Sterile Processing Technician · 2020. 6. 29. · 005 Describe the work ﬂow in the sterile processing department. Introducing the Roles and Responsibilities of Sterile Processing

Sterile Processing Technician http://dave:8080/++skin++retaiłversøhealth_and_medical_sciences...

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Sterile Processing Technician8367 36 weeks

Instructional Framework for Health and Medical Sciences

Developed by

Developed for

Foreword

AcknowledgmentsThe components of this instructional framework were developed by the following technical panel andcurriculum development team members:

Delzora Barnard, Chesapeake Regional Medical Center, ChesapeakeToni Bowman, Pulaski County Senior High School, Pulaski County Public SchoolsAnn Craddock, HOSA Specialist, CharlottesvilleDonna Davis, Giles County Technical Center, Giles County Public SchoolsLorraine Jenkins, Chesapeake Regional Medical Center, ChesapeakeTameka Leftwich, Fortis College, RichmondJoan McGowan, Chippenham Hospital, RichmondNicole Meredith, Virginia Commonwealth University, RichmondLinda Starks, Piedmont Virginia Community College, CharlottesvilleGregory Wright, T.C. Williams High School, Alexandria City Public SchoolsDeborah Wright, Floyd S. Kay Technical Center, Rockbridge County Public Schools

The framework was edited and produced by the CTE Resource Center:

Kevin P. Reilly, Administrative CoordinatorRobin A. Jedlicka, Writer/Editor

Michele Green-Wright, Specialist, Health and Medical Sciences and Related ClustersOffice of Career and Technical Education

Virginia Department of Education

Lolita B. Hall, DirectorOffice of Career and Technical Education

Virginia Department of Education

Copyright © 2016


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Introduction

Cluster, pathway, and occupation information, as updated in the APG and CPG, willappear here.

Template material omitted: A general description of the elements of a course framework andlinks to generally applicable Web resources appear here.


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Course DescriptionSuggested Grade Level: 11 or 12Prerequisites: 8302

New for 2016:Students acquire knowledge of sterile processes and clean, disinfect, and distribute sterilized instrumentsand equipment in health-care facilities. Student instruction focuses on work in a sterile processingdepartment and central service location, working as a team to maintain sterilization and storage, learningabout microbiology and infection control, and apply principles and practices of sterile processing anddecontamination. Upon completion, students will be able to take the international certification for sterileprocessing technicians.

Students will complete a 400-hour externship, which requires 200 hours’ completion by high schoolgraduation and 200 hours’ completion within six months of earning a provisional certification. Note:Following completion of the additional 200 hours, full certification is obtained.


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Industry CertificationsNo certifications have been identified.


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Task/Competency List

For the indicated course(s):

TaskNumber 8367 Tasks/Competencies

Exploring the World of Sterile Processing001 Describe the history of surgical instrumentation.002 Identify basic surgical instruments and equipment.003 Describe the history of decontamination and disinfection.

004Identify best practices recommended by the Association for the Advancementof Medical Instrumentation (AAMI) and the Association of periOperativeRegistered Nurses (AORN).

005 Describe the work flow in the sterile processing department.Introducing the Roles and Responsibilities of Sterile Processing Technician

006 Explain the roles and responsibilities of the sterile processing technician.007 Apply OSHA guidelines and safety procedures.008 Comply with relevant safety standards and regulations.009 Apply specific medical safety practices.

Preparing Instruments for Decontamination and Disinfection010 Identify equipment used in the decontamination area.011 List the types of quality control tests and types of troubleshooting.012 Identify the three levels of the Spaulding Classification.013 Describe the differences between disposable and non-disposable items.

014 Explain the process for the retrieval of soiled equipment and instrumentsfrom operating rooms and other areas.

015 Describe the cleaning and decontamination of non-disposable items.

016Perform decontamination based on established standards by InternationalAssociation of Healthcare Central Service Materiel Management(IAHCSMM).

Template material omitted: General material used to introduce the task list has been omitted.

Tasks/competencies designated by plus icons ( ) in the left-hand column(s) are essential

Tasks/competencies designated by empty-circle icons ( ) are optional

Tasks/competencies designated by minus icons ( ) are omitted

Tasks marked with an asterisk (*) are sensitive.


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017 Disinfect instruments and equipment.018 Transfer disinfected items to preparation area.

Preparing Instruments for Packaging019 Describe the process of preparing the work area for packaging.020 Describe the process for receiving items for preparation.021 Inspect items for cleanliness and functionality.022 Demonstrate the selection of items for assembly.023 Assemble items for packaging.024 Select the packaging method.025 Describe the labeling of packages.026 Transfer items to the designated area.

Documenting Processes and Procedures027 Describe standards for record maintenance.

028 Describe the procedure for reporting a variance in temperature/humidity fromacceptable ranges.

029 Document quality test results on equipment.030 Describe the high-level disinfection process.031 Describe the documentation procedure for employee incident reports.

Exploring the Sterilization Process032 Explain the preparation of the work area for sterilization.033 Perform sterilizer tests.034 Describe sterilization methods and cycles.035 Describe the operation of sterilization equipment.036 Interpret the cycle parameter report.037 Demonstrate the handling of items for sterilization.038 Demonstrate the loading of a sterilizer.039 Describe the method for obtaining a lot control number.040 Describe the method of documenting sterilization load contents.041 Unload the sterilizer.042 Evaluate post-sterilization package integrity.043 Describe the process for completing the biological indicator test.044 Describe potential sterilization process failures.045 Transfer sterilized items to storage and distribution areas.

