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Elements and Performance Criteria

  1. Follow procedures for safe practice
  2. Collect contaminated items and equipment
  3. Sort and process contaminated items and equipment
  4. Follow required work flow processes
  5. Load and operate cleaning appliances safely and efficiently
  6. Follow procedures for monitoring the efficiency of cleaning

Required Skills

This describes the essential skills and knowledge and their level required for this unit

Essential knowledge

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

This includes knowledge of

Basic principles and practices of cleaning and disinfection including thermal and chemical disinfection

Enterprise code of practice

Fundamental knowledge of infection control principles as it affects the sterilisation work environment

Fundamental knowledge of microorganisms as it affects the sterilisation work environment including protists viruses and prions and their relationship to disease

General categories of instruments and associated cleaning requirements

Hazard identification and risk control

Manual handling requirements for cleaning reusable medical devices

Monitoring and maintenance requirements of cleaning and drying equipment

OHS policies guidelines and symbols and there relevance to working in the sterilisation area

Relevant stateterritory guidelines for sterilising services

Standards including ASNZS ASNZS and all relevant infection prevention guidelines and ISO Parts and

The importance of sterilisation technology as a contribution to client safety

The legal responsibilities of health care providers in relation to confidentiality client rights duty of care and implications of negligence

The work flow process and the reasons for design of work area

Use of chemicals in the cleaning process including knowledge of detergency action

Essential skills

It is critical that the candidate demonstrate the ability to

Address relevant OHS infection control and manual handling requirements

Apply fundamental knowledge of microbiology as it affects the sterilisation work environment and as detailed in Required Skills and Knowledge

Apply knowledge of the importance of cleaning as a contribution to client safety

Comply with ASNZS and ASNZS for sterilisation purposes

Demonstrate consistency of performance over a number of trials

Ensure documentation is complete and accurate

In addition the candidate must be able to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

This includes the ability to

Apply cleaning processes

Apply problem solving skills to use available resources and prioritise workload

Collect sort and process contaminated items and equipment

Follow organisation policies and procedures

Operate machines and equipment

Select and use personal protection equipment

Use literacy numeracy and oral communication skills required to fulfil the position in a safe manner as specified by the health care facility

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria Required Skills and Knowledge the Range Statement and the Assessment Guidelines for this Training Package

Critical aspects for assessment and evidence required to demonstrate this competency unit


The individual being assessed must provide evidence of specified essential knowledge as well as skills

Where for reasons of safety space or access to equipment and resources assessment takes place away from the workplace the assessment environment should represent workplace conditions as closely as possible

Consistency of performance should be demonstrated over the required range of situations relevant to the workplace

Context of and specific resources for assessment


Assessment should replicate workplace conditions as far as possible

Simulations may be used to represent workplace conditions as closely as possible Acceptable simulation requires cleaning of a full range of reusable devices

surgical and medical instrumentation and equipment

anaestheticrespiratory equipment

hollow ware

specialist surgical instruments

Use of operational cleaning and drying equipment

Resources essential for assessment include

access to relevant workplace or appropriately simulated environment where assessment can take place

access to Australian standards government and organisation policies and procedures

cleaning equipment operation manuals

Method of assessment

Observation in the work place if possible

Written assignmentsprojects eg for fundamentals of microbiology and principles of cleaning and disinfection

Interviewing and questioning

Formal appraisal systems

Supporting statement of supervisors

Authenticated evidence of relevant work experience and formal learning

Access and equity considerations

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues in particular relating to factors impacting on health of Aboriginal andor Torres Strait Islander clients and communities


Range Statement

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Cleaning equipment may include:

Collection equipment

Batch-type washer/disinfectors

Rack conveyor washers/tunnel washer

Load retaining devices

Ultrasonic cleaners

Manual cleaning sinks, hand washing sink, hot and cold running water supply

Cleaning accessories, including brushes, non-linting cloths, syringes

High pressure water equipment

Drying cabinets

Compressed air gun

Personal protective equipment may include:

Gloves

Aprons

Goggles

Face shields

Masks

Gowns

Ear muffs

Shoe covers

Hair cover

Reusable medical equipment may include:

Surgical and medical instrumentation and equipment

Anaesthetic/respiratory equipment

Hollow ware

Specialist surgical instruments, such as:

flexible and rigid endoscopic equipment

insulated instruments

laparoscopic instruments

microscopic instruments

handpieces

power tools

fibre optic equipment

Cleaning procedures may involve the use of specific chemicals such as:

Detergents

Enzymatic cleaners

Rinse aid

Stain remover

Separate processing requirements apply to:

Initial cleaning

Definitive cleaning, including:,

mechanical

ultrasonic and manual cleaning

anaesthetic/respiratory

Cleaning may involve:

Disassembly

Solutions including:

soaking

enzymatic

lubrication

stainless steel stain remover

Brushing of lumen/cannulated items

Non-immersible items

Complex specialised instrumentation

Leak testing of flexible endoscope

Mechanical lubrication