model curriculum · 2018-11-01 · version no. 1.0 version update date 04/07/2018 pre-requisites to...

Central Sterile Service Department Assistant

Model Curriculum


SECTOR: SUB-SECTOR: OCCUPATION:

REF ID: NSQF LEVEL:

Healthcare Allied Health & Paramedics Non Direct Care HSS/Q6202, v1.0

4


TABLE OF CONTENTS

1. Curriculum 1 2. Trainer Prerequisite 18 3. Annexure: Assessment Criteria 19

Central Sterile Service Department Assistant 1

CSSD ASSISTANT CURRICULUM / SYLLABUS

This program is aimed at training candidates for the job of a “Central Sterile Service Department Assistant”, in the “Healthcare” Sector/Industry and aims at building the following key competencies amongst the learner

Program Name CSSD Assistant

Qualification Pack Name & Reference ID. ID

HSS/Q6202, version 1.0

Version No. 1.0 Version Update Date 04/07/2018

Pre-requisites to Training

Class 10th

Training Outcomes After completing this programme, participants will be able

to: Comprehend basic microbiology & infection control practices

related to central sterile service department.

Define the process of Cleaning, Disinfection, and packing instructions while handling medical & surgical devices.

Comprehend risks associated with handling & transportation of contaminated instruments & sterile instruments.

Employ and practise safe handling & disposal of biomedical waste generated in the healthcare organization.

Employ requirements of current guidelines & procedures while performing the duties & risks in case of non-compliance.

Demonstrate good communication, communicate accurately and appropriately in the role of CSSD Assistant.

Explain and practise the delivery of sterile equipments to various departments as per needs.

Discuss the merits of infection control and practices to maintain it.


5

This course encompasses 11 out of 11 National Occupational Standards (NOS) of “Central Sterile Service Department Assistant” Qualification Pack issued by “Healthcare Sector Skill Council”.

Sr. No.

Module Key Learning Outcomes Equipment Required

1 Orientation to Central Sterile Service Department Assistant’s (CSSD) key functions Theory Duration (hh:mm) 20:00 Practical Duration (hh:mm) 20:00 Corresponding NOS Code Bridge Module

Describe the functions of Central Sterile Service Department Assistant

Assess needs of departments for sterilizations and cleaning activities and act accordingly

Develop skill in documentation and maintain proper registers related to CSSD function

Describe employees responsibilities e.g. punctuality, discipline, integrity, grievance redressal process

Describe process involved intake of articles

Describe process involved during delivery of articles

Handle sterile equipments.

Prepare complete surgical sets as per the requirement of the operating surgeons

Present a positive personal image.

Develop understanding of the quality assurance at CSSD

Develop skill in handling various machines and sterilizers of CSSD

Mock set-up for the CSSD department

2 Foundations of Anatomy Theory duration (hh:mm) 10:00 Practical Duration (hh:mm) 10:00 Corresponding NOS Code Bridge Module

Discuss the basic anatomical terminology:

o Osteology- Upper limb , clavicle, scapula, humerous, radius, ulna Lower limb , femur, hipbone, sacrum, tibia, fibula and the vertebral column

o Thorax – Intercostal space, pleura, bony thoracic cage, ribs sternum & thoracic vertebrae

o Lungs – Trachea, bronchial tree o Heart – Surface anatomy of heart,

chambers of the heart, valves of the heart and major blood vessels of heart, pericardium, and coronary arteries.

o Musculo-skeletal system – Muscles of thorax, muscles of upper limb (arm & fore arm) Flexor and extensor group of muscles (origin, insertion, action)

o Excretory system – Kidneys, ureters, bladder

Mannequin, demonstration kits for understanding the anatomy, instructional videos.

3 Foundations of physiology

Describe the basic physiology used 1. The Cell: o Cell Structure and functions of the

Participant handbooks


6

Sr. No.


Theory duration (hh:mm) 10:00 Practical Duration (hh:mm) 10:00 Corresponding NOS Code Bridge Module

various organelles. o Endocytosis and exocytosis o (Acid base balance and

disturbances of acid base balances (Alkalosis, Acidosis)

2. The Blood: o Composition of Blood, functions of

the blood and plasma proteins, classification and protein.

o Pathological and Physiological variation of the RBC.

o Function of Haemoglobin o Erythrocyte Sedimentation Rate. o Detailed description about WBC-

Total count (TC), Differential count (DC) and functions.

o Platelets – formation and normal level and functions

o Blood groups and Rh factor o Cardio-Vascular System o Physiology of the heart o Heart sounds o Cardiac cycle o Cardiac output. o Auscultatory areas. o Arterial pressures o blood pressure o Hypertension o Electro cardiogram (ECG) 3. Respiratory system: o Respiratory movements. o Definitions and Normal values of

Lung volumes and Lung capacities. 4. Excretory system: o Normal Urinary output o Micturition o Renal function tests o Renal disorders. 5. Reproductive system: o Formation of semen o Spermatogenesis. o Brief account of menstrual cycle. 6. Central Nervous system:

Functions of CSF. 7. Endocrine system: Functions of

the pituitary, thyroid, parathyroid, adrenal and pancreatic Hormones.

4 Principles of Disinfection Theory duration (hh:mm) 10:00 Practical Duration (hh:mm)

Explain the concept of disinfection

Discuss the types of disinfectants

Demonstrate safe work practices when performing manual disinfection

Explain the importance and application of labels preparation instructions

Comprehend the concept of

Sample of various disinfectants


7

Sr. No.


