Sterile Processing Technologist Skills Checklist
   NAME  
   Email-Id
   DATE    
I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Instructions:

This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

 
Proficiency Scale: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

 
Rating Stars (Click)
Processing 1
2
3
4
Single instruments
Endoscopes
Repair
Sets/ Trays
Care of instruments
Rating Stars (Click)
Decontamination 1
2
3
4
Manual cleaning
Washer sterilizer
Soiled linen
Disinfectants
Sharps
Disposable items
Cleaning equipment
Detergents
Dress code
Rating Stars (Click)
Steam Sterilization 1
2
3
4
Chart recording
Biological monitoring
Time
Testing/ Monitoring
Rating Stars (Click)
Tests 1
2
3
4
Test control
Recording
Rating Stars (Click)
Assembly andPreparation 1
2
3
4
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
Rating Stars (Click)
Age Specific Competencies 1
2
3
4
Infant (Birth - 1 year)
Preschooler (ages 2-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 13-21 years)
Young Adults (ages 22-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)
Elderly (ages 80+ years)