Performing Sterile Storage and Inventory Management


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046 Prepare the work area for sterile storage.047 Perform inventory management.048 Describe the process for ordering inventory.049 Describe the process for receiving inventory.050 Describe the distribution of sterile and non-sterile items.051 Describe the process for monitoring item usage.

052 Describe the process of tracking items distributed by the central sterile supplydepartment.

053 Describe the process for disposing of inventory.Working with Patient Care Equipment

054 Prepare work area for distribution.055 Describe the process for receiving items for preparation.056 Describe the inspection of equipment for cleanliness and functionality.057 Describe the assembly of equipment for distribution.058 Describe the care and handling of equipment.059 Describe the distribution of equipment.060 Describe the process for tracking medical equipment.

Preparing for Industry Certification

061 Describe the process and requirements for obtaining industry certificationsrelated to the Sterile Processing Technician course.

062 Identify testing skills/strategies for a certification examination.

063 Demonstrate ability to successfully complete selected practice examinations(e.g., practice questions similar to those on certification exams).

064Successfully complete an industry certification examination representative ofskills learned in this course (e.g., Certified Registered Central ServiceTechnician exam).

Legend: Essential Non-essential Omitted


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Exploring the World of Sterile Processing

Task Number 001

Describe the history of surgical instrumentation.

Definition

Description should include

Galen’s invention of basic surgical instrumentationdevelopment of field instrumentationclassification of instruments (e.g., grasping and holding, retracting, clamping and occluding,ligating, cutting)general uses of modern surgical instrumentation.

Process/Skill Questions

What practices and methods influenced the development of surgical instruments?

HOSA Competitive Events

Teamwork Events

Task Number 002

Identify basic surgical instruments and equipment.

Definition

Identification should include the names and function of basic surgical instruments in the followingcategories:

Retracting/viewingGrasping/holdingDilating/probingSuctioningSewing

HOSA Bowl


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Cutting

Identification also should include the names and function of patient care equipment (e.g., infusionpumps, feeding pumps, suctioning devices).


What are the parts of a clamp?How are instruments assessed for their function?What is the procedure for removing a knife blade from a handle?


Health Science Events

Task Number 003

Describe the history of decontamination and disinfection.

Definition


relationship of microorganisms to infection (Joseph Lister, Louis Pasteur, Koch)antiseptic techniqueaseptic techniqueearly efforts at sterilization (pre-1930)modern sterilization techniques (post-1930)

chemicalmechanicalthermal.


What is the antiseptic technique?What is the aseptic technique?What is one item that can be sterilized while closed?How is “germ theory” applied in surgery?How did Joseph Lister change surgical practice and the use of surgical instruments?

Related Standards of Learning

Medical Terminology


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History and Social Science

VUS.10

The student will apply social science skills to understand key events during the 1920s and1930s by

analyzing how popular culture evolved and challenged traditional values;a. assessing and explaining the economic causes and consequences of the stock marketcrash of 1929;

b.

explaining the causes of the Great Depression and its impact on the American people;and

c.

evaluating and explaining how Franklin D. Roosevelt’s New Deal measures addressedthe Great Depression and expanded the government’s role in the economy.

d.

WHII.8

The student will apply social science skills to understand the changes in European nationsbetween 1800 and 1900 by

explaining the roles of resources, capital, and entrepreneurship in developing anindustrial economy;

a.

analyzing the effects of the Industrial Revolution on society and culture, with emphasison the evolution of the nature of work and the labor force, including its effects onfamilies and the status of women and children;

b.

describing how industrialization affected economic and political systems in Europe,with emphasis on the slave trade and the labor union movement;

c.

assessing the impact of Napoleon and the Congress of Vienna on political power inEurope;

d.

explaining the events related to the unification of Italy and the role of Italiannationalism; and

e.

explaining the events related to the unification of Germany and the role of Bismarck.f.

English

11.5The student will read and analyze a variety of nonfiction texts.

Use information from texts to clarify understanding of concepts.a. Read and follow directions to complete an application for college admission, for ascholarship, or for employment.

b.

Generalize ideas from selections to make predictions about other texts.c. Draw conclusions and make inferences about explicit and implied information, usingtextual support.

d.

Analyze two or more texts addressing the same topic to identify authors’ purposes anddetermine how authors reach similar or different conclusions.

e.

Identify false premises in persuasive writing.f. Recognize and analyze use of ambiguity, contradiction, paradox, irony, overstatement,and understatement in text.

g.


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Generate and respond logically to literal, inferential, evaluative, synthesizing, andcritical-thinking questions before, during, and after reading texts.

h.



a.

Analyze and synthesize information in order to solve problems, answer questions, andgenerate new knowledge.

b.


c.

Recognize and analyze use of ambiguity, contradiction, paradox, irony, overstatement,and understatement in text.

d.

Identify false premises in persuasive writing.e. Draw conclusions and make inferences about explicit and implied information, usingtextual support.

f.



Task Number 004

Identify best practices recommended by the Association for theAdvancement of Medical Instrumentation (AAMI) and theAssociation of periOperative Registered Nurses (AORN).

Definition

Identification should include best practices and guidelines for AAMI and AORN.

Common Career Technical Core

Medical Spelling

Medical Terminology

Knowledge Test: Pathophysiology

HL-SUP3


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Task Number 005

Describe the work flow in the sterile processing department.

Definition


the physical environment (design and work flow)standards for air flow, temperature, humidity, and documentation in work spacesdocumentation of temperature and humidity (frequency and standards)traffic flow between work spaceswork spaces and their functions

decontaminationpreparation/packagingsterilizationsterile storageequipment holding areadistribution.