10:00 Corresponding NOS Code HSS/N6207, HSS/N6208

pasteurization

Ensure quality assurance while performing disinfection

Discuss the basic principles and practices of cleaning and disinfection, including manual, thermal and ultra-sonic cleaning

Explain the factors that impact outcomes of disinfection

5 Principles of Decontamination Theory duration (hh:mm) 10:00 Practical Duration (hh:mm) 10:00 Corresponding NOS Code HSS/N6211, HSS/N6212

Explain a brief note on cleaning, decontamination work area etc.

Define various cleaning tools

Discuss mechanical cleaning and various mechanical cleaners

Describe washer disinfectors

Explain cleaning chemicals and lubricants

Explain various types of detergents

Cleaning tools, various detergents.

6 Maintain Sterile Field Theory duration (hh:mm) 10:00 Practical Duration (hh:mm) 20:00 Corresponding NOS Code HSS/N6207

Follow standard infection control guidelines to reduce risk of infection

Discuss the factors that impact sterilization

Demonstrate PPE downing procedure with respect to infection Control

Employ knowledge of the factors influencing growth of micro-organisms

Comprehend basic knowledge of the transmission methods of pathogenic organisms

Explain the difference between sterile and the sterilization process

Illustrate possible hazards in the sterile environment

Explain factors affecting sterile field such as physical, positive pressure, air conditioning system etc.

Demonstrate basic knowledge on microbiology and methods by which contamination with microorganisms can be prevented

Explain the concept of sterilization & maintaining the sterile environment

Demonstrate safe working practices

Describe policies & procedures related to sterile department such Operation Theatres, CSSD

Personal Protective Equipment, HAZMAT Kit,


8

Sr. No.


Departments, Intensive Care Unit etc,

Maintain sterile field and monitor it constantly

Report personal and other staff about breaches of aseptic principles

Explain basic microbiology & its effect on sterilization

7 Handling, storage and maintenance of sterile stock Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 10:00

Corresponding NOS Code HSS/N6210, HSS/N6211, HSS/N6213

Demonstrate stocking of sterile devices

Select the appropriate packaging material

Select appropriate wrapping techniques

Ensure correct storage and stock management principles for sterile stock

Explain maintaining, packaging with integrity, labelling & batch control of sterile stock

Identify compromised stock & action to rectify it

Identify, remove and re-process or discard stock not complying with inventory control guidelines

Follow hand washing guidelines for handling sterile stock

Comply with relevant HSE and manual handling requirements

Comply with sterile stock rotation practices and shelf life

Discuss the importance of restricting access and minimise traffic in the sterile stock area to prevent contamination

Describe handling with caution during transport of sterile devices

Document per standard protocols

Maintain and monitor sterile stock constantly

Explain the requirement of compliance with quality management requirements

Complete sterile stock ordering/request documentation

Instrument sets, inventory cupboards

8 Inspect and pack items Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm)

Sort items according to type, size and density for appropriate packaging material and method

Inspect items for cleanliness, dryness and reprocess where required

Inspect items for functionality and completeness before packaging

Hand sanitizers, PPE, Hand washing techniques, Surgical instrument, Instrument checklist


9

Sr. No.


30:00 Corresponding NOS Code HSS/N6210, HSS/N6211, HSS/N6213

Determine how to use illuminated magnifier

Identify, report, remove and/or replace damaged/faulty items and items due for preventative maintenance

Select packaging materials and technique with reference to sterilisation mode

Assemble trays/rigid containers of instruments against check lists

Describe the mechanism of sorting instruments according to size, packaging etc.

Inspect instruments for all factors as per procedures

Segregate faulty items & action plan

Demonstrate instrument tray preparation

Comprehend & demonstrate quality assurance indicators to ensure sterilization process compliance

Explain regulatory requirements

Discuss the importance of documentation

Report in case of failures

Demonstrate recall process

9 Transportation sterile stock Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 10:00

Corresponding NOS Code HSS/N6207, HSS/N6208, HSS/N6209

Discuss the importance of preparation, filing and dispatching /distribute stock/impress orders to relevant destination or department

Explain the importance of follow organisational procedures when supplying non-routine/urgent orders

Clean and maintain trolleys and containers

Handle transport equipment in accordance with HSE and infection control guidelines

follow designated route and timetable for transporting sterile stock

Comply with transport protocols for sterile stock

Follow batch control identification procedures


10

Sr. No.


10 Care for instruments Theory Duration (hh:mm) 20:00 Practical Duration (hh:mm) 20:00 Corresponding NOS Code HSS/N6211, HSS/N6212

Apply standard operating procedures for care of instruments including surgical & non-surgical

Identify the right cleaning agent & method/procedure for cleaning

Inspect the functionality of instruments

Safe Practices while performing the cleaning

PPE requirement while performing the cleaning

Disassemble the instruments

Demonstrate the skill of transportation of equipment to the decontamination room

Identify faulty medical devices and report in line with relevant requirements, policies and procedures

Comprehend corrosion risk of debris retained on instruments with textured surfaces

Disassemble instruments for cleaning as required using correct dismantling techniques

Select enzymatic cleaners to soak instruments

Inspect instruments during and after processing in line

Inspect instruments with textured surfaces for retained debris

Inspect instruments for completeness and working function

Different types of instruments & cleaning brushes and cleaning agents

11 Maintenance of linen Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 20:00 Corresponding NOS Code HSS/N6208

Apply hygiene & infection control associated to linen

Identify, segregate, inspection & wrapping of theatre linen

Identify the correct methods for handling & transport of linen

Confirm quality compliances of the packed product

Demonstrate packaging skills for linen

Maintain stock of packed product

classify rejected linen for rework, rewash or condemning as required

Apply laundry linen coding systems

Theatre Linen of various types


11

Sr. No.


