Perioperative Theatre Technology  ·  Level 5
Prevention Of Nosocomial Infections
Chapter 1: Prepare surgical instruments
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Chapter Practical Activities

Practical 1: Sorting Surgical Instruments by Type and Function

Perioperative Theatre Technology · Level 5
Prevention Of Nosocomial Infections
PRACTICAL ASSESSMENT
TIME: 4 HOURS
⬇ PDFCandidate Instructions (Candidate Tool)

Type: Individual

INSTRUCTIONS TO CANDIDATE:
1.  You are required to perform the following task:
i.  Sort a mixed set of surgical instruments into 4 categories (Cutting, Grasping, Clamping, Retracting) using the provided labelled trays.
2.  You have been provided with the following resources for the practical task:
Tools & EquipmentMaterials
Marker penMixed set of assorted surgical instruments
Sorting trays with labelled compartmentsPlain paper sheets
⬇ PDFResources Required (Cutting List)
S/NItemQuantity
1Protective personal equipment (utility gloves, surgical mask, headcap, apron)1 set per Candidate
2Mixed set of assorted surgical instruments (scalpels, forceps, scissors, needle holders, retractors)1 full mixed set per Candidate
3Sorting trays with labelled compartments (Cutting, Grasping, Clamping, Retracting)1 tray per Candidate
4Marker pen1 per Candidate
5Plain paper sheets2 sheets per Candidate
6Waste disposal bin (for damaged or unclean instruments)1 per Candidate
⬇ PDFAssessor Guide
Items to be EvaluatedMarks AvailableMarks ObtainedComments
TASK 1: Preparation and PPE
Donning appropriate PPE: utility gloves, surgical mask, headcap, apron
(Award 1 mark for each correct PPE worn)
4
Prepared working area by arranging sorting trays and instruments
(Award 2 marks for correct preparation of environment)
2
Sub-Total6
TASK 2: Sorting Instruments
Identified cutting instruments correctly (e.g. scalpels, scissors)
(Award 1 mark each for correctly identified and placed cutting instruments, max 5)
5
Identified grasping instruments correctly (e.g. tissue forceps)
(Award 1 mark each for correctly identified and placed grasping instruments, max 4)
4
Identified clamping instruments correctly (e.g. artery forceps, hemostats)
(Award 1 mark each for correctly identified and placed clamping instruments, max 4)
4
Identified retracting instruments correctly (e.g. hand-held retractors)
(Award 1 mark each for correctly identified and placed retracting instruments, max 3)
3
Removed any damaged or unclean instruments to waste disposal bin
(Award 2 marks if all damaged or unclean instruments removed properly)
2
Sub-Total18
TASK 3: Documentation and Completion
Labelled each sorting tray compartment correctly using marker pen
(Award 3 marks for all compartments labelled correctly)
3
Completed a summary sheet listing instruments sorted in each category
(Award 4 marks for clear, accurate documentation on paper)
4
Cleaned and tidied the working area after sorting
(Award 2 marks for proper cleaning and tidying)
2
Sub-Total9
PRODUCT CHECKLIST
All surgical instruments correctly sorted into their respective categories
(Award up to 10 marks for correct sorting accuracy)
10
Sorting trays labelled clearly and correctly
(Award 5 marks for clear and correct labelling)
5
Summary documentation accurate and complete
(Award 5 marks for accurate documentation)
5
Working area clean and organized after task completion
(Award 5 marks for proper cleaning and organization)
5
Sub-Total25
GRAND TOTAL58
ASSESSMENT OUTCOME:   ☐ Competent    ☐ Not Yet Competent (competent if at least 50%)

Practical 2: Manual Cleaning of Surgical Instruments

Perioperative Theatre Technology · Level 5
Prevention Of Nosocomial Infections
PRACTICAL ASSESSMENT
TIME: 4 HOURS
⬇ PDFCandidate Instructions (Candidate Tool)