Follow established internal and external guidelines in order to providehigh-quality, effective support services in the healthcare facility.

HL2Explain the healthcare worker’s role within their department, their organization,and the overall healthcare system.

HL4Evaluate the roles and responsibilities of individual members as part of thehealthcare team and explain their role in promoting the delivery of quality healthcare.

Knowledge Test: Medical Law and Ethics


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Introducing the Roles and Responsibilities ofSterile Processing Technician

Task Number 006

Explain the roles and responsibilities of the sterile processingtechnician.

Definition

Explanation should include

performing manual cleaning prior to sterilizationplacing cleaned instruments in sterilizers (e.g., autoclaves)starting and monitoring sterilizersexamining equipment for defects and reporting problems to staffobserving departmental dress codeunderstanding the occupational and environmental hazardsfulfilling the pre-employment requirements (e.g., drug testing, criminal background check).


What are the pre-employment requirements for a sterile processing technician?What occupational hazards impact the job of a sterile processing technician? Environmenthazards?What are the steps for reporting equipment defects?How long should s sterile processing technician wait to report a defect? Why?


English



b.


d.


e.


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g.


h.



a.


b.


c.


d.


f.



Health Professions Events

Teamwork Events

Task Number 007

HL-SUP1Describe, differentiate and safely perform the responsibilities of healthcare supportservices roles.


Clinical Specialty

Health Career Display


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Apply OSHA guidelines and safety procedures.

Definition

Application should include

wearing personal protective equipment (PPE) while in the decontamination area as required byOSHA and departmental policyusing body mechanics when lifting, pushing, or pulling heavy objectslocating the fire extinguisher, escape routes, pull stations, oxygen shut-off valve, and otherfacility-specific safety issuescompleting annual safety assessmentsfollowing required actions based on the SDS Manual (including notification of supervisor)updating SDS Manual information according to product additionstaking action to control unsafe conditions if there is imminent likelihood of injury.


How do most on-the-job injuries occur?Why would back injuries occur in the central service sterile processing department?



GOVT.1

The student will demonstrate skills for historical thinking, geographical analysis, economicdecision making, and responsible citizenship by

planning inquiries by synthesizing information from diverse primary and secondarysources;

a.

analyzing how political and economic trends influence public policy, using demographicinformation and other data sources;

b.

comparing and contrasting historical, cultural, economic, and political perspectives;c. evaluating critically the quality, accuracy, and validity of information to determinemisconceptions, fact and opinion, and bias;

d.

constructing informed, analytic arguments using evidence from multiple sources tointroduce and support substantive and significant claims;

e.

explaining how cause-and-effect relationships impact political and economic events;f. taking knowledgeable, constructive action, individually and collaboratively, to addressschool, community, local, state, national, and global issues;

g.

using a decision-making model to analyze the costs and benefits of a specific choice,considering incentives and possible consequences;

h.

applying civic virtues and democratic principles to make collaborative decisions; andi. communicating conclusions orally and in writing to a wide range of audiences, usingevidence from multiple sources and citing specific sources.

j.


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GOVT.9

The student will apply social science skills to understand the process by which public policy ismade by

defining public policy and determining how to differentiate public and private action;a. examining different perspectives on the role of government;b. describing how the national government influences the public agenda and shapes publicpolicy by examining examples such as the Equal Rights Amendment, the Americanswith Disabilities Act (ADA), and Section 9524 of the Elementary and SecondaryEducation Act (ESEA) of 1965;

c.

describing how the state and local governments influence the public agenda and shapepublic policy;

d.

investigating and evaluating the process by which policy is implemented by thebureaucracy at each level;

e.

analyzing how the incentives of individuals, interest groups, and the media influencepublic policy; and

f.

devising a course of action to address local and/or state issues.g.

GOVT.15

The student will apply social science skills to understand the role of government in theVirginia and United States economies by

describing the provision of government goods and services that are not readily producedby the market;

a.

describing government’s establishment and maintenance of the rules and institutions inwhich markets operate, including the establishment and enforcement of property rights,contracts, consumer rights, labor-management relations, environmental protection, andcompetition in the marketplace;

b.

investigating and describing the types and purposes of taxation that are used by local,state, and federal governments to pay for services provided by the government;

c.

analyzing how Congress can use fiscal policy to stabilize the economy;d. describing the effects of the Federal Reserve’s monetary policy on price stability,employment, and the economy; and

e.

evaluating the trade-offs in government decisions.f.


HL-SUP2Demonstrate work practices that maintain a clean and healthy healthcare facility toreduce or eliminate pathogenic organisms.

HL-SUP3Follow established internal and external guidelines in order to providehigh-quality, effective support services in the healthcare facility.

HL3Identify existing and potential hazards to clients, coworkers, visitors, and self in


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Task Number 008

Comply with relevant safety standards and regulations.

Definition

Compliance should include

reporting unsafe conditions to a supervisor, using a required facility formcleaning all department surface areas, racks, shelves, storage cabinets, and areas as scheduled andrequired by the Centers for Disease Control and Prevention, the Occupational Safety and HealthAdministration (OSHA), hospital accreditation standards, the Joint Commission, and departmentalpolicy.


What are the various hospital boards of accreditation?



GOVT.1

The student will demonstrate skills for historical thinking, geographical analysis, economic

the healthcare workplace.


