SHARPS MANAGEMENT FOR BROKEN GLASS, NEEDLES AND ORTHODONTIC WIRE TASK EVALUATION SHEET

SHARPS MANAGEMENT FOR BROKEN GLASS, NEEDLES AND ORTHODONTIC WIRE TASK EVALUATION SHEET

Please add the student name as shown on the ID

Objective: By following a routine procedure that meets stated protocols, the student will demonstrate the proper technique on sharps management for broken glass, needles and orthodontic wire.

Competency: The student will set up armamentarium and Students will be taught the proper technique on sharps management for broken glass, needles and orthodontic wire.

Practice Required: 3

While wearing all PPE, don utility gloves, take the syringe apart, and prepare it for sterilization.

Retract the piston to release the harpoon from the cartridge.

Removed from the cartridge from the syringe by retracting the thumb ring enough to release the cartridge. Turn the syringe until the cartridge is free.

Carefully remove the needle with the protective cap in place.

Carefully unscrew the needle.

Carefully unscrew the needle.

Removed utility gloves, mask, and eyewear. Washed and dried hands.

BROKER GLASS AND ORTHODONTIC WIRE

Wore appropriate PPE

Always use mechanical means such as tongs, forceps, or a brush and a dust pan to pick up contaminated broken glassware; never pick up with hands even if gloves are worn.

Always use mechanical means such as tongs, forceps, or a brush and a dust pan to pick up contaminated broken glassware; never pick up with hands even if gloves are worn.

Removed utility gloves, mask, and eyewear. Washed and dried hands.

Total Possible Points = 44 points

Minimum passing score = 44 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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