12 Disinfection of medical equipments Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 20:00 Corresponding NOS Code HSS/N6211, HSS/N6212

Explain the concept of Spaulding Classification

Explain the concept of thermal disinfection & chemical disinfection

Explain the cycle stages and physical parameters that influence disinfection outcomes

Describe efficacy of the disinfection process according to the killing effect on microorganisms

Identify & select the devices for disinfection

Select correct process for disinfection

Identify the appropriate temperature for moist heat high level disinfection

prepare, operate, load, configure and unload washer- decontaminators

Evaluate of safe working practise for disinfection & disinfection method

Discuss all procedures related to disinfection & washer disinfector

Describe documentation for process & any non –compliances

Discuss legal & regulatory requirements

Operate & load washer disinfectors

Washer disinfector, surgical instruments, enzymatic cleaners

13 Maintenance of medical equipments Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 20:00 Corresponding NOS Code HSS/N6209

Identify cleaning procedures as per equipment

Identify methods for safe handling of sharp instruments

Comprehend the concept of initial and manual mechanical procedures

Discuss the importance of ensuring work flows in one direction only, from dirty to clean to sterile

Describe guidelines requirements & Instruction for Use (IFU ) by manufactures

Explain safety instructions & PPE

Discuss the requirement & methods for Identification, segregation & transport of contaminated items

Demonstrate unidirectional flow & segregation of areas

Identify & select of right cleaning products for all types of devices & the process of cleaning

Discuss water quality testing & final solution requirements

Describe legal requirements for process & implications of negligence

Washer Disinfector, enzymatic cleaner, PPE


12

Sr. No.


14 Inventory Control Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 20:00 Corresponding NOS Code HSS/N6208

Apply Inventory stock maintenance

Explain the importance of keeping record of manufacturing and expiration dates

Comprehend loss of sterile items.

Describe the cycle of distribution of supplies

Discuss inventory replenishment and distribution systems

Identify, remove and re-process or discard stock not complying with inventory control guidelines

Modules on inventory management

15 Maintain interpersonal relationship with colleagues and others Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 20:00 Corresponding NOS Code HSS/N9615

Enhance appropriate & timely communication between inter and intra departments

Employ the importance of confidentiality & privacy

Describe the importance for ensuring fulfilment of commitments

Explain organization’s policies & procedures

Deal with cases of poor communication

Discuss the importance of effective communication

Associate yourself with other members of the healthcare team

Encourage a positive work friendly milieu.

Help your colleagues in the situation of crisis.

Empathize with the patient and his/her significant others

Case-studies

16 Maintain professional & medico-legal conduct Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 10:00 Corresponding NOS Code HSS/N9616

Comprehend the applicable rules & policies of organization

Apply code of conduct & demonstrate best practices

Explain own duties & responsibilities & effects of non-compliance

Maintain relationship with other departments & seek support if required

Reduce risks associated with quality & safety measures

Associated risks module

17 Maintain a safe, healthy and secure working environment Theory Duration (hh:mm) 20:00

Enhance awareness of the responsibilities to maintain health safety & security

Enhance awareness for performing basic first aid in case of emergencies

Identify hazards & hospital colour coding system

First Aid Kit, Colour coding diagrams, Infection control protocols, Personal Protective Equipments


13

Sr. No.


Practical Duration (hh:mm) 20:00 Corresponding NOS Code HSS/N9617

Demonstrate documentation related to safety & security

Identify the suspicious package or items

Follow the policy and rules of the organisation

Demonstrate the skills of infection control and use of Personal Protective Equipments (PPE)

18 Infection control policies & procedures Theory Duration 20:00 (hh:mm) Practical Duration (hh:mm) 10:00 Corresponding NOS Code HSS/N9617

Describe the importance of infection control and prevention and guiding others about it in accordance with healthcare team

Identify the factors which influence the outcome of an exposure to infection

List strategies for preventing transmission of pathogenic organisms

Manage spills

Ensure hand hygiene: infection control/exposure control/ PPE

Describe about Nosocomial Infection

Explain importance about incident reporting

Explain the concept of Healthy Living

Develop techniques of self-grooming and maintenance

Vaccinate against common infectious diseases: immunisation to reduce the health risks for self, patients.

Current Guidelines on Handling of biomedical wastes, Handwashing & Hand rub techniques, Spill kit

19 Introduction to Hospital Policies and Procedures Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 10:00 Corresponding NOS Code Bridge Module

Discuss about hospital policies and procedures of healthcare organization

Explain various hospital departments/diagnostic services available with HCO/services available and direct patient to accurate unit.

Exhibit appropriate use of related medical terminology in daily activities with colleagues, and work area

Discuss the leaving policies of patient such as LAMA (Leave Against Medical Advice etc.)

Sample standard hospital protocols


14

Sr. No.


20 Quality Assurance in CSSD department Theory Duration (hh:mm) 20:00 Practical Duration (hh:mm) 20:00 Corresponding NOS Code Bridge Module

Explain the importance quality assurance and quality control

Explain quality in central service department

Describe components of quality

Explain planning tools and procedures

Describe quality control indicators

Analysis of quality concerns

Explain quality central service procedures

Describe quality in central service processing areas.