Medical Spelling

Medical Terminology

Knowledge Test: Pathophysiology


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decision making, and responsible citizenship by

planning inquiries by synthesizing information from diverse primary and secondarysources;

a.

analyzing how political and economic trends influence public policy, using demographicinformation and other data sources;

b.

comparing and contrasting historical, cultural, economic, and political perspectives;c. evaluating critically the quality, accuracy, and validity of information to determinemisconceptions, fact and opinion, and bias;

d.

constructing informed, analytic arguments using evidence from multiple sources tointroduce and support substantive and significant claims;

e.

explaining how cause-and-effect relationships impact political and economic events;f. taking knowledgeable, constructive action, individually and collaboratively, to addressschool, community, local, state, national, and global issues;

g.

using a decision-making model to analyze the costs and benefits of a specific choice,considering incentives and possible consequences;

h.

applying civic virtues and democratic principles to make collaborative decisions; andi. communicating conclusions orally and in writing to a wide range of audiences, usingevidence from multiple sources and citing specific sources.

j.

GOVT.9

The student will apply social science skills to understand the process by which public policy ismade by

defining public policy and determining how to differentiate public and private action;a. examining different perspectives on the role of government;b. describing how the national government influences the public agenda and shapes publicpolicy by examining examples such as the Equal Rights Amendment, the Americanswith Disabilities Act (ADA), and Section 9524 of the Elementary and SecondaryEducation Act (ESEA) of 1965;

c.

describing how the state and local governments influence the public agenda and shapepublic policy;

d.

investigating and evaluating the process by which policy is implemented by thebureaucracy at each level;

e.

analyzing how the incentives of individuals, interest groups, and the media influencepublic policy; and

f.

devising a course of action to address local and/or state issues.g.

GOVT.15

The student will apply social science skills to understand the role of government in theVirginia and United States economies by

describing the provision of government goods and services that are not readily producedby the market;

a.

describing government’s establishment and maintenance of the rules and institutions inwhich markets operate, including the establishment and enforcement of property rights,contracts, consumer rights, labor-management relations, environmental protection, and

b.


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competition in the marketplace;investigating and describing the types and purposes of taxation that are used by local,state, and federal governments to pay for services provided by the government;

c.

analyzing how Congress can use fiscal policy to stabilize the economy;d. describing the effects of the Federal Reserve’s monetary policy on price stability,employment, and the economy; and

e.

evaluating the trade-offs in government decisions.f.


Task Number 009

Apply specific medical safety practices.

Definition

Application should include

following procedures upon exposure to potential body fluid pathogenreporting incidents to a supervisorfiling an incident reportassessing coworkers’ adherence to principles of asepsismaintaining a current American Heart Association Basic Life Support (BLS)/Cardio PulmonaryResuscitation (CPR) Healthcare Provider certificate.




HL3Identify existing and potential hazards to clients, coworkers, visitors, and self inthe healthcare workplace.


HL-SUP2


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Emergency Preparedness Events

Demonstrate work practices that maintain a clean and healthy healthcare facility toreduce or eliminate pathogenic organisms.




CPR/First Aid

Life Support Skills


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Preparing Instruments for Decontamination andDisinfection

Task Number 010

Identify equipment used in the decontamination area.

Definition

Identification should include

triple sinksultrasonic unitswasher disinfectorsdrierscart wash.


What are the differences between decontamination and disinfection?What types of equipment are used in the sterile processing department decontamination area?What types of cleaning processes are used in the sterile processing department decontaminationarea?



Task Number 011

List the types of quality control tests and types oftroubleshooting.

Definition

List should include the following:

Medical Spelling


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Efficacy testing process for washersEfficacy testing process for ultrasonic testingEfficacy testing process for Automated Endoscope ReprocessorEfficacy testing process for cart washerEater quality test process

when to testhow to interpret testswater pressurelocation of outlets: on/off, regular, and emergency

Chemical feed line processeshow to clean and test spray armshow to check manifolds and basketshow to find and how to use the operator’s manualhow to close equipment doors and proper operation of doorswho to call if malfunction or have a questionhow to identify and respond to alarmshow to clean strainers/drains

Water pressurelocation of outlets: on/off, regular, and emergencychemical feed line processeshow to clean and test spray armshow to check manifolds and baskets operator’s manual (where to find, how to use)how to close equipment doors and proper operation of doors


Why should quality control tests be done?What should a sterile processing technician do if test results fall outside of acceptable parameters?Why does a sterile processing technician need to know how to troubleshoot equipment?



Task Number 012

Identify the three levels of the Spaulding Classification.

Definition

Identification should include

Clinical Specialty


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the levels (non-critical, semi-critical, and critical)how to mix and test chemicalsdocumentation of chemical testingidentifying the disinfectant family.


Why are there three levels of Spaulding Classification?



Task Number 013

Describe the differences between disposable and non-disposableitems.

Definition


identification of single-use and reusable itemsidentification of items to return to third-party vendorstypes of linensprocessing of broken and repairable instrumentationdisposal of sharps and non-reprocessed items (e.g. biohazards versus non-regulated trash, sharpscontainer).



Task Number 014

Clinical Specialty

Medical Terminology


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Explain the process for the retrieval of soiled equipment andinstruments from operating rooms and other areas.

Definition


containment of soiled itemslabeling of containerspreventing contamination of transportation containersuse of PPEtransport of items to the sterile processing department decontamination room.





Task Number 015

Describe the cleaning and decontamination of non-disposableitems.

Definition



Medical Terminology

Clinical Specialty


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directions for locating instructions for usedirections for opening and positioning instruments, according to procedureoperation times for manual and mechanical processesdirections for operating light and magnification deviceswhen and how to use water & airwhat goes in each sink (e.g., two- or three-sink method)soak processselection of brush and sizebrush careprevention of aerosolsdirections for loading equipment, according to procedure.




