Elements and Performance Criteria

Selection and use of personal protective equipment will depend on the type of task(s) and situation(s).

Items may be grouped for sterilisation as follows:
Steam under pressure
Low temperature ethylene oxide gas
Low temperature hydrogen peroxide vapour/plasma
Chemical (paracetic acid)
Dry heat

Performance criteria to be met for sterilisation cycle must include measures such as:
Verifying print outs
Load dryness
Indicator tape
Data records or graphs
Cycle number/date

Recording of statistics will depend on whether a manual or computerised system is used.

Critical aspects of performance:
Procedures for instrumentation are followed
Knowledge and compliance with as 4187 and/or AS-NZS 4815 for all procedures
All documentation is accurately completed

Concurrent assessment and relationship with other units:
This unit can be assessed independently, however holistic assessment practice with other sterilisation units of competency is encouraged.

Essential knowledge is required of the following:
Fundamental knowledge of microbiology as it affects the sterilisation work environment
Knowledge of the importance of sterilisation technology as a contribution to patient care
Knowledge of the legal responsibilities of providers of health care in relation to confidentiality, patient rights, duty of care and the implications of negligence
Work flow process required for sterilisation
OHS policies, guidelines and symbols
Cleaning and infection control principles
Australian standard 4187 and NCCTG
Relevant state/territory guidelines for sterilising services
Function and operation of sterilisers
Sterilisation processes and requirements
Departmental procedures to be followed when criteria are not met
Environmental conditions required for efficient functioning of the sterilisation area
Range of sterilisation tests as noted in AS 4187
Health care facility standards for record maintenance
Difference between the different types of steam sterilisers
Steam generation, steam quality and the impact of these on the outcome of the product
The dynamics of steam under pressure in the steriliser chamber and the impact on the item being sterilised and the loading method items in the chamber
Cleaning protocols for sterilisers and trolleys and special requirements for same
Specific monitoring equipment and procedures for each method of sterilising as the process is monitored
Parameters that may influence or affect the operation of each form of sterilising
Conditions required for effectively carrying out each form of sterilising
Terminology used in sterilising
Any quarantine protocols applicable

Essential skills required must include:
Interpret test results of different types of sterilisation methods
Identify the problem from the test result.
Follow departmental policies problem solving for steriliser maintenance and service
Identify the methods of sterilisation in current use in Australia
Identify and use safeguards necessary for the use of chemical products
Reading and writing skills - literacy competence required to fulfil job roles in a safe manner and as specified by organisation. The level of skill may range from the ability to understand symbols used in OHS signs, to reading workplace safety pamphlets or procedure manuals, handling chemicals such as cleaning fluids and completing accurately documentation. Literacy support available in the workplace may range from having access to support or assistance from expert/mentor/supervisor, to having no communication supports available. Literacy may be required in English or a community language.
Oral communication skills - language competence required to fulfil job roles in a safe manner and as specified by the organisation. Assessors should look for skills in asking questions, providing clear information, listening to and understanding workplace instructions, and clarifying workplace instructions when necessary. The organisation may require competence in English or a community language, depending on client group.
Numeracy skills - the ability to complete basic arithmetic calculations such as addition, subtraction, multiplication, division and recording data
Problem solving skills - the ability to use available resources and prioritise workload

Resource implications:
Resource requirements include all the relevant resources commonly provided in the work environment. Specific resources may include:
Access to relevant workplace or appropriately simulated environment where assessment can take place
Access to relevant Australian Standards, government and organisational policy, guidelines, procedures and protocols

Method of assessment:
Assessment may include:
Observation of performance
Written tasks
Interviewing and questioning
Formal appraisal systems
Staff/client feedback
Portfolio/CV
Supporting statement of supervisor(s)
Authenticated evidence of relevant work experience and/or formal/informal learning
Case studies and scenarios as a basis for discussion of issues and strategies to contribute to best practice in the work environment

Context of assessment:
This unit is most appropriately assessed in the workplace or in a simulated workplace setting under the normal range of workplace conditions. Assessment may be conducted on one occasion but should include a range of clients, reflecting the diverse nature of those for whom service is provided in the workplace context.

A diversity of assessment tasks is essential for holistic assessment.