Sterile Processing Technologist RN - Skills Checklist

Processing

Single Instruments*

0
1
2
3
4
5

Endoscopes*

Repair*

Sets/Trays*

Care of Instruments*

Decontamination

Steam Sterilization*

Low Temperature Sterilization*

Manual Cleaning*

Washer Sterilizer*

Soiled Linen*

Disinfectants*

Sharps*

Disposable Items*

Cleaning Equipment*

Detergents*

Dress Code*

Proper Labeling*

Other (List):

Test Control*

Recording*

Assembly and Preparation

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

Infant (birth - 1 year)*

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 (over 60+ years)*

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*