Type: Individual
| Tools & Equipment | Materials |
|---|---|
| Face mask | |
| Surgical gloves | |
| Scrubs | |
| Footwear | |
| Pen | |
| Recording material | |
| Theatre safety protocol checklist |
| S/N | Item | Quantity |
|---|---|---|
| 1 | Simulated operating room with Mayo stand and Back table | 1 station per candidate |
| 2 | Theatre staff role players (Circulating personnel and Surgeon) | 2 people per station |
| 3 | Theatre safety protocol checklist | 1 per candidate |
| 4 | Recording material (Foolscap paper) | 1 per candidate |
| 5 | Pen | 1 per candidate |
| 6 | Face mask | 1 per candidate |
| 7 | Surgical gloves | 1 pair per candidate |
| 8 | Scrubs | 1 set per candidate |
| 9 | Footwear (closed shoes) | 1 pair per candidate |
| Items to be Evaluated | Marks Available | Marks Obtained | Comments |
|---|---|---|---|
| TASK 1: Supervision of PPE Compliance | |||
| Ensured all theatre staff wore correct PPE before procedure start (Award 3 marks or zero) | 3 | ||
| Monitored continuous PPE adherence during procedure (Award 2 marks or zero) | 2 | ||
| Sub-Total | 5 | ||
| TASK 2: Monitoring Safety Protocol Adherence | |||
| Observed correct hand hygiene practices by theatre staff (Award 3 marks or zero) | 3 | ||
| Ensured proper handling and counting of surgical instruments (Award 4 marks or zero) | 4 | ||
| Verified correct waste segregation into color-coded bins (Award 2 marks or zero) | 2 | ||
| Promptly addressed any breaches in safety protocols (Award 3 marks or zero) | 3 | ||
| Sub-Total | 12 | ||
| TASK 3: Documentation and Reporting | |||
| Recorded observations accurately on the safety protocol checklist (Award 3 marks or zero) | 3 | ||
| Prepared a clear and concise incident report for any deviations (Award 3 marks or zero) | 3 | ||
| Sub-Total | 6 | ||
| PRODUCT CHECKLIST | |||
| Completed theatre safety protocol checklist with all sections accurately filled (Award 5 marks or zero) | 5 | ||
| Incident report is legible, complete, and submitted on time (Award 5 marks or zero) | 5 | ||
| Sub-Total | 10 | ||
| GRAND TOTAL | 33 | ||
Type: Individual
| Tools & Equipment | Materials |
|---|---|
| Surgical gloves | Surgical gloves |
| Face mask | Face mask |
| Theatre gown | Theatre gown |
| Hand sanitizer | Hand sanitizer |
| Sterile swabs and cleaning solution | Sterile swabs and cleaning solution |
| Waste disposal color-coded bins | Waste disposal color-coded bins |
| Incident report forms | Incident report forms |
| Simulated operating theatre setup |
| S/N | Item | Quantity |
|---|---|---|
| 1 | Surgical gloves | 1 pair per Candidate |
| 2 | Face mask | 1 per Candidate |
| 3 | Theatre gown | 1 per Candidate |
| 4 | Hand sanitizer (70% alcohol-based) | 1 bottle per Candidate |
| 5 | Sterile swabs and cleaning solution | 1 set per Candidate |
| 6 | Waste disposal color-coded bins (sharps, infectious, general) | 1 set per Candidate |
| 7 | Incident report forms (foolscap paper) | 1 per Candidate |
| 8 | Simulated operating theatre setup (including Mayo stand, back table, instrument tray) | 1 per Candidate |
| 9 | Simulated circulating personnel | 1 per Candidate |
| 10 | Simulated surgeon | 1 per Candidate |
| Items to be Evaluated | Marks Available | Marks Obtained | Comments |
|---|---|---|---|
| TASK 1: Supervision and Implementation of Infection Control | |||
| Candidate performs social hand wash before entering theatre (Award 1 mark or zero) | 1 | ||
| Candidate dons appropriate PPE including face mask, surgical gloves, and theatre gown correctly (Award 5 marks or zero) | 5 | ||
| Candidate supervises proper hand hygiene of theatre staff using hand sanitizer (Award 2 marks or zero) | 2 | ||
| Candidate ensures all instruments and surfaces are cleaned with sterile swabs and approved cleaning solution (Award 3 marks or zero) | 3 | ||
| Candidate directs correct segregation and disposal of waste into appropriate color-coded bins (Award 3 marks or zero) | 3 | ||
| Candidate identifies and addresses any breaches in infection control protocols during the procedure (Award 3 marks or zero) | 3 | ||
| Candidate instructs circulating personnel to maintain sterile field and avoid contamination (Award 2 marks or zero) | 2 | ||
| Candidate completes and writes an accurate incident report documenting any infection control issues (Award 3 marks or zero) | 3 | ||
| Sub-Total | 22 | ||
| PRODUCT CHECKLIST | |||
| Theatre environment is maintained sterile and free from contamination (Award 5 marks or zero) | 5 | ||
| All PPE worn correctly and waste disposed in correct color-coded bins (Award 5 marks or zero) | 5 | ||
| Incident report is complete, legible, and accurately reflects infection control breaches and corrective actions (Award 6 marks or zero) | 6 | ||
| Sub-Total | 16 | ||
| GRAND TOTAL | 38 | ||