Type: Individual

INSTRUCTIONS TO CANDIDATE:
1.  You are required to perform the following task:
i.  Manually clean a set of surgical instruments (approx. 20 pieces) contaminated with blood and debris using appropriate brushes and solutions as per infection prevention protocols.
2.  You have been provided with the following resources for the practical task:
Tools & EquipmentMaterials
Utility glovesSodium hypochlorite solution (0.5%)
Mackintosh apronClean water
Head gearLiquid hand soap
Surgical face maskAssorted surgical instruments
Protective gogglesColor-coded waste disposal bins
Buckets (20 liters each)Sharps disposal box
Soft bristled scrubbing brush
Lint-free cloth
Sink with running water
⬇ PDFResources Required (Cutting List)
S/NItemQuantity
1Utility gloves1 Pair per Candidate
2Mackintosh apron1 Pc per Candidate
3Head gear (headcap)1 Pc per Candidate
4Surgical face mask1 Pc per Candidate
5Protective goggles1 Pair per Candidate
6Buckets (20 liters each)4 Buckets per Candidate
7Sodium hypochlorite solution (0.5%)Enough for 5 liters per Candidate
8Clean waterEnough for 10 liters per Candidate
9Liquid hand soapEnough for 500 ml per Candidate
10Soft bristled scrubbing brush1 Pc per Candidate
11Lint-free cloth2 Pcs per Candidate
12Assorted surgical instruments (including serrated and toothed)1 Set per Candidate
13Color-coded waste disposal bins3 Bins per Candidate
14Sharps disposal box1 Pc per Candidate
15Sink with running water1 Per Station
⬇ PDFAssessor Guide
Items to be EvaluatedMarks AvailableMarks ObtainedComments
TASK 1: Manual Cleaning of Surgical Instruments
Performed social hand wash before donning PPE
(Award 1 mark for correct social hand wash or zero)
1
Donned appropriate PPE: utility gloves, mackintosh apron, head gear, surgical mask, goggles
(Award 1 mark for each PPE worn correctly, total 5 marks)
5
Prepared four buckets with correct solutions: i) 0.5% sodium hypochlorite, ii) clean water, iii) soapy water (liquid soap + water), iv) clean water for rinsing
(Award 1 mark each for correct preparation and labeling of each bucket, total 7 marks)
7
Immersed instruments in sodium hypochlorite bucket for initial decontamination
(Award 2 marks for correct immersion time and method or zero)
2
Rinsed instruments in clean water bucket after decontamination
(Award 2 marks for thorough rinsing or zero)
2
Washed instruments in soapy water below solution level without splashing
(Award 3 marks for correct washing technique and avoiding splashes)
3
Brushed serrated and toothed instruments carefully with soft bristled brush
(Award 2 marks for thorough brushing of serrated and toothed instruments)
2
Rinsed off excess soap in final clean water bucket
(Award 2 marks for thorough rinsing or zero)
2
Dried cleaned instruments with lint-free cloth without contaminating them
(Award 2 marks for proper drying technique)
2
Disposed of waste and sharps in correct color-coded bins and sharps box
(Award 2 marks for correct disposal or zero)
2
Performed social hand wash after completion
(Award 1 mark for correct social hand wash or zero)
1
Sub-Total29
PRODUCT CHECKLIST
All surgical instruments visibly clean, free from blood, debris and soap residue
(Award up to 5 marks based on cleanliness and absence of contaminants)
5
Instruments dried without water spots or rusting signs
(Award up to 3 marks for proper drying and no moisture retention)
3
Instruments arranged neatly for further sterilization
(Award up to 3 marks for proper arrangement and grouping)
3
Sub-Total11
GRAND TOTAL40
ASSESSMENT OUTCOME:   ☐ Competent    ☐ Not Yet Competent (competent if at least 50%)
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🔒Labeling and documenting surgical instrument sets for sterilizationPractical 7
🔒Loading Surgical Instruments into Sterilizer Trays for AutoclavingPractical 8
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