21 Safety & First Aid Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 20:00 Corresponding NOS Code HSS/N9617, HSS/N9618

Describe symptoms to identify cardiac arrest

Demonstrate principles of basic life support ( Adult chain of survival ,CABDs of giving CPR)

Describe the correct protocol of chest compression, ventilation and assessment steps

Differentiate the single rescuer and two rescuer CPR

Describe the conditions when choking occurs

Describe the protocol of giving life support during choking

Describe the safety measures to prevent emergencies

Explain and apply the Triage during the emergency

Explain the importance of first aid tools and equipment

First aid kit, splints, bandage, anti-septic creams etc

22 Bio Medical Waste Management Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 10:00 Corresponding NOS Code HSS/N9618

Explain the importance of proper and safe disposal of bio-medical waste & treatment

Explain the categories of bio-medical waste

Discuss about disposal of bio-medical waste – colour coding, types of containers, transportation of waste, etc.

Explain broad understanding of standards for bio-medical waste disposal

Discuss broad understanding of means of bio-medical waste treatment

Different coded colour bins, Visit to treatment plan of bio medical waste etc., visit to healthcare facility to learn about BMW

23 Basic Computer Knowledge Theory Duration (hh:mm) 10:00

Gain understanding about application of computers

Introduce with basic foundation to Computers:

Block diagram

Computer with internet facility with latest MS Office


15

Sr. No.


Practical Duration (hh:mm) 10:00 Corresponding NOS Code Bridge Module

Input and Output devices Storage devices

Discuss the foundation concept of operating systems

Need of Operating systems (OS)

Functions of OS

Windows 2000 – Utilities and basic operations

Microsoft office 2000 – MS Word, MS Excel, PowerPoint Presentation

Comprehend basic concepts about computer hardware & software

Apply the working knowledge of Hospital Information System (HIS)

Comprehend the application of computer in hospitals

24 Soft Skills & Communication Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 10:00 Corresponding NOS Code Bridge Module

Employ the art of effective communication

Demonstrate the use of effective communication with patients & family

Apply effective communication skills with peers/ colleagues using medical terminology in communication

Employ basic reading and writing skills

Describe sentence formation

Employ grammar and composition

Exhibit enhance vocabulary

Practise goal setting, team building, team work, time management, thinking and reasoning & communicating with others

Employ problem solving

Describe need for customer service and service excellence in Medical service

Explain work ethics in hospital set up

Discuss objection handling

Employ and exhibit telephone and e-mail etiquettes

Discuss basic computer working like feeding the data, saving the data and retrieving the data.

Analyze, evaluate and apply the information gathered from observation, experience, reasoning,

Scenario based learning modules


16

Sr. No.


or communication to act efficiently

Identify rapidly changing situations and adapt accordingly

Exhibit decision making ability

Discuss planning and organization of work

25 Reporting & Documentation Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 10:00 Corresponding NOS Code Bridge Module

Define the scope of practice for CSSD Assistant

Define reporting matrix and discuss the methods.

Explain importance of maintaining various records & how to obtain them from related resources

Explain various types of records to be maintained by CSSD department

Demonstrate essential components of various records and method of documentation and their retrieval

Discuss the legal implications of Electronic Medical/ surgical equipment records

Develop skill in documentation and maintain proper registers related to CSSD function

Sample formats of reports and hospital CSSD documents

26 Personal Hygiene Theory Duration (hh:mm) 10:00 Practical Duration (hh:mm) 10:00 Corresponding NOS Code HSS/N9617, HSS/N9618

Develop understanding of the concept of Healthy Living.

Develop understanding & procedures of Hand Hygiene to prevent cross infection including effective hand washing to include; social and clinical techniques

Equip with techniques of use of PPE: the need of PPE and types

Vaccinate against common infectious diseases: immunisation to reduce the health risks for self, patients and members of the dental team

PPE, vaccination kits, hand hygiene measures

Total Duration Theory Duration (hh:mm) 310: 00 Practical Duration (hh:mm) 390: 00 Total mandatory OJT

Class Room equipped with following arrangements: Sample formats of reports and hospital CSSD documents, Self-learning and understanding, Group Activity, Scenario based learnings, Computer with internet facility, Different coded colour bins, Visit to treatment plan of bio medical waste etc., visit to healthcare facility to learn about BMW, First aid kit, splints, bandage, anti-septic creams etc, Sample standard hospital protocols, Current Guidelines on Handling of biomedical wastes, Handwashing & Hand rub techniques, Spill


17

Sr. No.


Duration (hh:mm) 380:00

kit, First Aid Kit, Colour coding diagrams, Infection control protocols, Personal Protective Equipments, Associated risks module, Case-studies to portray and comprehend application, Washer Disinfector, enzymatic cleaner, Washer disinfector, surgical instruments, enzymatic cleaners, Theatre Linen of various types, Different types of instruments & cleaning brushes and cleaning agents, Hand sanitizers, PPE, Hand washing techniques, Surgical instrument, Instrument checklist, Instrument sets, inventory cupboards, Personal Protective Equipment, HAZMAT Kit, Cleaning tools, various detergents, Mannequin, demonstration kits for understanding the anatomy, instructional videos, Computer with internet facility and latest MS Office software.

Interactive lectures & Discussion

Brain Storming

Charts & Models

Activity

Video presentation Skill lab equipped with following arrangements:

Unique equipment as enlisted at the last

Practical Demonstration of various functions

Case study Role play

Grand Total Course Duration 1080:00 Hours (310:00 Hours duration for Class Room, 390:00 Hours Skill Lab Training and 380:00 Hours of mandatory OJT )

380 Hours of mandatory OJT/Internship/Clinical or Laboratory Training) (This syllabus/ curriculum has been approved by SSC: Healthcare Sector Skill Council)


18

Trainer Prerequisites for Job role: “CSSD Assistant” mapped to Qualification Pack: “HSS/Q6202, v1.0” Sr. No.

