Sterile Processor

Sterile Processor Skills Checklist
Answer Key:

1. No Experience

2. Limited Experience

3. Experienced

4. Very Experienced

Processing

Rows	1	2	3	4
Single Instruments
Endoscopes
Repair
Sets/ Trays
Care of Instruments

Decontamination

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Steam Sterilization
Low Temperature Sterilization
Manual cleaning
Washer Sterilizer
Soiled Linen
Disinfectants
Sharps
Disposable Items
Cleaning Equipment
Detergents
Dress code
Proper labeling

Other

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Test Control
Recording

Assembly and Preparation

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Sterile Storage Standards
Wrapping materials
Autoclave tape
Dust covers
Proper towel/ linen folding
Proper labeling
Expiration dates
Packing for steam
Heat sealing
Instrument count sheets
Placing instruments on trays

Experience with the Following Ages

Rows	1	2	3	4
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-school (3-6 years)
School Age (6-12 years)
Adolescent (12-18 years)
Young Adult (18-30 years)
Mature Adult (30-60 years)
Elderly (>60 years)

I attest that this checklist represents a true reflection of my experience to the best of my knowledge. By electronically signing this form I give my permission for it to be shared with facilities as a way to assess my skill level and be considered for employment opportunities.
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