Task Number 016

Perform decontamination based on established standards byInternational Association of Healthcare Central Service MaterielManagement (IAHCSMM).

Definition

Performance should include

disassembling instrumentsidentifying manual and mechanical cleaning according to manufacturer instructions

HL-SUP4Maximize available resources for proper care and use of healthcare equipment andmaterials.


Clinical Specialty


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demonstrating methods for reducing the risk of toxic anterior segment syndromeloading items into the equipmentcleaning strainers or drainsdemonstrating special precautions required for Creutzfeldt-Jacob Disease instruments.


What are two testing tools used to check for functionality?How do you disassemble a cutting instrument?





Task Number 017

Disinfect instruments and equipment.





Medical Terminology

Clinical Specialty


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Definition

Disinfection should include

use of disinfectant according to instrument and/or disinfectant manufacturer’s guidelinesdetermining the exposure time based on the chemical and equipment guidelines and theinstrument instructions for userinsing equipment based on the chemical and equipment guidelines and the instrument instructionsfor use.




Task Number 018

Transfer disinfected items to preparation area.

Definition

Transfer should include performing a visual check for cleanliness and functionality.




Medical Terminology


HL-SUP3Follow established internal and external guidelines in order to provide


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high-quality, effective support services in the healthcare facility.


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Preparing Instruments for Packaging

Task Number 019

Describe the process of preparing the work area for packaging.

Definition


identifying the supplies neededfollowing the dress codeidentifying work area requirements (e.g., cleaning requirements)locating instructions for use.


What are the three basic principles of packaging?Why should the healthcare worker comply with a dress code?What supplies would be needed in the preparation area?How would the instructions for use be helpful in this setting?





Teamwork Events


Medical Terminology

Clinical Specialty


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Task Number 020

Describe the process for receiving items for preparation.

Definition


item identification (e.g., visual, computerized)how to unload equipmenthow to check for cleanlinesshow to sort items (e.g., service, facility, loaner)how to accept items through a pass-through window.


What is the proper method for unloading equipment?How do you check for cleanliness?What is the proper way to accept an item through the pass-through window?





Creative Problem Solving


Medical Terminology

Clinical Specialty


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Task Number 021

Inspect items for cleanliness and functionality.

Definition

Inspection should include

checking for cleanliness and functionalityfollowing the instructions for useselecting proper testing tools and processes for checking functionality of items (e.g., sharpnesstesting)assembling, testing, and disassembling items according to instructions for useremoving and replacing unacceptable itemslubricating items according to instructions for use.


How would you check for cleanliness and functionality?What is the method for testing tools and checking their functionality?What is the proper method for lubricating items according to the instructions for use?







Medical Terminology

Clinical Specialty


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Task Number 022

Demonstrate the selection of items for assembly.

Definition

Demonstration should include

obtaining count sheets, peel pack list, tray list (e.g., where to place count sheets)reading and identifying items (e.g., books, product number, computers, tape, etching)cross-referencing different instrumentssizing and measuring itemsvisually identifying instruments.


How do you read a product number?Where do you place count sheets?What is a peel pack list?Why are count sheets placed with surgical trays?





Teamwork Events


Medical Spelling

Medical Terminology

Clinical Specialty


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Task Number 023

Assemble items for packaging.

Definition

Assembly should include

demonstration of handling proceduresuse of instrument protection devices (e.g., tip protectors, foam, mats)use of tray linersinstrument placement (e.g., facilitate sterilization, protect instruments)instrument organizersidentification of the classes and appropriate use of chemical indicators (e.g., proper placement,intended cycle)use of weight limits and weight distribution.


Why is instrument placement important?Why are weight limits and weight distribution important?What are the types of instrument protection devices?





Creative Problem Solving


Medical Terminology

Clinical Specialty


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Task Number 024

Select the packaging method.

Definition

Selection should include

size and packaging weightpackaging method (e.g., flat wrap, peel pack, container)sterilization method/cycle to be usedexternal indicatorstamper-evident sealsmethod of packagingwrapping technique.


How do you select the appropriate packaging methods?What are three types of frequently used packaging materials in central service?






Medical Terminology

Clinical Specialty


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Task Number 025

Describe the labeling of packages.

Definition


the importance of legible handwritingplacement of labeling and writinghow to identify trays that are missing itemsconfirming correct tray informationrecording technician identificationidentifying storage destinationidentifying special information identifiers (e.g., implant, loaners, sterilization methods/cycle)confirming date of sterilization/date of expiration (e.g., event-related versus time).


What is an approved writing instrument to label a package?Why is legible handwriting important?What information is recorded on the labels for sterilized items?What is shelf life?






Medical Spelling

Medical Terminology

Clinical Specialty


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Task Number 026

Transfer items to the designated area.

Definition

Transfer should include

the location of sterilization areas (e.g., low temperature, high temperature)the location of staging areaprioritizing items for rapid turn-aroundhandling items without damaging them (e.g., stacking, rough handling)identifying delivery locationsusing body mechanics and ergonomicstracking items (e.g. manual, computer)monitoring traffic flow.


How do you handle items without damaging them?What are two ways to track items?How would you move a 50-pound square box using proper body mechanics?





Medical Terminology


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Documenting Processes and Procedures

Task Number 027

Describe standards for record maintenance.

Definition


protocol of time frame to keep recordswhat records should be keptwhere records should be kept (e.g., on-site, off-site)how to retrieve records.


What is the purpose of maintaining documentation in the sterile processing department?When might documentation need to be retrieved?When are biological results recorded?




Task Number 028

Describe the procedure for reporting a variance in


Medical Spelling

Medical Terminology


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temperature/humidity from acceptable ranges.