Area Details

1 Description To deliver accredited training service, mapping to the curriculum detailed above, in accordance with the Qualification Pack “HSS/Q6202”.

2 Personal Attributes

Aptitude for conducting training, and pre/ post work to ensure competent, employable candidates at the end of the training. Strong communication skills, interpersonal skills, ability to work as part of a team; a passion for quality and for developing others; well-organised and focused, eager to learn and keep oneself updated with the latest in the mentioned field..

3 Minimum Educational Qualifications

NSQF Level 5 certified CSSD Technician with 3 years of experience

CSSD manager with 2 years of experience in the relevant area

Operation theatre technician with 7 years of experience with 2 years in CSSD

CSSD Technician with 5 years of experience

4a Domain Certification

Certified for Job Role: “CSSD Assistant” mapped to QP: “HSS/Q 6202”, version 1.0 with scoring of minimum 80%.

4b Platform Certification

Recommended that the Trainer is certified for the Job Role: “Trainer”, mapped to the Qualification Pack: “MEP/Q0102” with scoring of minimum 80%.

5 Experience NSQF Level 5 certified CSSD Technician with 3 years of experience

CSSD manager with 2 years of experience in the relevant area

Operation theatre technician with 7 years of experience with 2 years in CSSD

CSSD Technician with 5 years of experience


19

Annexure: Assessment Criteria

Assessment Criteria

Job Role Central Sterile Service Department Assistant

Qualification Pack HSS/Q6202

Sector Skill Council

Healthcare Sector Skill Council

Sr. No.

Guidelines for Assessment

1. Criteria for assessment for each Qualification Pack will be created by the Sector Skill Council. Each Performance Criteria (PC) will be assigned marks proportional to its importance in NOS. SSC will also lay down proportion of marks for Theory and Skills Practical for each PC.

2. The assessment for the theory part will be based on knowledge bank of questions created by the SSC. 3. Assessment will be conducted for all compulsory NOS, and where applicable, on the selected elective/option

NOS/set of NOS. 4. Individual assessment agencies will create unique question papers for theory part for each candidate at each

examination/training center (as per assessment criteria below). 5. Individual assessment agencies will create unique evaluations for skill practical for every student at each

examination/training center based on this criterion. 6. To pass the Qualification Pack, every trainee should score a minimum of 70% of aggregate marks to

successfully clear the assessment.

7. In case of unsuccessful completion, the trainee may seek reassessment on the Qualification Pack.

National Occupational

Standards (NOS)

Performance Criteria (PC) Total Marks

(Theory)

Total Marks

(Practical)

Marks Allocation

Out Of Viva Skills

Practical

1. HSS/N 6207: Work within identified sterile field

PC1 wear personal protective equipment/attire correctly and ensure that it conforms with hospital and organisational policy and procedures

20 200

50 20 30

PC2 follow standard infection control guidelines to reduce risk of infection

50 30 20

PC3.carry out standard operating procedures to identify a sterile field

25 10 15

PC4 conform with aseptic principles when moving around a sterile field to ensure the sterile field is not contaminated

50 30 20

PC5 report personal and other staff breaches of aseptic principles to the relevant staff

25 10 15


20

Total 10 200 200 100 100

2. HSS/N 6208: Manage sterile stock of CSSD Items

PC1. select and wear attire in compliance with organisational policies and procedures

10 200 10 10 10

PC2. identify the dedicated area for storing sterile stock

10 10 10

PC3. store sterile stock in compliance with organisational policies and procedures

10 5 5

PC4. clean sterile stock area in accordance with organisational policies and procedures

10 5 5

PC5. restrict access and minimise traffic in the sterile stock area

10 5 5

PC6. maintain hand hygiene following hand washing procedures prior to handling sterile stock

5 3 2

PC7. decant sterile stock supplied in external containers/packaging prior to transfer into the sterile stock area

10 5 5

PC8. comply with relevant HSE and manual handling requirements

10 5 5

PC9. comply with sterile stock rotation practices and shelf life according to organisational policies and procedures

5 1 4

PC10. ensure minimal handling of sterile stock

10 5 5

PC11. inspect items for packaging integrity, labelling and batch control in accordance with organisational policies and procedures

10 5 5

PC12. follow organisational procedures when stock is non-conforming, i.e. packaging integrity and sterility is compromised e.g. dropped, wet, contaminated

5 1 4

PC13. ensure dust covering and labelling of CSSD Items are in accordance with organisational policies and procedures

10 5 5

PC14. identify, remove and re-process or discard stock not complying with inventory control guidelines

5 3 2

PC15. assess stock/impress levels in accordance with organisational policies and procedures

10 5 5


21

PC16. prepare, fill and dispatch/distribute stock/impress orders to relevant destination in accordance with organisational policies and procedures

5 3 2

PC17. follow organisational procedures when supplying non-routine/urgent orders

5 2 3

PC18. report supply discrepancies in accordance with organisational policies and procedures

5 2 3

PC19. clean and maintain trolleys and containers

5 2 3

PC20. prepare designated equipment, e.g. trolleys, bins etc.

