SterileProcessing Skillschecklist
SterileProcessing Skillschecklist
Name: Date:
In order to provide suitable assignments for you, this checklist is intended as a method of assessing your professional proficiency. Please
rate your skill level as accurately as possible by placing a check (√) in the appropriate box.
1 = No experience; Theory/observed only 2 = Limited competency; < 5 times per year; Needs supervision
3 = Acceptable competency; > 5 times per year 4 = Competent; Performs on a daily or weekly basis; Proficient
1
Sterilization cont. Computer Charting/EMR
2.Sterility Assurance Tests Other Computerized System
Bowie Dick Computerized Physician Order Entry
Biological Bar Coding for Medication Administration
Chemical Age Specific Practice Criteria
3.Steam Sterilization Newborn/Neonate (birth - 30 days)
Load documentation Infant (30 days - 1 year)
Cart loading Toddler (1 - 3 years)
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I hereby certify that ALL information I have provided to Wellspring Nurse Source on this skills
checklist is true and accurate. I understand and acknowledge that any misrepresentation or
omission may result in disqualification from employment and/or immediate termination.
Signature: Date: