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1.877.891.4286
1.877.891.4286
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Sterile Processing Technologist RN – Skills Checklist
This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Precision Nationwide Staffing.
0 = Not Applicable
1 = No Experience
2 = Some Experience
3 = Intermittent Experience
4 = Experienced
5 = Very Experienced
Processing
Single Instruments
*
0
1
2
3
4
5
Endoscopes
*
0
1
2
3
4
5
Repair
*
0
1
2
3
4
5
Sets/Trays
*
0
1
2
3
4
5
Care of Instruments
*
0
1
2
3
4
5
Decontamination
Steam Sterilization
*
0
1
2
3
4
5
Low Temperature Sterilization
*
0
1
2
3
4
5
Manual Cleaning
*
0
1
2
3
4
5
Washer Sterilizer
*
0
1
2
3
4
5
Soiled Linen
*
0
1
2
3
4
5
Disinfectants
*
0
1
2
3
4
5
Sharps
*
0
1
2
3
4
5
Disposable Items
*
0
1
2
3
4
5
Cleaning Equipment
*
0
1
2
3
4
5
Detergents
*
0
1
2
3
4
5
Dress Code
*
0
1
2
3
4
5
Proper Labeling
*
0
1
2
3
4
5
Other (List):
Test Control
*
0
1
2
3
4
5
Recording
*
0
1
2
3
4
5
Assembly and Preparation
Sterile Storage Standards
*
0
1
2
3
4
5
Wrapping Materials
*
0
1
2
3
4
5
Autoclave Tape
*
0
1
2
3
4
5
Dust Covers
*
0
1
2
3
4
5
Proper Towel/Linen Folding
*
0
1
2
3
4
5
Proper Labeling
*
0
1
2
3
4
5
Expiration Dates
*
0
1
2
3
4
5
Packing for Steam
*
0
1
2
3
4
5
Heat Sealing
*
0
1
2
3
4
5
Instrument Count Sheets
*
0
1
2
3
4
5
Placing Instruments on Trays
*
0
1
2
3
4
5
Experience with the Following Ages
Infant (birth - 1 year)
*
0
1
2
3
4
5
Pre-school (3 - 6 years)
*
0
1
2
3
4
5
School Age (6 - 12 years)
*
0
1
2
3
4
5
Adolescent (12 - 18 years)
*
0
1
2
3
4
5
Young Adult (18 - 30 years)
*
0
1
2
3
4
5
Mature Adult ( 30 - 60 years)
*
0
1
2
3
4
5
Elderly (over 60+ years)
*
0
1
2
3
4
5
Information & Agreement
Application ID
*
Please enter your application ID. This ID should be 15 characters long and have the format of PHNMS##########. You should have received an email containing your application ID when you submitted your initial application. If not, please contact our staff.
Applicant Name
*
First
Last
Applicant Email
*
Applicant Phone
*
I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.
*
I agree to the terms below.
The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Precision Nationwide Staffing. Submit this skills evaluation with your initial application. To be updated annually.
Signature
*