5 2 3

PC21. load and handle transport equipment in accordance with HSE and infection control guidelines

10

PC22. follow designated route and timetable for transporting sterile stock

5 2 3

PC23. comply with transport protocols for sterile stock

5 2 3

PC24. follow batch control identification procedures in accordance with organisation policies and procedures

5 2 3

PC25. complete sterile stock ordering/request documentation in accordance with organisation policies and procedures

5 2 3

PC26. identify, report and document quality or procedural problems according to organisation policies and procedures

5 2 3

PC27. identify situations requiring recall

5 2 3

PC28. follow recall procedures and complete recall documentation

5 2 3

Total 10 200 200 98 112

3. HSS/N 6209: Clean surgical instruments

PC1. select cleaning process appropriate to each surgical instrument in line with manufacturer's and organizational recommendations

10 200

10 5 5

PC2 take into account the composition and manufacturing process of surgical instruments

10 5 5


22

PC3 take into account the risk of galvanic (electro-chemical) corrosion, factors that cause pitting and corrosion and the effect of treatment for the various metal surfaces

5 2 3

PC4 identify surfaces requiring remedial processes

5 3 2

PC5 identify faulty medical devices and report in line with relevant requirements, policies and procedures

10 5 5

PC6. Identify risk involved in using instruments with corrosion or textured surfaces

5 3 2

PC7 identify items requiring insulation testing

10 5 5

PC8 prepare general surgical instruments for cleaning in line with manufacturer's recommendations and associated guidelines

10 5 5

PC9 disassemble instruments for cleaning as required in line with manufacturer's and organisation guidelines and using correct dismantling techniques

10 5 5

PC10 select enzymatic cleaners to soak instruments

10 5 5

PC11 follow safe work practices to conduct insulation testing as required

10 5 5

PC12 follow organisation guidelines and manufacturer's instructions when receiving, disassembling and cleaning instruments on loan

5 3 2

PC13. identify and differentiate between re-usable and single use items in order to process only reusables

10 5 5

PC14 address particular requirements of a range of general surgical instruments

10 5 5

PC15. soak instruments as

required and rinse off gross

debris in line with

manufacturer's instructions

10 5 5

PC16 brush instruments with textured surfaces in the direction against the design to remove the debris effectively

10 5 5


23

and in line with safety requirements

PC17 address requirements of instruments with tightly coiled structures such as flexible reamers

10 5 5

PC18 flush instruments with tightly coiled structures with high pressured water and brush the cannulations, attaching to the ultrasonic's flushing mechanism ensuring that flexion opens the coil as much as possible

10 5 5

PC19 check for retained debris by safely flushing with high pressure water and high pressure air

10 5 5

PC20 safely process fine, delicate items, brushing gently with a suitable brush to remove adherent soil

5 2 3

PC21 follow guidelines for safe and correct processing of instruments with specific processing requirements

5 2 3

PC22 inspect instruments during and after processing in line with identified requirements

5 2 3

PC23 inspect instruments with textured surfaces for retained debris under lighted magnification

5 2 3

PC24 inspect instruments for completeness and working function

5 2 3

PC25 identify faults in the cleaning process and address in line with scope of own work role

5 2 3

Total 10 200 200 98 102

4. HSS/N 6210: Inspect, fold and pack operation theatre linen

PC1 apply and maintain environmental standards for packing of operation theatre linen

10 200

10 5 5

PC2 identify the role of hygiene and infection control in operation theatre linen

10 5 5

PC3 identify and apply personal protective equipment such as cap and mask

20 10 10

PC4 check clean operation theatre linen for grease, stains, lint, identifying markers, damage, quality and wear

20 10 10


24

PC5 classify reject linen for rework, rewash or condemning as required

20 10 10

PC6 fold product according to hospital operation theatre specifications

10 5 5

PC7 apply hospital and laundry linen coding systems

10 5 5

PC8 check packaging and storage equipment is for cleanliness

10 5 5

PC9 determine package content requirements

20 10 10

PC10 configure packs are according to hospital operation theatre and laundry procedures

10 5 5

PC11 wrap packs according to hospital operation theatre requirements and specifications

10 5 5

PC12 assess final finish of operation theatre packs

10 5 5

PC13 identify and apply protective covering requirements for products

20 10 10

PC14 load products into transport equipment using safe manual handling techniques

10 5 5

PC15 determine dispatched orders are according to requirements

10 5 5

Total 10 200 100 100

5. HSS/N 6211: Disinfect re-usable medical devices

PC1 identify disinfection requirements and check for thorough cleanliness of items to be disinfected

10 200

20 10 10

PC2 classify instruments and client care equipment to Spaulding classification

20 10 10

PC3 select an appropriate disinfection process in line with identified disinfection requirements and organisation policies and procedures

20 10 10

PC4 identify workplace health and safety issues for thermal disinfection processes

20 10 10

PC5 assess workplace health and safety risks in the use of thermal disinfection and take appropriate action to control identified risks

20 10 10

PC6 apply parameters for thermal disinfection to selection of duration and temperature of washer-disinfector cycles

20 10 10


25

PC7 follow safe work practices in the thermal disinfection process and identify and report any variations from normal

20 10 10

PC8 Complete documentation in line with organisation requirements

20 10 10

PC9 monitor thermal disinfection and keep proof of process documentation in accordance with organisation policies and procedures

20 10 10

PC10 apply thermocouple testing of washer-disinfector temperatures

20 10 10

Total 10 200 100 100

6. HSS/N 6212: Clean reusable medical devices

PC1 use cleaning procedures that comply with guidelines, manufacturers recommendations and organisation policies and procedures

10 200

5 2 3

PC2 identify the need for and use standard precautions

5 2 3

PC3 identify and use appropriate personal protection equipment

5 2 3

PC4 identify and comply with relevant organisation Health Safety and Environment (HSE) policies and procedures

5 2 3

PC5 identify infection risks and implement an appropriate response (or report to designated personnel) in accordance with the policies and procedures of the organisation

5 2 3

PC6 identify different methods for safe handling of sharp instruments and improperly disposed sharps such as needles, scalpel blades etc.