Definition


notifying facilities maintenance/engineering of the variancedocumenting the report on log sheetfollowing-up within the department to ensure return to acceptable parametersretesting the parameters following corrective action.


Why is it important to document room temperatures at the beginning of the workday?Why should all temperature discrepancies be documented?What are the steps to reporting a temperature discrepancy?


Task Number 029

Document quality test results on equipment.

Definition

Documentation should include results for the following:

Ultrasonic systemsWater quality and temperatureBowie-Dick tests (e.g., run as first load of the day, empty load)Sterilizer leak tests (e.g., when test should be performed)Biological and chemical tests (e.g., lot numbers, running control tests, correct placement of tests,incubation procedure, interpreting results, recall process in case of undesirable outcomes)Directions for interpreting the results of the testCorrective actions to take if the test failsWasher decontamination process (e.g., frequency, type)Cart washer.




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Why is it important to document the lot number from sterilant containers?What is the significance of documenting a failed Bowie-Dick test?Why is it important in documentation to know the parameters for steam, Sterrad, and theAutomated Endoscope Processor?When are biological results recorded?When is documentation for the cart washer complete?




Task Number 030

Describe the high-level disinfection process.

Definition


safety proceduresproper disposal methodsrecording dilution labeling requirements (e.g., concentration, expiration, end of use date)recording technician informationrecording patient information.


What safety precautions should be used when using high-level disinfection?What needs to be recorded after instrumentation has been processed using high-level disinfection?What patient information is required?



Medical Terminology


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Task Number 031

Describe the documentation procedure for employee incidentreports.

Definition


hospital reporting policyexposure control planstate and federal safety regulationsrisk management and safety management policiespatient tracing procedure (e.g., in the event of a needle stick, cut).


What documentation is needed for employee incident reports?What is in an exposure control plan?Why is it important to report any exposure you may have?



Medical Spelling

Medical Terminology

Clinical Specialty


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Medical Spelling

Medical Terminology

Knowledge Test: Medical Law and Ethics


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Exploring the Sterilization Process

Task Number 032

Explain the preparation of the work area for sterilization.

Definition


steps to perform sterilizer component checks according to manufacturer’s instructions for usesteps to perform sterilizer cleaning according to manufacturer’s instructions for use.


When should the work area for sterilization be prepared?What steps need to be performed to prepare the work area for sterilization?When should the sterilizer be cleaned?







Medical Terminology

Clinical Specialty


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Task Number 033

Perform sterilizer tests.

Definition


conducting leak testsconducting Bowie-Dick/air removal test, according to standardsplacing biological test packs for sterilizationidentifying when to perform test (e.g. repair, construction, malfunction, routine).


What tests must be performed on a steam sterilizer during a 24-hour period?What is the difference between a chemical indicator and a chemical integrator?When should a leak test be performed?





Task Number 034



Medical Terminology

Clinical Specialty


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Describe sterilization methods and cycles.

Definition


checking the equipment for time, temperature, and pressure parametersselecting and changing the cycleidentifying appropriate use of external indicators (e.g. sterilization method, placement)identifying the sterilization method of itemsidentifying packaging for the sterilization method.


What is the use of external indicators during sterilization?How do you select the appropriate cycle for items being sterilized?What are examples of acceptable methods of packing for the sterilization method? Unacceptablemethods?




Task Number 035

Describe the operation of sterilization equipment.

Definition


how to operate steam sterilizershow to operate low-temperature sterilizershow to replace and dispose of empty cartridges/tanks/ cassetteshow to select the cyclewhere to place biological or air removal tests

Medical Terminology

Clinical Specialty


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how to manage temperature requirements for each sterilization methodhow to access instructions for use.


How do you select the sterilization cycle for selected instruments?What are the temperature requirements for each sterilization method?




Task Number 036

Interpret the cycle parameter report.

Definition

Interpretation should include

analyzing the printout from the sterilizer (e.g., temperature, time, and pressure exposure)following sign-off procedures to ensure accountability.


What are the parameters for a power instrument that requires steam sterilization?What information should be included in the printout for the sterilization cycle?Why is it important to follow the sign-off procedures?

Task Number 037

Demonstrate the handling of items for sterilization.

Definition

Medical Terminology

Clinical Specialty


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moving items from cart to cartusing body mechanicshandling items to preserve packaging integrityaccessing instructions for usemaintaining package integrityidentifying compromised integrity (e.g. holes, filters, broken locks and seals)placing filters, locks, seals, and external indicators in proper locations.


How do you handle sterilized items to ensure package integrity?How can you identify a compromise in the integrity of the pack to be sterilized?Why is it important where the external indicator is located?




Task Number 038

Demonstrate the loading of a sterilizer.

Definition


applying various types of load configurationmetal containerswrapped itemspeel packed

conducting biological tests per AAMI standards or hospital-established protocol.


Clinical Specialty


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Task Number 039

Describe the method for obtaining a lot control number.

Definition

Description should include computerized and/or manual documentation methods, and where theinformation is recorded and stored.

Task Number 040

Describe the method of documenting sterilization load contents.

Definition

Description should include computerized and/or manual documentation methods, and where theinformation is recorded and stored.



Clinical Specialty




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Task Number 041

Unload the sterilizer.

Definition

Unloading should include

mechanisms used to maintain sterility (e.g. cooling time, temperature, handling)body mechanicsergonomicsmonitoring of traffic flowuse of PPE.

Task Number 042

Evaluate post-sterilization package integrity.

Definition

Evaluation should include

confirming package integrity (e.g., no holes, torn filters, broken locks and seals, moisture)placement of filters, locks, seals, and external indicators.


