Google Links

Follow the links below to find material targeted to the unit's elements, performance criteria, required skills and knowledge

Elements and Performance Criteria

  1. Prepare to clean used items
  2. Clean and dry used items
  3. Prepare and pack items for sterilisation
  4. Sterilise loads
  5. Maintain sterilising equipment

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

Instrument maintenance checklists

Requirements for the monitoring of sterilisation cycles

Safe work practices standard precautions and organisation protocols for the reprocessing and storage of reusable instruments

Safe work practices and standard precautions when handling and disposing of sharps including

destination of different types of sharps after use

reprocessing of sharp instruments

safe handling of local anaesthetic cartridge and needle

transfer of sharps between operator and assistant

The level of reprocessing required for noncritical site instruments semicritical site instruments and critical site instruments

Workflow protocols in the instrument reprocessing area

Workplace procedures for manual cleaning

Workplace procedures for steriliser use

Workplace procedures for using an ultrasonic cleaner andor thermal washerdisinfector

Essential skills

It is critical that the candidate demonstrate the ability to

Consistently use safe handling drying and cleaning protocols

Consistently use correct packing assembly and wrapping procedures for sterilisation and storage

Consistently prepare items for sterilisation

Consistently use safe operation of sterilisation equipment

Consistently interpret data and complete sterilisation records

Consistently use appropriate work health and safety WHS procedures and comply with current Australian and New Zealand Standards

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

Consistently follow safe work practices and apply standard precautions during cleaning and preparation of items for sterilisation

check items for defects after cleaning

select and safely use appropriate cleaning agents

select and wear appropriate personal protective equipment

Consistently dry items before packaging

Consistently maintain workflow protocols in instrument reprocessing area from contaminated to clean to sterile

Consistently operate mechanical cleaners including ultrasonic cleaner and thermal washerdisinfector

Consistently operate the steriliser in a safe and effective manner

Consistently protect sterile items from all vapours aerosols and splashing generated during procedures handwashing instrument washing ultrasonic cleaning and reprocessing

Consistently store packaged items in a clean place away from sources of moisture and contamination

Consistently store unwrapped sterilised items in dedicated clean dry containers that are protected from aerosol contamination

Take into account opportunities to address waste minimisation environmental responsibility and sustainable practice issues

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

Observation of workplace performance is preferred for assessment of this unit

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

Context of and specific resources for assessment


Assessment should replicate workplace conditions as far as possible

Simulations must not be used to represent workplace conditions

Method of assessment

Observation in the work place

Evidence of essential knowledge and understanding may be provided by

traditional or online computerbased assessment

written assignmentsprojects

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

Questioning

Staff andor client feedback

Supporting statement of supervisor

Authenticated evidence of relevant work experience andor formalinformal learning

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 andor Torres Strait Islander clients and communities

Related units

This unit may be assessed in conjunction with related work health and safety competency units


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.

Safe work practices may include but are not limited to:

Treatment of all used items as a potential source of infection

Personal hygiene practices especially washing and drying hands

Work practices for the safe handling of sharps

Work practices for the safe disposal of sharps and other clinical waste

The use of personal protective equipment:

heavy duty gloves

mask and protective eyewear

hair protection or covering

protective clothing and safety footwear

Safe handling, storage and disposal of chemicals

Safe handling techniques especially as they relate to lifting and handling dangerous and contaminated items

Legislative and workplace guidelines may be included in:

The current and endorsed version of the Australian/New Zealand Standards

Infection control guidelines for the transmission of infectious diseases in the health care setting

State or Territory legislative requirements

The Material Safety Data Sheets for the chemicals used

Organisation infection control policies and procedures

WHS policies and procedures

Waste may include but is not limited to:

Clinical waste:

discarded sharps

human tissues

laboratory waste

any other waste as specified by the workplace

Related waste:

radiographic waste

chemical and amalgam waste

cytotoxic waste

pharmaceutical waste

radioactive waste

General waste

Disposal of waste requirements may include:

Disposal in accordance with:

Environment Protection (Waste Management) Policy

Environment Protection (Waste Management) Regulations

Australian and New Zealand standards

Organisation policy

Work flow protocols may include:

Separate handwashing facilities

Sink suitable for disposal of liquid waste

Cleaning sink

One direction flow of instruments from contaminated to clean to sterile

Designated work area that is physically separate to prevent possible contamination of processed items

Identification and reporting of disruptions to work flow protocols in accordance with workplace procedures

Preparation of instruments for cleaning may include:

Sorting according to type of instrument and corresponding cleaning method

Written procedures for handling specialised items

Disassembly of instruments where possible for detergent to reach all surfaces

Checking for instrument defects, damage and missing parts

Selection and use of appropriate cleaning agents may include:

Meeting requirements of Product Data Bulletins and Materials Safety Data Sheets for the chemicals used

Cleaning methods may include:

Initial treatment of used instruments close to their point of use to decrease bioburden

Thermal washer/disinfector in accordance with current Australian/New Zealand Standards

Ultrasonic cleaner in accordance with current Australian/New Zealand Standards

Manual cleaning

Monitoring the cleaning process may include:

Visual inspection of all items for cleanliness and absence of detergent or rinse additive residues

Daily cleaning and maintenance of ultrasonic cleaner and washer/disinfector according to Australian/New Zealand Standards

Daily performance testing of ultrasonic cleaner according to Australian/New Zealand Standards

Daily checks of washer/disinfector function and detergent dispenser

Critical site instruments may include:

Instruments used to enter or penetrate into the tissue, cavity, organs or bloodstream of a client

Instruments which must be sterile at time of use

Batch control data may include:

Steriliser identification number or code

Date of sterilisation

Cycle or load number

Sterilisers may include:

Portable (benchtop)

Downward displacement

Pre-vacuum

Dry heat

Operation of the steriliser may include:

A load configuration that:

ensures items do not touch the chamber walls

contains items within the load carrying basket or tray

permits total steam penetration to all surfaces

enures wrapped items are dry on completion of the drying cycle

reduces damage to packs and their contents

ensures safe handling on the completion of cycle

Selection and activation of the appropriate sterilisation cycle

Selecting the appropriate drying time for the composition of the load

Ensuring the cycle is complete and sterilisation parameters have been met before removing items

Observing safety precautions when unloading and transporting items

Reporting and following workplace protocols when sterilisation errors occur

Sterilising cycle records may include:

The date of the cycle

The steriliser number or code

The cycle or load number

The exposure time, temperature and pressure

The name or identification of the loading operator

The name or identification of the person authorising release of load contents from the sterilising area

The specific contents of the load

The readout result of physical, chemical or biological/enzymatic indicators that are used

Monitoring of sterilisers may include but is not limited to:

Daily (for Pre-vacuum sterilisers):

external chemical indicator leak rate test

bowie Dick

Every packaged item:

external chemical indicator

Every cycle:

electronic printout of sterilisation parameters

chemical indicator (Class 4,5 or 6)

Criteria for release of processed packaged items may include:

Achievement of cycle parameters as set during performance validation

External chemical indicators have correct colour change

Packaged items are intact and have no visible moisture

Correct result of other tests:

biological indicators

enzymatic indicators

process challenge devices

electronic data loggers

Routine cleaning and checking of sterilisers may include but is not limited to:

Daily checks:

floor of steriliser is free of debris

chamber drain and filter are clear

recording devices, gauges and timers are functioning correctly

water reservoir (portable benchtop sterilisers) emptied, cleaned and refilled with distilled water

door seals are intact

Cleaning:

loading tray and external surfaces cleaned daily

steriliser chamber cleaned weekly when cold