5 2 3

PC7 identify the protocol for care following exposure to blood or other body fluids of the organisation

5 2 3

PC8 manage spills of blood and body fluids in line with organisation policies and procedures

5 2 3

PC9 prepare and stock designated collection equipment e.g. trolleys, containers, case carts

5 2 3

PC10 follow the designated route and timetable for collecting contaminated items

5 2 3


26

and equipment

PC11 Confine and contain contaminated items prior to transport

5 2 3

PC12 comply with transport protocols, i.e. contaminated goods are not left unattended en route

5 2 3

PC13 transport used items and equipment to the cleaning area according to organisation policies and procedures

5 2 3

PC14 clean, dry, inspect and store collection equipment after each use

5 2 3

PC15 identify and sort items in accordance with organisation policies and procedures

5 2 3

PC16 prepare and clean items, e.g. initial and manual mechanical procedures, in accordance with and organisation policies and procedures

5 2 3

PC17 report disposable sharps and ensure their removal and disposal according to organisation policies and procedures

5 2 3

PC18 remove and dispose of waste at point of use, and report any variance in accordance with regulatory and policy requirements

5 2 3

PC19 prepare specialised items for specific cleaning procedures

5 2 3

PC20 identify and give priority to specific items requiring priority processing

5 2 3

PC21 segregate and process delicate items in accordance with organisation policies and procedures

5 2 3

PC22 identify faulty and damaged items and replace and report to designated person

5 2 3

PC23 lubricate instruments in accordance manufacturer’s recommendations and organisational policies and procedures

5 2 3

PC24 dry items in accordance with organisation policies and procedures

5 2 3

PC25 ensure work flows in one direction only, from dirty to

5 2 3


27

clean to sterile

PC26 segregate and clearly identify designated work areas

5 2 3

PC27 perform all tasks in the designated area

5 2 3

PC28 identify and report interruptions to work flow according to organisational requirements

5 2 3

PC29 clean and stock cleaning equipment and environment in accordance with manufacturer's recommendations and organisation policies and procedures

5 2 3

PC30 test, check and prepare all equipment (and utilities) for use in accordance with manufacturers' recommendations and organisation policies and procedures

5 2 3

PC31 identify, select, store and use chemical products according to manufacturer's instructions and HSE guidelines, with reference to material safety data sheets visible for all chemicals in use

5 2 3

PC32 use appropriate manual handling techniques when operating cleaning appliances in accordance with organisational policies and procedures

5 2 3

PC33 identify faulty/damaged cleaning equipment, including detergent dispensing systems and report to the designated authority for repair

5 2 3

PC34 inspect processed items for cleanliness, dryness and need for reprocessing if necessary

5 2 3

PC35 complete monitoring and/or test procedures, e.g. water quality, detergent residue, chemical, soil removal efficacy, in accordance with standards and organisation policies and procedures

5 2 3

PC36 ensure processes take into account opportunities to address waste minimisation, environmental responsibility and sustainable practice issues

5 2 3

PC37 monitor and document physical parameter, e.g. time, temperature, concentration in

10 5 5


28

accordance with manufacturer’s instructions

PC38 interpret and report any variance of procedures and physical parameters to the designated person

5 2 3

PC39 complete and archive quality management documentation in accordance with standards and organisation policies and procedures

5 2 3

Total 10 200 81 119

7. HSS/N 6213: Inspect and pack CSSD items

PC1 wear appropriate personal protective equipment

10 200 10 5 5

PC2 clean area prior to processing

5 3 2

PC3 wash hands according to infection control guidelines

5 3 2

PC4 manage and maintain stock levels, including manufacturers batch/lot number tracking, according to organisation policies and procedures

10 5 5

PC5 test heat sealers 5 3 2

PC6 identify items requiring specific priority

10 5 5

PC7 sort items according to type, size and density for appropriate packaging material and method, as per organisation policies and procedures

5 3 2

PC8 inspect items for cleanliness and dryness and reprocess where required

5 3 2

PC9 inspect items for functionality and completeness according to manufacturer's guidelines and organisation policies and procedures

10 5 5

PC10 re-assemble multi-part items for checking and disassemble or sufficiently loosen prior to packaging and sterilisation to ensure sterilant contact on all surfaces

5 3 2

PC11 prepare and inspect items for functionality and life expectancy according to manufacturer's recommendations and

10 5 5


29

organisation policies and procedures

PC12 use illuminated magnifier appropriately

5 3 2

PC13 lubricate moving parts where necessary and according to manufacturer's recommendations and organisation policies and procedures

5 3 2

PC14 identify load items and implantable items and process according to organisation policies and procedures

5 3 2

PC15 identify, report, remove and/or replace damaged/faulty items and items due for preventative maintenance

5 3 2

PC16 report missing items according to organisation policies and protocols

5 3 2

PC17 assemble and package thermally disinfected items for transfer to appropriate location

5 3 2

PC18 select packaging materials and technique with reference to sterilisation mode, and according to organisation policies and procedures

5 3 2

PC19 select, inspect and prepare instrument trays or rigid sterilisation containers according to manufacturer's recommendations and organisation policies and procedures

