Sterile Processor Skills Checklist
Answer Key
1. No Experience 2. Requires Supervision 3. Proficient 4. Can Teach Others
Processing
*
Rows
1
2
3
4
Single Instruments
Endoscopes
Repair
Sets/ Trays
Care of Instruments
Decontamination
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Rows
1
2
3
4
Steam Sterilization
Low Temperature Sterilization
Manual cleaning
Washer Sterilizer
Soiled Linen
Disinfectants
Sharps
Disposable Items
Cleaning Equipment
Detergents
Dress code
Proper labeling
Other
*
Rows
1
2
3
4
Test Control
Recording
Assembly and Preparation
*
Rows
1
2
3
4
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
Age Specific
*
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)
Undertaking
*
The Information I Provided is True & Accurate
Name
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Submit
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