AUTOCLAVING INSTRUMENTS TASK EVALUATION FORM

AUTOCLAVING INSTRUMENTS TASK EVALUATION FORM

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Objective: By following a routine procedure that meets stated protocols, when provided with the appropriate materials, the student will demonstrate the proper technique for preparing and autoclaving instruments.

Competency: The student will set up armamentarium and Students will be taught the proper technique for preparing and autoclaving instruments. The student will pass with a minimum score.

Practice Required: 3

Wore appropriate personal protective eyewear.

Dried the instruments.

Dipped non stainless instruments and burs in a corrosion inhibitor.

Placed the process indicator into the package.

Packaged, sealed, and labeled the instruments.

Placed, bagged, and sealed items in the autoclave.

Tilted glass or metal canisters at an angle.

Placed larger packs at the bottom of the chamber.

Did not overload the autoclave.

Followed the manufacturer’s instructions.

Checked the level of water. (If necessary, added more distilled water.)

Set the autoclave controls for the appropriate time, temperature, and pressure.

At the end of the sterilization cycle, vented the steam into the room and allowed the contents of the autoclave to dry and cool.

Total Instructor's Evaluation

Total Possible Points = 52 points

Minimum passing score = 52 points

If step is missed or minimum competency is not met, the evaluated procedure fails and must be repeated.

All Tasks are critical to the procedure Scoring:
1. Below basic skill level – No concept of skill.
2. Basic skill level – Minimum concept of skill, guidance needed.
3. Proficient skill level – Able to perform skill with minimal guidance.
4. Advanced skill level – Able to perform skill with no guidance.

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AUTOCLAVING INSTRUMENTS TASK EVALUATION FORM

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