Task Number 043

Describe the process for completing the biological indicator test.

Definition





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handling and incubating the biological testinterpreting the test results.



Task Number 044

Describe potential sterilization process failures.

Definition


how to identify a process failure (e.g. wet packs, color change, failure to meet sterilizationparameters)procedure for follow-up after process failure.



Task Number 045

Transfer sterilized items to storage and distribution areas.

Definition

Transfer should include

identification of storage area locationsidentification of staging area locationprioritization for rapid turn-aroundproper handling of items without damaging them (e.g. stacking, rough handling)air exchanges (e.g. negative pressure, positive pressure)

Clinical Specialty

Clinical Specialty


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body mechanicsergonomicstracking items (e.g. manual, computer)traffic flowearly release of implantable devices.





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Performing Sterile Storage and InventoryManagement

Task Number 046

Prepare the work area for sterile storage.

Definition

Preparation should include

identifying the supplies neededfollowing the dress codefollowing work area requirementslocating instructions for use documents.


When would you place containerized items on top of blue-wrapped items?Where should sterile instruments be taken after they have been placed in an operating room with apatient but never were used?


Task Number 047

Perform inventory management.

Definition


identifying the location of supplies




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following shelf-life policy (e.g., first in, first out [FIFO], expiration, event-related)following the process for rotating inventoryfollowing storage requirementsmaintaining a break-out area (e.g., corrugated cardboard, external shipping containers)


How often should instruments be rotated?When putting instruments in the sterile storage area, at what distance should they be placed fromthe floor, wall, and ceiling?


Task Number 048

Describe the process for ordering inventory.

Definition


identifying the ordering process (e.g. par levels, computerized, manual)identifying the product (e.g., catalog numbers, item number, descriptions)identifying the unit of measure (e.g., each, box, package, case)handling back-orders.


Task Number 049





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Describe the process for receiving inventory.

Definition


what compromises integrity (e.g., holes, damaged or missing filters, broken locks and seals, waterdamage, dust)external indicators and expiration datesmatching the delivery document to what was received (e.g., signing for deliveries).


Task Number 050

Describe the distribution of sterile and non-sterile items.

Definition


methods of distributionproper handling of itemsuse of ergonomics and body mechanicstransport guidelines (e.g., closed cart, bins, dust covers).


Task Number 051

Describe the process for monitoring item usage.

Definition




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the purpose(s) for monitoring item usagethe types of systems used (e.g., manual, computerized).


How does monitoring item usage help with cost control?Why is it important to monitor usage of supplies?


Task Number 052

Describe the process of tracking items distributed by the centralsterile supply department.

Definition

Description should include procedures for tracking

high-dollar itemsspecialty cartscritical itemsvendor-owned itemshow items are tracked (e.g., manual, RFID, computerized)when to review Safety Data Sheet (SDS) information and how to access and interpret SDSinformation.


What is a consignment system?





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Task Number 053

Describe the process for disposing of inventory.

Definition

Description should include procedures for the handling of

recalled itemsopen or unused single-use itemdamaged itemsexpired itemsobsolete itemsrecycled itemsdonations of items to others.




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Working with Patient Care Equipment

Task Number 054

Prepare work area for distribution.

Definition

Preparation should include

identifying the supplies neededimplementing dress codemeeting work area requirements (e.g. cleaning requirements)locating instructions for uses.


Task Number 055

Describe the process for receiving items for preparation.

Definition


process for recording and tracking rental equipmentitem identification (e.g., visual, computerized)how to unload equipmenthow to sort items (e.g., type of equipment).





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Task Number 056

Describe the inspection of equipment for cleanliness andfunctionality.

Definition


checking for cleanlinesschecking for compliance with safety standards (e.g., frayed cords, preventative maintenance date,damage).


What is the process to check for cleanliness?How is the equipment broken down for cleaning and storage?Where is the equipment checked for functionality prior to packing and/or storage?


Task Number 057

Describe the assembly of equipment for distribution.

Definition


assembling equipment for distributiontesting equipment per manufacturer’s use policypackaging equipmentlabeling equipmentaccessing instructions for usesaccessing disposable components.




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How are disposables for each piece of equipment stored with the equipment?Where are the instructions for use stored for easy access by the user?


Task Number 058

Describe the care and handling of equipment.

Definition


equipment requiring charging or battery replacementlocation and proper storage of equipmentenvironmental requirements for stored equipment (e.g. dry, clean)preventative maintenance dates.


Where is preventative maintenance done?How is preventative maintenance recorded?How is the equipment stored to allow for battery charging?







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Task Number 059

Describe the distribution of equipment.

Definition


process for recording distributiontypes of equipment maintained in central servicedelivery protocolsdelivery locations.


What methods are used to track equipment use and location?Where does the CS deliver equipment?How is equipment transported to maintain integrity and cleanliness?


Task Number 060

Describe the process for tracking medical equipment.

Definition


systems used (e.g. manual, computer, RFID, hybrid)recording and tracking the distribution.


What computer software is used to track equipment and or manual record system?What back-up systems are available to locate equipment if the computer system is down?How is equipment labeled to allow identification of each individual piece?




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Preparing for Industry Certification

Task Number 061

Describe the process and requirements for obtaining industrycertifications related to the Sterile Processing Technician course.

Definition

The description should include a list of industry certifications related to the course and theprocess/requirements for obtaining the certifications from

official Web sites of the testing organization/vendormaterials from publishers that have developed practice materials and tests based on informationfrom the testing organization/vendorinformation from certified instructors or industry-certified professionalsinformation from the Virginia Department of Education’s Administrative Planning Guideinformation in the “Introduction/Course Description” section of this document.


