Type: Individual
| Tools & Equipment | Materials |
|---|---|
| Pen | Surgical gloves |
| Theatre equipment setup checklist | Face mask |
| Foolscap paper | Scrubs |
| Gown | |
| Footwear |
| S/N | Item | Quantity |
|---|---|---|
| 1 | Operating theatre simulated environment with Mayo stand and back table | 1 station per candidate |
| 2 | Theatre equipment setup checklist (printed) | 1 per candidate |
| 3 | Pen and foolscap paper for recording | 1 set per candidate |
| 4 | Surgical gloves | 1 pair per candidate |
| 5 | Face mask | 1 per candidate |
| 6 | Scrubs | 1 set per candidate |
| 7 | Gown | 1 per candidate |
| 8 | Footwear (closed theatre shoes) | 1 pair per candidate |
| 9 | Simulated circulating personnel and surgeon | 2 persons per station |
| Items to be Evaluated | Marks Available | Marks Obtained | Comments |
|---|---|---|---|
| TASK 1: Theatre Setup Inspection | |||
| Performed social hand wash before inspection (Award 1 mark or zero) | 1 | ||
| Donning appropriate PPE including face mask, surgical gloves, scrubs, gown, and footwear (Award 5 marks or zero) | 5 | ||
| Systematically inspected theatre environment for cleanliness, ventilation, and lighting (Award 3 marks or zero) | 3 | ||
| Verified correct arrangement and sterility of Mayo stand and back table (Award 4 marks or zero) | 4 | ||
| Checked availability and functionality of theatre equipment as per checklist (Award 4 marks or zero) | 4 | ||
| Confirmed proper waste disposal bins are positioned and color-coded (Award 2 marks or zero) | 2 | ||
| Ensured circulating personnel and surgeon roles and communication protocols were clear (Award 2 marks or zero) | 2 | ||
| Recorded all findings accurately on checklist and foolscap paper without interruption (Award 3 marks or zero) | 3 | ||
| Sub-Total | 24 | ||
| PRODUCT CHECKLIST | |||
| Completed theatre setup inspection report with all checklist items marked and remarks noted (Award 6 marks or zero) | 6 | ||
| Report is clear, legible, and correctly identifies any non-compliance with safety standards (Award 5 marks or zero) | 5 | ||
| Sub-Total | 11 | ||
| GRAND TOTAL | 35 | ||
Type: Individual
| Tools & Equipment | Materials |
|---|---|
| Thermometer for autoclave temperature verification | Used surgical instrument set |
| Stopwatch or timer | Sterilization records/logbook |
| Pen and clipboard | Foolscap recording sheets |
| S/N | Item | Quantity |
|---|---|---|
| 1 | Used surgical instrument set | 1 set per Candidate |
| 2 | Sterilization records/logbook | 1 per Candidate |
| 3 | Foolscap recording sheets | 2 sheets per Candidate |
| 4 | Gown | 1 per Candidate |
| 5 | Surgical gloves | 1 pair per Candidate |
| 6 | Face mask | 1 per Candidate |
| 7 | Scrubs | 1 per Candidate |
| 8 | Footwear | 1 pair per Candidate |
| 9 | Thermometer for autoclave temperature verification | 1 per Candidate |
| 10 | Stopwatch or timer | 1 per Candidate |
| 11 | Pen and clipboard | 1 per Candidate |
| Items to be Evaluated | Marks Available | Marks Obtained | Comments |
|---|---|---|---|
| TASK 1: Evaluation of Sterilization Procedure | |||
| Performed hand hygiene before starting the evaluation (Award 1 mark or zero) | 1 | ||
| Donning appropriate PPE: gown, surgical gloves, face mask, and footwear (Award 5 marks or zero) | 5 | ||
| Checked autoclave temperature using thermometer and recorded value (Award 3 marks or zero) | 3 | ||
| Verified sterilization cycle duration using stopwatch or timer (Award 3 marks or zero) | 3 | ||
| Inspected physical cleanliness and integrity of surgical instruments (Award 3 marks or zero) | 3 | ||
| Reviewed sterilization records/logbook for completeness and accuracy (Award 4 marks or zero) | 4 | ||
| Cross-checked sterilization parameters against hospital standards (Award 3 marks or zero) | 3 | ||
| Recorded findings clearly and legibly on the foolscap sheets (Award 3 marks or zero) | 3 | ||
| Maintained aseptic technique throughout the evaluation process (Award 2 marks or zero) | 2 | ||
| Sub-Total | 27 | ||
| PRODUCT CHECKLIST | |||
| Accurate and complete documentation of sterilization parameters and observations (Award 5 marks or zero) | 5 | ||
| Identification and clear reporting of any deviations from standard sterilization procedures (Award 5 marks or zero) | 5 | ||
| Recommendations for corrective actions if sterilization process is found deficient (Award 3 marks or zero) | 3 | ||
| Sub-Total | 13 | ||
| GRAND TOTAL | 40 | ||