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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. |
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Surgical and medical instrumentation and equipment may include: | General instruments Flexible and rigid endoscopic equipment Insulated instruments Laparoscopic instruments Microscopic instruments Power tools Fibre optic equipment |
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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 |
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Disassembling instruments for cleaning may include: | Opening ratcheted instruments for processing Opening taps and valves Disassembling and reassembling multipart instruments and stilettes to check for correct fit and function Using correct dismantling technique for a variety of endoscopic instruments |
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Particular requirements for general surgical instruments may include: | Check scissors for correct set, sharpness and barbs Correctly clean, inspect and check box-jointed forceps for stiffness or wear Identify and correctly clean and inspect instruments with long shafts for example cup biopsy forceps, punches and rongeurs, checking the shaft for debris Identify processes required for removal of dyes/ adhesives Soak instruments used for Bonny's Blue to remove the dye Identify and process blind-ended instruments such as spackmann's cannula by processes that may include soaking and flushing safely with high pressure water Identify cannulated drills and process to remove impacted bone and other debris, inspecting for cleanliness prior to packaging Identify very fine suckers and process to remove wax blood and other organic debris using a variety of stillettes and brushes that touch the sides of the cannulation Identify difficult designs, follow manufacturer's instructions, dismantle for cleaning by brushing and flushing, and reassemble to check function for instruments such as Filshie clip applicators and Tonsil snares |
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Instruments with textured surfaces may include: | Acetabula graters Reamers ENT files |
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Requirements of instruments with tightly coiled structures include: | Soak appropriate enzymatic detergents Rinse off gross debris Follow the manufacturer's instructions for effective and safe use of enzymatic detergents Importance of soaking as soon as possible as part of pre-cleaning in the operating theatre Value of keeping the instrument moist prior to dispatch for cleaning |
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Selection and use of enzymatic detergents includes: | To soak instruments with soil impacted in textured surfaces To soak instruments with tightly coiled structures Follow manufacturer's instructions for effective and safe use |
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Instruments with specific processing requirements include: | Flexible illuminated instruments, for example: cystoscopes choledochoscope brochoscope with channels Power tools Screw and implant caddies Items requiring manual cleaning |
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Safe and correct processing of flexible endoscopes may include: | Wipe and suction with a solution immediately after the procedure, following the manufacturer's instructions Follow instructions for leak testing, and soaking in enzymatic detergent solution Follow instructions for disassembling, brushing, wiping and checking for cleanliness Follow instructions for drying (eg. using alcohol to flush channels or dry under low pressure forced air) |
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Safe and correct processing of power tools may include: | Follow manufacturer's instructions to prevent water entering the motor Identify and brush cannulation in power-tools Remove debris between movable, close-fitting parts |
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Safe and correct processing of screw and implant caddies may include: | Identify instruments likely to contain organic soil, such as drill bits Follow manufacturer's and organisation instructions to: soak in mild detergent solution rinse with flushing water assist drying with low-pressure forced air (eg. leave lid on to prevent dislodging fine items) |
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Safe practices for manual cleaning include: | Safe and effective brushing: selecting a suitable brush reducing the creation of aerosols removing debris off brush before retracting it up into a cannula. Follow standards such as AS/NZS 4187 for safe and effective methods of manual cleaning. Select agents and equipment for manual cleaning following AS/NZS 4187 |
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Safe work practices to conduct insulation testing includes: | Follow safety requirements when operating insulation porosity testers Follow appliance manufacturer instructions in applying devices such as the brush to identify defects Follow organisation processes for the removal and replacement of defective items |
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Instruments on loan may include: | Complex instruments with instructions from a loan set company Borrowed instruments from other hospitals |
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