check on

your understanding? You can also discuss the answers with a colleague.

Discuss how to informs next shift of all relevant information.

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References

Prescribed Booklist

Learning unit Prescribed Learning Material /text book

Supplier

110440 Clean and sterilise

operating theatre central

supply items

Yellow Media Publishers

Senior learning material Developer:

Ms Duduzile Zwane

www.yellowmedia.co.za

[email protected]

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SECTION C: SELF REFLECTION

I enjoyed/did not enjoy this module because:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

I enjoyed/did not enjoy this module because:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

I found group work ___________________________________!!!

The most interesting thing I learnt was:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

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I feel I have gained the necessary skills and knowledge to:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

______________________________________________________________

______________________________________________________________

Please add the following to this module:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Some comments from my classmates about my participation in class:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

____________________________________________________________

_____________________________________________________________

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Self-Assessment

Self-Assessment:

You have come to the end of this module – please take the time to review what you have learnt to date, and conduct a self-assessment against the learning outcomes of this module by following the instructions below:

Rate your understanding of each of the outcomes listed below: Keys: - no understanding - Some idea - Completely comfortable

SO FISA Checklist

1. Prepare to clean and sterilise items.

2. Cleans and disinfects operating theatre CSSD items.

3. Sterilises operating theatre CSSD items.

4. Controls the central sterile supply department store.

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Learner Evaluation Form

Learning Programme Name

Facilitator Name

Learner name (Optional)

Dates of Facilitation

Employer / Work site

Date of Evaluation

Learner Tip:

Please complete the Evaluation Form as thoroughly as you are able to, in order for us to continuously improve our training quality! The purpose of the Evaluation Form is to evaluate the following:

logistics and support

facilitation

training material

assessment Your honest and detailed input is therefore of great value to us, and we appreciate your assistance in completing this evaluation form!

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A Logistics and Support Evaluation

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1 Was communication regarding attendance of the programme efficient and effective?

2 Was the Programme Coordinator helpful and efficient?

3 Was the training equipment and material used effective and prepared?

4 Was the training venue conducive to learning (set-up for convenience of learners, comfortable in terms of temperature, etc.)?

Additional Comments on Logistics and Support

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B Facilitator Evaluation 1 The Facilitator was prepared and knowledgeable on the

subject of the programme

2 The Facilitator encouraged learner participation and input

3 The Facilitator made use of a variety of methods, exercises, activities and discussions

4 The Facilitator used the material in a structured and effective manner

5 The Facilitator was understandable, approachable and respectful of the learners

6 The Facilitator was punctual and kept to the schedule

Additional Comments on Facilitation

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1 2 3 4 5

C Learning Programme Evaluation 1 The learning outcomes of the programme are

relevant and suitable.

2 The content of the programme was relevant and suitable for the target group.

3 The length of the facilitation was suitable for the programme.

4 The learning material assisted in learning new knowledge and skills to apply in a practical manner.

5 The Learning Material was free from spelling and grammar errors

6 Handouts and Exercises are clear, concise and relevant to the outcomes and content.

7 Learning material is generally of a high standard, and user friendly

Additional Comments on Learning Programme

D Assessment Evaluation

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1 2 3 4 5

1 A clear overview provided of the assessment requirements of the programme was provided

2 The assessment process and time lines were clearly explained

3 All assessment activities and activities were discussed

Additional Comments on Assessment