Perioperative Theatre Technology  ·  Level 6
Prevention Of Nosocomial Infections
Chapter 1: Prepare surgical instruments
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Chapter Practical Activities

Practical 1: Sorting Surgical Instruments by Type and Use

Perioperative Theatre Technology · Level 6
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 20 assorted surgical instruments by type and intended use into two instrument trays measuring 400mm x 300mm each as per hospital protocol.
2.  You have been provided with the following resources for the practical task:
Tools & EquipmentMaterials
Soft bristled brushAssorted surgical instruments
Lint free clothInstrument trays
Utility gloves
Face mask
Protective goggles
⬇ PDFResources Required (Cutting List)
S/NItemQuantity
1Assorted surgical instruments (scalpels, forceps, scissors, retractors, needle holders, clamps)20 Pcs per Candidate
2Instrument trays2 Pcs per Candidate
3Lint free cloth1 Pc per Candidate
4Soft bristled brush1 Pc per Candidate
5Clean running waterSufficient per Candidate
6Utility gloves1 Pair per Candidate
7Face mask1 Pc per Candidate
8Protective goggles1 Pair per Candidate
9Waste disposal bins (color coded)1 Set per Candidate
⬇ PDFAssessor Guide
Items to be EvaluatedMarks AvailableMarks ObtainedComments
TASK 1: Sorting Surgical Instruments
Performed social hand wash before handling instruments
(Award 1 mark or zero)
1
Donned appropriate PPEs: utility gloves, face mask, protective goggles
(Award 5 marks for all PPE or zero)
5
Identified and separated instruments by type: cutting, grasping, clamping, retracting, and suturing
(Award 1 mark per correct category separated x 5 = 5 Marks)
5
Sorted instruments by intended use into two trays without mixing types
(Award 3 marks for correct sorting or zero)
3
Unlocked hinges and box joints of instruments before placing them in trays
(Award 2 marks or zero)
2
Inspected instruments for cleanliness and presence of blood or debris
(Award 3 marks or zero)
3
Checked instruments for functionality including sharpness, movement, alignment, rust, and completeness
(Award 1 mark each for sharpness, movement, alignment, rust, completeness x 1 = 5 Marks)
5
Reported any malfunctioning or damaged instruments to supervisor
(Award 1 mark or zero)
1
Disposed of any waste generated in appropriate color coded bins
(Award 1 mark for correct disposal of sharps and 1 mark for other waste or zero)
2
Performed social hand wash after completing the sorting task
(Award 1 mark or zero)
1
Sub-Total28
PRODUCT CHECKLIST
All instruments correctly sorted by type and use into two trays without mixing
(Award 5 marks for complete and accurate sorting or zero)
5
Instruments properly unlocked and arranged allowing inspection and sterilization
(Award 3 marks or zero)
3
Instruments inspected and free of blood, debris, rust, and damage as per protocol
(Award 4 marks or zero)
4
Sub-Total12
GRAND TOTAL40
ASSESSMENT OUTCOME:   ☐ Competent    ☐ Not Yet Competent (competent if at least 50%)

Practical 2: Manual Cleaning of Surgical Instruments Using JIK Solution

Perioperative Theatre Technology · Level 6
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.  Clean and prepare 15 assorted surgical instruments manually using JIK solution and liquid soap for removal of all visible contamination.
2.  You have been provided with the following resources for the practical task:
Tools & EquipmentMaterials
SinkJIK solution (5% sodium hypochlorite)
BucketsLiquid soap
Measuring jugAssorted surgical instruments
Soft bristled brushPPEs (Utility gloves, Face mask, Goggles)
Lint free cloth
Color coded waste bins
Drying area/table
⬇ PDFResources Required (Cutting List)
S/NItemQuantity
1Clean running waterSufficient for all candidates
2Sink1 per Candidate
3Buckets4 per Candidate
4PPEs (Utility gloves, Face mask, Goggles)1 set per Candidate
5Measuring jug1 per Candidate
6JIK solution (5% sodium hypochlorite)Sufficient for all candidates
7Liquid soapSufficient for all candidates
8Assorted surgical instruments15 pieces per Candidate
9Soft bristled brush1 per Candidate
10Lint free cloth1 per Candidate
11Color coded waste bins1 set per Candidate
12Drying area/table1 per Candidate
⬇ PDFAssessor Guide
Items to be EvaluatedMarks AvailableMarks ObtainedComments
TASK 1: Cleaning Surgical Instruments
Performed social hand wash before procedure
(Award 1 mark or zero)
1
Donning appropriate PPE: Utility gloves, Face mask, Goggles
(Award 5 marks for all PPE or zero)
5
Calculated and measured correct ratio of sodium hypochlorite to water at 1:9
(Award 3 marks or zero)
3
Prepared and labelled four buckets with name of solution, date, time of preparation and expiry
(Award 1 mark each for labeling 4 buckets or zero)
3
Immersed assorted instruments into JIK bucket and waited for 10 minutes
(Award 2 marks or zero)
2
Rinsed instruments in second bucket with clean water and transferred to third bucket
(Award 1 mark or zero)
1
Washed instruments in soapy water: a) wiped instruments without crevices with lint free cloth, b) brushed instruments with crevices using soft bristled brush
(Award 2 marks each or zero)
4
Rinsed instruments in fourth bucket with clean water
(Award 1 mark or zero)
1
Dried instruments on flat surface using lint free cloth
(Award 1 mark or zero)
1
Disposed of waste properly: a) drained used solutions in appropriate sinks, b) disposed waste in correct color coded bins
(Award 1 mark each or zero)
2
Performed social hand wash after procedure
(Award 1 mark or zero)
1
Donning clean gloves after drying instruments
(Award 1 mark or zero)
1
Assembled all instruments together for inspection
(Award 1 mark or zero)
1
Separated instruments, unlocked hinges and box joints
(Award 1 mark or zero)
1
Inspected instruments for cleanliness checking for blood or debris
(Award 1 mark or zero)
1
Checked functionality of instruments: i. Cutting edges/sharpness ii. Movements iii. Alignments iv. Rust v. Missing parts/completeness
(Award 1 mark for each or zero x 5 = 5 marks)
5
Reported any malfunctioning instruments to supervisor
(Award 1 mark or zero)
1
Documented the procedure performed
(Award 1 mark or zero)
1
Sub-Total35
PRODUCT CHECKLIST
All 15 surgical instruments cleaned, dried, separated, inspected and assembled correctly
(Award 5 marks for completeness and cleanliness or zero)
5
Sub-Total5
GRAND TOTAL40
ASSESSMENT OUTCOME:   ☐ Competent    ☐ Not Yet Competent (competent if at least 50%)
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🔒Inspecting surgical instruments for defectsPractical 3
🔒Assemble complete surgical instrument trays for minor surgeryPractical 4
🔒Lubricate surgical instruments with moving partsPractical 5
🔒Packaging surgical instruments for sterilizationPractical 6
🔒Labeling Surgical Instrument Packs for SterilizationPractical 7
🔒Loading surgical instrument packs into autoclave for sterilizationPractical 8
🔒Unloading and storing sterilized surgical instrumentsPractical 9
🔒Maintain and update surgical instrument inventory recordsPractical 10