Sterile Processing Technologist Skills Checklist

Requested by:

Requested by email:

Today's Date: * +

First Name: *

Last Name: *

Mobile Phone Number: *

Email Address: *

Confirm email: *

GENERAL SKILLS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Safety Procedures: Protective Attire	123
Safety Procedures: Standard Precautions	123
Safety Procedures: Managing Biohazard Waste	123
Safety Procedures: Sharps Handling	123
Decontamination: Manual Cleaning	123
Decontamination: Sharps	123
Decontamination: Soiled Linens	123
Decontamination: Use of Washer Sterilizer	123
Decontamination: Washer Disinfectors	123
Decontamination: Disinfectants	123
Decontamination: Cleaning Equipment	123
Decontamination: Disposable Items	123
Decontamination: Dress Code	123
Steam Sterilization: Charting	123
Steam Sterilization: Cart Loading	123
Steam Sterilization: Timing	123
Steam Sterilization: Testing, Monitoring, and Validation	123
Steam Sterilization: Biological Monitoring	123
Steam Sterilization: Trouble Shooting	123
Assembly and Preparation	123
Assembly and Preparation: Wrapping Procedure	123
Assembly and Preparation: Instrument set assembly	123
Assembly and Preparation: Autoclave Tape	123
Assembly and Preparation: Proper Labeling	123
Assembly and Preparation: Expiration Dates	123
Assembly and Preparation: Assembly of Peel Packs	123
Assembly and Preparation: Assemble hard Instrument Containers	123
Assembly and Preparation: Proper Towel and Linen Folding	123
Assembly and Preparation: Dust Covers	123
Assembly and Preparation: Instrument Count Sheets	123
Assembly and Preparation: Packing for Steam	123
Assembly and Preparation: Peel Pack / Heat Sealing	123
Assembly and Preparation: Instruments on Trays	123
Assembly and Preparation: Sterile Storage Standards	123
Equipment Preparation (Area Specific): General	123
Equipment Preparation (Area Specific): OB/GYN	123
Equipment Preparation (Area Specific): Neurology	123
Equipment Preparation (Area Specific): Urology	123
Equipment Preparation (Area Specific): Cardiac	123
Equipment Preparation (Area Specific): Laparoscopic	123
Equipment Preparation (Area Specific): Endoscopic	123
Equipment Preparation (Area Specific): Robotics	123
Equipment Preparation (Area Specific): Orthopedics	123
Equipment Preparation (Area Specific): Ophthalmology	123
Equipment Preparation (Area Specific): Plastics	123
Processing: Single Instruments	123
Processing: Sets and Trays	123
Processing: Care of Instruments	123
Processing: Repairs	123
Processing: Endoscopes	123

WORK SETTING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Hospital Experience	123
Teaching / Educational Setting	123
Clinic Experience	123

AGE-SPECIFIC EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Newborn/Neonate (birth to 30 days)	123
Infant (31 days to 12 months)	123
Toddler/Preschool (13 months to 5 years)	123
School Age Child/adolescent (6 years to 18 years)	123
Young Adults/Middle Adult (19 years to 64 years)	123
Older Adults/Elderly (65+ years)	123

Attestation

ATTESTATION: *

I certify that the information provide above accurately reflects my experience in each of the clinical areas identified within the past three years.

If you agree with the Attestation above, please electronically sign your name. *