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Evidence Guide: HLTSTE409C - Facilitate effective steam steriliser function

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

 

HLTSTE409C - Facilitate effective steam steriliser function

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

Contribute to planning preventative maintenance for steam and sterilisers

  1. Ensure maintenance schedules are met with regard to standards
  2. Apply practice standards to monitor processes of the sterilisation cycle
  3. Assess the data from monitoring of processes to ensure sterilisers functioning correctly to achieve validation of the sterilisation cycle
  4. Manage trouble shooting for steriliser failure (eg. wet loads), using a multidisciplinary approach and including investigation of defects and failures
Ensure maintenance schedules are met with regard to standards

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply practice standards to monitor processes of the sterilisation cycle

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess the data from monitoring of processes to ensure sterilisers functioning correctly to achieve validation of the sterilisation cycle

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage trouble shooting for steriliser failure (eg. wet loads), using a multidisciplinary approach and including investigation of defects and failures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess data from monitoring processes

  1. Ensure planned maintenance schedules are met with regard to standards
  2. Take action where discrepancies are identified to facilitate repair
  3. Report any issues outside sphere of responsibility and competence to designated authority to achieve validation of the sterilisation cycle
  4. Liaise with engineering and technical services departments and companies
  5. Initiate change processes when required
Ensure planned maintenance schedules are met with regard to standards

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Take action where discrepancies are identified to facilitate repair

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Report any issues outside sphere of responsibility and competence to designated authority to achieve validation of the sterilisation cycle

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Liaise with engineering and technical services departments and companies

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Initiate change processes when required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain records

  1. Complete records of results of monitoring, according to AS/NZS 4187 and organisation policies and procedures
  2. Complete records of all equipment maintenance and repair
Complete records of results of monitoring, according to AS/NZS 4187 and organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete records of all equipment maintenance and repair

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to organisation and operational policies and procedures

  1. Provide input into organisation policies and procedures to ensure compliance with AS/NZS 4187 and AS 1410
  2. Monitor and if necessary, adjust work practices to reflect AS/NZS 4187 and organisation policies and procedures
  3. Maintain currency via literature and manufacturer's information relevant to the effectiveness of sterilisation processes
Provide input into organisation policies and procedures to ensure compliance with AS/NZS 4187 and AS 1410

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 currency via literature and manufacturer's information relevant to the effectiveness of sterilisation processes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Liaise with maintenance personnel/technicians

  1. Liaise with maintenance personnel/technicians to determine when not to use a particular sterilizer
  2. Liaise with maintenance personnel/ technicians to identify reasons for not using a particular steriliser
  3. Determine circumstances in which maintenance personnel should be summoned
Liaise with maintenance personnel/technicians to determine when not to use a particular sterilizer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Liaise with maintenance personnel/ technicians to identify reasons for not using a particular steriliser

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine circumstances in which maintenance personnel should be summoned

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete validation processes

  1. Complete validation, following installation qualification, operational qualification and performance qualification processes
  2. Complete documentation requirements as outlined in AS/NZS 4187
Complete validation, following installation qualification, operational qualification and performance qualification processes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete documentation requirements as outlined in AS/NZS 4187

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 must be in workplace and under conditions

Resources essential for assessment include access to:

relevant workplace

monitoring and tracking systems

manufacturers' guidelines

training records

Australian Standards, government and organisation policies and procedures

Method of assessment

Observation in the work place essential

Written assignments/projects

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

Questioning

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:

Air detector function test (in detail) and air detector performance test

Air detector function, operation, adjustment and testing

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 the sterilisation cycle and support equipment eg boilers and steam reticulation

Load release issues, including the variety of acceptable monitoring criteria suitable for load release

Methods used to audit machine performance and report discrepancies

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

Operation, monitoring and performance testing of downward displacement steam sterilizers and limitations on types of possible items for sterilization

Relevant state/territory guidelines for sterilising services

Routine monitoring, including:

trends in leak rate test results and appropriate action

trends air removal test results and appropriate action

Steam supply requirements including:

issues about boiler types and their location

steam piping and steam delivery requirements

testing for steam quality - dry saturated steam, superheat measurement and management

Standards, including AS/NZS 4187, AS 4815 and AS1410 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:

Accurately complete all documentation

Address WHS, infection control and manual handling requirements

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

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

Comply with AS/NZS 4187, AS1410 and AS/NZS 4815 for sterilisation purposes, especially in relation to the care and maintenance of equipment

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 AS1410 to organisation policies and procedures

Apply AS/NZS 4187 and AS1410, organisation policies and procedures to work practices

Develop sterilizing department policies related to load release

Identify possible sterilizer related causes of wet loads and perform trouble shooting to address occurrences of wet loads

Interpret reports arising from air detector testing

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

Undertake routine monitoring, including:

identify trends in leak rate test results and determine appropriate action

identify trends air removal test results and determine appropriate action

select and use appropriate process challenge devices

Use and monitor low temperature sterilizers (peracetic acid and hydrogen peroxide plasma), including:

loading and operation

physical, chemical and biological monitoring

maintenance by operators

liaison with service contractors

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.

Steriliser construction and operation must include:

Steam quality

Pre-vacuum steam steriliser

Load retaining device

Chamber cleaning accessories

Water quality (feed and service)

Steam source

Reticulation

Trapping

Solenoids

Drain lines

Air removal pumps

Vacuum pump

Steris operational parameters, etc.

Hydrogen Peroxide plasma operational parameters etc

Investigation of defects and failures may include:

Defects in:

lagging

steam traps

gradient of pipes

Total Dissolved Solids (TDS) in boiler

Pressure failure

Assembly and packaging failure

Monitoring and accessory equipment may include:

Performance qualification equipment

Throttling calorimeters

Non-condensable gas testing

Superheat

Thermocouple equipment

Physical parametric process recorders, including:

printouts

graphics and chart recorders

information technology data systems

computerised systems

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 must include:

Monitoring, fault analysis, maintenance of sterilisers and steam quality

Non-conformance/non-compliance reporting

Validation reports

Pressure vessel certificates

Fault registers

Communication register

Documentation relating to the non-conformance/non-compliance (fault detection, reporting and rectification)