What types of certification are available?What are the requirements for eligibility for each certification process?What is the time frame for certification?


English



b.


d.


e.


g.

Generate and respond logically to literal, inferential, evaluative, synthesizing, andh.


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critical-thinking questions before, during, and after reading texts.



a.


b.


c.


d.


f.



Leadership Events

Task Number 062

Identify testing skills/strategies for a certification examination.

Definition

The identification of testing skills and strategies should be undertaken by

conducting an Internet research projectreviewing materials from publishersinterviewing certified instructors and/or industry-certified professionals.

HL1Determine academic subject matter, in addition to high school graduationrequirements, necessary for pursuing a health science career.

Interviewing Skills

Job-Seeking Skills


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Where are practice exams found?How do you determine the content used for exam questions?

Task Number 063

Demonstrate ability to successfully complete selected practiceexaminations (e.g., practice questions similar to those oncertification exams).

Definition

Demonstration should include obtaining and successfully completing practice examinations for selectedcertifications related to the course obtained from vendor sites and/or materials from publishers.


Which practice exams are most applicable to the chosen certification exam?What format is used for the practice exams?

Task Number 064

Successfully complete an industry certification examinationrepresentative of skills learned in this course (e.g., CertifiedRegistered Central Service Technician exam).

Definition

The successful completion of an industry certification examination will be achieved when the studentapplicant earns an examination score deemed “passing” by the testing organization. Qualifyingexaminations are those currently approved at the state level as representative of sterile processingtechnician skills. (These may be found in the Virginia Department of Education’s AdministrativePlanning Guide.)

Students should be encouraged to attain industry certification as evidence of their computer applicationskill level and general employability.


Where are credentials recorded?How often are credentials renewed?


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SOL Correlation by Task001 Describe the history of surgical instrumentation.002 Identify basic surgical instruments and equipment.

003 Describe the history of decontamination and disinfection.

English: 11.5, 12.5History and SocialScience: VUS.10,WHII.8

004Identify best practices recommended by the Association for theAdvancement of Medical Instrumentation (AAMI) and theAssociation of periOperative Registered Nurses (AORN).

005 Describe the work flow in the sterile processing department.

006 Explain the roles and responsibilities of the sterile processingtechnician. English: 11.5, 12.5

007 Apply OSHA guidelines and safety procedures.History and SocialScience: GOVT.1,GOVT.9, GOVT.15

008 Comply with relevant safety standards and regulations.History and SocialScience: GOVT.1,GOVT.9, GOVT.15

009 Apply specific medical safety practices.010 Identify equipment used in the decontamination area.011 List the types of quality control tests and types of troubleshooting.012 Identify the three levels of the Spaulding Classification.

013 Describe the differences between disposable and non-disposableitems.

014 Explain the process for the retrieval of soiled equipment andinstruments from operating rooms and other areas.

015 Describe the cleaning and decontamination of non-disposable items.

016Perform decontamination based on established standards byInternational Association of Healthcare Central Service MaterielManagement (IAHCSMM).

017 Disinfect instruments and equipment.018 Transfer disinfected items to preparation area.019 Describe the process of preparing the work area for packaging.020 Describe the process for receiving items for preparation.021 Inspect items for cleanliness and functionality.022 Demonstrate the selection of items for assembly.


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023 Assemble items for packaging.024 Select the packaging method.025 Describe the labeling of packages.026 Transfer items to the designated area.027 Describe standards for record maintenance.

028 Describe the procedure for reporting a variance intemperature/humidity from acceptable ranges.

029 Document quality test results on equipment.030 Describe the high-level disinfection process.

031 Describe the documentation procedure for employee incidentreports.

032 Explain the preparation of the work area for sterilization.033 Perform sterilizer tests.034 Describe sterilization methods and cycles.035 Describe the operation of sterilization equipment.036 Interpret the cycle parameter report.037 Demonstrate the handling of items for sterilization.038 Demonstrate the loading of a sterilizer.039 Describe the method for obtaining a lot control number.040 Describe the method of documenting sterilization load contents.041 Unload the sterilizer.042 Evaluate post-sterilization package integrity.043 Describe the process for completing the biological indicator test.044 Describe potential sterilization process failures.045 Transfer sterilized items to storage and distribution areas.046 Prepare the work area for sterile storage.047 Perform inventory management.048 Describe the process for ordering inventory.049 Describe the process for receiving inventory.050 Describe the distribution of sterile and non-sterile items.051 Describe the process for monitoring item usage.

052 Describe the process of tracking items distributed by the centralsterile supply department.

053 Describe the process for disposing of inventory.054 Prepare work area for distribution.055 Describe the process for receiving items for preparation.


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056 Describe the inspection of equipment for cleanliness andfunctionality.

057 Describe the assembly of equipment for distribution.058 Describe the care and handling of equipment.059 Describe the distribution of equipment.060 Describe the process for tracking medical equipment.

061 Describe the process and requirements for obtaining industrycertifications related to the Sterile Processing Technician course. English: 11.5, 12.5

062 Identify testing skills/strategies for a certification examination.

063Demonstrate ability to successfully complete selected practiceexaminations (e.g., practice questions similar to those oncertification exams).

064Successfully complete an industry certification examinationrepresentative of skills learned in this course (e.g., CertifiedRegistered Central Service Technician exam).


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Documents

Sterile Processing Technician · 2020. 6. 29. · 005 Describe the work ﬂow in the sterile processing department. Introducing the Roles and Responsibilities of Sterile Processing