Perioperative Theatre Technology  ·  Level 6
Execution Of Perioperative Theatre Safety Precautions
Chapter 3: Implement Peri-operation Theatre policies
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Chapter Practical Activities

Practical 1: Sterilization of Surgical Instruments and Application of Aseptic Technique

Perioperative Theatre Technology · Level 6
Execution Of Perioperative Theatre Safety Precautions
PRACTICAL ASSESSMENT
TIME: 4 HOURS
⬇ PDFCandidate Instructions (Candidate Tool)

Type: Individual

INSTRUCTIONS TO CANDIDATE:
1.  You are required to perform the following task:
i.  Sterilize a surgical instrument set sized approximately 40cm x 30cm x 10cm using an autoclave and apply aseptic technique as per theatre policy.
2.  You have been provided with the following resources for the practical task:
Tools & EquipmentMaterials
Autoclave machineSterilization tray with surgical instruments set
Disposable cleaning brushesSterile surgical gloves
Sterilization indicator stripsFace mask
Waste disposal binsSurgical gown
Sterile drapes
Antiseptic solution
Sterile water container
⬇ PDFResources Required (Cutting List)
S/NItemQuantity
1Sterilization tray with surgical instruments set1 Set per Candidate
2Autoclave machine1 per Station
3Sterile surgical gloves1 Pair per Candidate
4Face mask1 per Candidate
5Surgical gown1 per Candidate
6Sterile drapes2 per Candidate
7Antiseptic solution (e.g. Chlorhexidine)100 ml per Candidate
8Sterile water container1 per Candidate
9Disposable cleaning brushes2 per Candidate
10Waste disposal bins (color-coded)1 set per Station
11Hand hygiene soap dispenser1 per Station
12Sterilization indicator strips5 pcs per Candidate
⬇ PDFAssessor Guide
Items to be EvaluatedMarks AvailableMarks ObtainedComments
TASK 1: Sterilization and Aseptic Technique Implementation
Performed social hand wash before procedure
(Award 1 mark or zero)
1
Wore appropriate PPE: surgical gown, face mask, and sterile gloves
(Award 5 marks or zero)
5
Disassembled instruments and cleaned with disposable brushes using antiseptic solution
(Award 3 marks or zero)
3
Arranged instruments properly in sterilization tray without overlapping
(Award 2 marks or zero)
2
Placed sterilization indicator strips correctly inside the instrument tray
(Award 2 marks or zero)
2
Operated autoclave machine following correct parameters (temperature, pressure, time)
(Award 4 marks or zero)
4
Ensured no contamination of instruments after sterilization by using sterile drapes
(Award 3 marks or zero)
3
Disposed of cleaning waste and contaminated materials in appropriate color-coded bins
(Award 2 marks or zero)
2
Performed final hand hygiene after procedure completion
(Award 1 mark or zero)
1
Sub-Total23
PRODUCT CHECKLIST
Sterilized instrument set is free of visible contamination and moisture
(Award 3 marks or zero)
3
Sterilization indicator strips show successful sterilization
(Award 3 marks or zero)
3
Instruments are arranged aseptically and ready for use
(Award 3 marks or zero)
3
PPE worn correctly throughout procedure, no cross contamination observed
(Award 3 marks or zero)
3
Sub-Total12
GRAND TOTAL35
ASSESSMENT OUTCOME:   ☐ Competent    ☐ Not Yet Competent (competent if at least 50%)

Practical 2: Safe Patient Positioning and Safety Checks on Operating Table

Perioperative Theatre Technology · Level 6
Execution Of Perioperative Theatre Safety Precautions
PRACTICAL ASSESSMENT
TIME: 4 HOURS
⬇ PDFCandidate Instructions (Candidate Tool)

Type: Individual

INSTRUCTIONS TO CANDIDATE:
1.  You are required to perform the following task:
i.  Position a simulated patient safely on the operating table ensuring alignment and support according to perioperative safety guidelines (mannequin length approx. 1700mm).
2.  You have been provided with the following resources for the practical task:
Tools & EquipmentMaterials
Operating tableSurgical gown
Positioning aidsSurgical gloves
Patient safety checklist formFace mask
PenScrubs
⬇ PDFResources Required (Cutting List)
S/NItemQuantity
1Operating table1 per Candidate
2Positioning aids (e.g. pillows, gel pads, arm supports)1 set per Candidate
3Surgical gown1 per Candidate
4Surgical gloves1 pair per Candidate
5Face mask1 per Candidate
6Scrubs1 per Candidate
7Patient safety checklist form1 per Candidate
8Pen for documentation1 per Candidate
9Simulated patient mannequin1 per Candidate
⬇ PDFAssessor Guide
Items to be EvaluatedMarks AvailableMarks ObtainedComments
TASK 1: Patient Positioning and Safety Checks
Performed proper social hand wash before procedure
(Award 1 mark or zero)
1
Doned appropriate PPE: scrubs, face mask, gown and surgical gloves
(Award 5 marks or zero)
5
Checked the operating table for cleanliness and correct height adjustment
(Award 2 marks or zero)
2
Positioned the patient mannequin supine with correct spinal alignment
(Award 3 marks or zero)
3
Used appropriate positioning aids to support head, arms, and legs
(Award 4 marks or zero)
4
Ensured pressure points were adequately padded to prevent injury
(Award 3 marks or zero)
3
Secured patient safely to the table without constricting circulation
(Award 3 marks or zero)
3
Verified patient positioning against safety checklist items
(Award 2 marks or zero)
2
Communicated positioning details and safety checks to circulating personnel
(Award 2 marks or zero)
2
Documented all positioning and safety checks accurately on the checklist form
(Award 2 marks or zero)
2
Sub-Total27
PRODUCT CHECKLIST
Patient mannequin positioned supine with correct spinal alignment (mannequin length approx. 1700mm)
(Award 4 marks or zero)
4
Positioning aids correctly placed supporting head, arms, and legs without causing pressure or constriction
(Award 4 marks or zero)
4
Patient securely but comfortably restrained on operating table
(Award 3 marks or zero)
3
Complete and accurate documentation of positioning and safety checks on provided checklist form
(Award 2 marks or zero)
2
Sub-Total13
GRAND TOTAL40
ASSESSMENT OUTCOME:   ☐ Competent    ☐ Not Yet Competent (competent if at least 50%)
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🔒Handling and Disposal of Surgical Waste in Perioperative TheatrePractical 4
🔒Operating Theatre Equipment Functional and Safety InspectionPractical 5
🔒Perform infection control and hand hygiene procedures in the perioperative theatrePractical 6
🔒Complete perioperative documentation and communicate effectively with surgical teamPractical 7
🔒Emergency Response Preparation in Perioperative TheatrePractical 8
🔒Maintain Theatre Environmental Safety by Monitoring Temperature, Lighting, and VentilationPractical 9