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Evidence Guide: HLTSTE408C - Manage effectiveness of reprocessing of reusable medical devices

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTSTE408C - Manage effectiveness of reprocessing of reusable medical devices

What evidence can you provide to prove your understanding of each of the following citeria?

Plan for monitoring and maintenance requirements

  1. Prepare maintenance schedules in compliance with AS/NZS 4187, operational requirements and manufacturers' guidelines
  2. Maintain practices that monitor all aspects of reprocessing in compliance with AS/NZS 4187
  3. Monitor the collection of data required for monitoring and maintenance of reprocessing, in compliance with AS/NZS 4187 and manufacturer's guidelines
Prepare maintenance schedules in compliance with AS/NZS 4187, operational requirements and manufacturers' guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain practices that monitor all aspects of reprocessing in compliance with AS/NZS 4187

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor the collection of data required for monitoring and maintenance of reprocessing, in compliance with AS/NZS 4187 and manufacturer's guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Facilitate monitoring and maintenance requirements

  1. Complete planned and regular random checks of machinery performance
  2. Complete planned and regular random checks of data and tracking systems that monitor the decontamination cycle
  3. 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
  4. Follow practices and procedures for tracing back through the decontamination cycle to clients and users
  5. Report any issues outside sphere of responsibility and competence, without delay and according to organisation policies and procedures
  6. Follow the protocols for critical incidents and sentinel events investigation
Complete planned and regular random checks of machinery performance

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete planned and regular random checks of data and tracking systems that monitor the decontamination cycle

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow practices and procedures for tracing back through the decontamination cycle to clients and users

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Report any issues outside sphere of responsibility and competence, without delay and according to organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow the protocols for critical incidents and sentinel events investigation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain and evaluate records and reports

  1. Complete records of results of monitoring, according to AS/NZS 4187 an organisation policies and procedures
  2. Complete records of all equipment maintenance and repair
  3. Archive records to address legislative requirements
  4. Maintain, evaluate and act upon non-compliance records and reports
  5. Manage recall processes
Complete records of results of monitoring, according to AS/NZS 4187 an organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete records of all equipment maintenance and repair

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Archive records to address legislative requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain, evaluate and act upon non-compliance records and reports

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage recall processes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to organisation policies and procedures

  1. Provide input into organisation policies, procedures to ensure compliance with AS/NZS 4187
  2. Monitor and if necessary, adjust work practices to reflect AS/NZS 4187 and organisation policies and procedures
  3. Maintain research and manufacturers' information relevant to the effectiveness of disinfection and sterilisation processes
Provide input into organisation policies, procedures to ensure compliance with AS/NZS 4187

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor and if necessary, adjust work practices to reflect AS/NZS 4187 and organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain research and manufacturers' information relevant to the effectiveness of disinfection and sterilisation processes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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

Required Skills and Knowledge

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

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.

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