Assessor Resource

HLTSTE408C
Manage effectiveness of reprocessing of reusable medical devices

Assessment tool

Version 1.0
Issue Date: April 2024


Functions at this level require:

a thorough overview of microbiology and disinfection in relation to AS/NZS 4187

a high level knowledge of equipment used for disinfection and sterilisation and tracking and monitoring systems

significant contribution to work practices, policy and procedures

This unit of competency describes the skills and knowledge required to monitor and manage the reprocessing of reusable medical devices to ensure compliance with AS/NZS 4187

The worker is required to understand the workings and optimal operational requirements of processing equipment, as well as, cleaning and disinfecting agents

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)

Prerequisites

Not Applicable

Employability Skills

This unit contains Employability Skills



Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

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:

access to a full range of tracking and monitoring systems

operational requirements of a full range of machinery and associated equipment

Resources essential for assessment include access to:

relevant workplace or appropriately simulated environment where assessment can take place

monitoring and tracking systems

manufacturers' guidelines

training records

Australian Standards, government and organisation policies and procedures

Method of assessment

Observation in the work place (if possible)

Written assignments/projects

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice.

Questioning

Role play simulation

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 and/or Torres Strait Islander clients and communities

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

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:

Detailed knowledge of infection control principles as they affect the sterilisation work environment

Detailed knowledge of the processes of maintaining and using tracking systems

Detailed knowledge of the record keeping requirements of AS/NZS 4187 and organisation policies and procedures

Detailed knowledge of the working of all equipment and machinery used in reprocessing medical devices

Knowledge of recall systems

Methods used to audit machine performance and report discrepancies

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

Relevant state/territory guidelines for sterilising services

Standards, including AS/NZS 4187, AS 4815 and all relevant infection prevention guidelines, especially in relation to the care of reusable medical equipment

The importance of sterilisation technology as a contribution to client safety and the relationship to well maintained reusable medical equipment

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

Essential skills:

It is critical that the candidate demonstrate the ability to:

Address WHS, infection control and manual handling requirements

Address performance and maintenance requirements of machinery used in cleaning, packing and sterilisation processes

Apply knowledge of the importance of sterilisation technology as a contribution to client safety

Complete all documentation accurately

Comply with AS/NZS 4187 and AS/NXS 4815 for sterilisation purposes, especially in relation to the care and maintenance of equipment

Use tracking and monitoring systems

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 AS/NZS 4187 and organisation policies and procedures to work practices

Apply AS/NZS 4187 to organisation policies and procedures

Maintain data and record systems

Take into account opportunities to address waste minimisation, environmental responsibility and sustainable practice issues, including appropriate practices to ensure efficient use of resources

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

Use methods to audit machine performance

Use problem solving skills - the ability to use available resources and prioritise workload

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.

Disinfection and sterilisation 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

Pre-vacuum steam steriliser

Downward displacement steam steriliser

Dry heat steriliser

Hydrogen peroxide plasma steriliser

Peracetic acid steriliser

Monitoring and accessory equipment may include:

Physical parametric process recorders, including:

print outs

graphics and chart recorders

information technology data systems

Batch control labelling guns

Computerised systems, including:

label printers

scanners

workstations

External chemical indicators

Internal chemical indicators

Biological indicators and incubators, and enzymatic indicators

Dryness testing

Process challenge devices

Performance qualification equipment, including:

computerised data loggers

thermocoupling devices

Leak rate test

Bowie Dick type air removal test

Quality management documentation may include:

Cycle, batch control and load description documentation

Steriliser usage and utilisation

Volume of sterilised items by defined category

Cleaning, monitoring, testing, fault analysis and maintenance of sterilisers and associated equipment

Dispatch/distribution by destination

Non-conformance/non-compliance reporting

Archiving and filing of steriliser records

Validation report

Critical incidents and sentinel events may include:

Suspected transmission of blood borne virus

Product failure

Wet loads

Damage and instrument failure

Poorly cleaned instruments

Failed sterilising cycle

Release of failed sterilising cycle loads

Distribution of unsterile items

Faulty batches of monitoring equipment

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Prepare maintenance schedules in compliance with AS/NZS 4187, operational requirements and manufacturers' guidelines 
Maintain practices that monitor all aspects of reprocessing in compliance with AS/NZS 4187 
Monitor the collection of data required for monitoring and maintenance of reprocessing, in compliance with AS/NZS 4187 and manufacturer's guidelines 
Complete planned and regular random checks of machinery performance 
Complete planned and regular random checks of data and tracking systems that monitor the decontamination cycle 
Take action where discrepancies are identified, including recall procedures, machinery maintenance or repair, and chemical review, in accordance with AS/NZS 4187, manufacturers' guidelines and organisation policies and procedures 
Follow practices and procedures for tracing back through the decontamination cycle to clients and users 
Report any issues outside sphere of responsibility and competence, without delay and according to organisation policies and procedures 
Follow the protocols for critical incidents and sentinel events investigation 
Complete records of results of monitoring, according to AS/NZS 4187 an organisation policies and procedures 
Complete records of all equipment maintenance and repair 
Archive records to address legislative requirements 
Maintain, evaluate and act upon non-compliance records and reports 
Manage recall processes 
Provide input into organisation policies, procedures to ensure compliance with AS/NZS 4187 
Monitor and if necessary, adjust work practices to reflect AS/NZS 4187 and organisation policies and procedures 
Maintain research and manufacturers' information relevant to the effectiveness of disinfection and sterilisation processes 

Forms

Assessment Cover Sheet

HLTSTE408C - Manage effectiveness of reprocessing of reusable medical devices
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

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Result: Competent Not yet competent

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Assessor name:

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Assessment Record Sheet

HLTSTE408C - Manage effectiveness of reprocessing of reusable medical devices

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

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Overall assessment result: Competent Not yet competent

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