5 3 2

PC20 assemble trays/rigid containers of instruments against check lists

5 3 2

PC21 open and unlock items with hinges/ratchets

5 3 2

PC22 disassemble/loosen multi-part instruments

5 3 2

PC23 protect delicate and sharp items in accordance with organisation policies and procedures

5 3 2

PC24 select appropriate packaging material

5 3 2

PC25 package hollow ware items with all openings facing the same direction

5 3 2

PC26 use chemical indicators according to organisation policies and procedures

10 5 5


30

PC27 pack, secure and label packages to comply with aseptic retrieval principles

5 3 2

PC28 close and secure rigid sterilisation containers with external tamper-proof clips, chemical indicators and labels, according to manufacturer's specifications

10 5 5

PC29 use appropriate manual handling when assembling and packing items

5 3 2

PC30 complete quality assurance documentation according to organisation policies and procedures

5 3 2

PC31 select and operate equipment correctly and safely

5 3 2

PC32 complete routine cleaning and performance monitoring and maintenance of heat sealing equipment according to manufacturer's recommendations and organisation policies and procedures

5 3 2

PC33 use appropriate manual handling when operating equipment and ergonomic packing tables and anti-fatigue matting

5 3 2

Total 10 200 113 87

8. HSS/N 9615: Maintain Interpersonal relationship with colleagues, patients and others

PC1. communicate effectively with all individuals regardless of age, caste, gender, community or other characteristics

5 50

5 2 3

PC2. Utilize all training and information at one’s disposal to provide relevant information to the individual

3 1 2

PC3. Confirm that the needs of the individual have been met

2 0 2

PC4. Respond to queries and information needs of all individuals

2 1 1

PC5. Adhere to guidelines provided by one’s organization or regulatory body relating to confidentiality

2 1 1

PC6. Respect the individual’s need for privacy

5 2 3

PC7. Maintain any records required at the end of the interaction

2 1 1

PC8. Integrate one’s work with other people’s work effectively

2 1 1


31

PC9. Utilize time effectively and pass on essential information to other people on timely basis

5 2 3

PC10. Work in a way that shows respect for other people

2 1 1

PC11. Carry out any commitments made to other people

2 1 1

PC12. Reason out the failure to fulfill commitment

2 1 1

PC13. Identify any problems with team members and other people and take the initiative to solve these problems

2 1 1

PC14. establish, agree, and record the work requirements

2 1 1

PC15. Ensure his/her work meets the agreed requirements

2 1 1

PC16. Treat confidential information correctly

5 2 3

PC17. Work in line with the organization’s procedures and policies and within the limits of his/her job role

5 2 3

TOTAL 5 50 50 21 29

9.HSS/N 9616: Maintain professional & medico-legal conduct

PC1. Adhere to legislation, protocols and guidelines relevant to one’s role and field of practice

5 50

5 2 3

PC2. Work within organizational systems and requirements as appropriate to one’s role

5 2 3

PC3. Recognize the boundary of one’s role and responsibility and seek supervision when situations are beyond one’s competence and authority

10 5 5

PC4. Maintain competence within one’s role and field of practice

5 2 3

PC5. Maintain personal hygiene and contribute actively to the healthcare ecosystem

5 2 3

PC6. Use relevant research based protocols and guidelines as evidence to inform one’s practice

5 2 3

PC7. Promote and demonstrate good practice as an individual and as a team member at all times

5 2 3

PC8. Identify and manage potential and actual risks to the quality and safety of practice

5 2 3

PC9. Evaluate and reflect on the quality of one’s work and make continuing improvements

5 2 3


32

TOTAL 5 50 50 21 29

10. HSS/N9617: Maintain a safe, healthy and secure working environment

PC1. Identify individual responsibilities in relation to maintaining workplace health safety and security requirements

5 50

2 1 1

PC2. Comply with health, safety and security procedures for the workplace

2 1 1

PC3. Comply with health, safety and security procedures and protocols for environmental safety

2 1 1

PC4. Identify potential hazards and breaches of safe work practices

5 2 3

PC5. Identify and interpret various hospital codes for emergency situations

5 2 3

PC6. Correct any hazards that individual can deal with safely, competently and within the limits of authority

4 2 2

PC7. Provide basic life support (BLS) and first aid in hazardous situations, whenever applicable

5 2 3

PC8. Follow the organization’s emergency procedures promptly, calmly, and efficiently

5 2 3

PC9. Identify and recommend opportunities for improving health, safety, and security to the designated person

5 2 3

PC10. Complete any health and safety records legibly and accurately

5 2 3

PC11. Report any identified breaches in health, safety, and security procedures to the designated person

5 2 3

PC12. Promptly and accurately report the hazards that individual is not allowed to deal with, to the relevant person and warn other people who may get affected

5 2 3

Total 5 50 50 21 29

11. HSS/N9618: Follow biomedical waste disposal and infection control policies and procedures

PC1. Handle, package, label, store, transport and dispose of waste appropriately to minimize potential for contact with the waste and to reduce the risk to the environment from accidental release

5 50

5 2 3

PC2.Store clinical or related waste in an area that is accessible only to authorized

5 2 3


33

persons

PC3. Minimize contamination of materials, equipment and instruments by aerosols and splatter

2 1 1

PC4. Apply appropriate health and safety measures following appropriate personal clothing & protective equipment for infection prevention and control

2 1 1

PC5. Identify infection risks and implement an appropriate response within own role and responsibility in accordance with the policies and procedures of the organization

2 1 1

PC6. Follow procedures for risk control and risk containment for specific risks. Use signs when and where appropriate

2 1 1

PC7. Follow protocols for care following exposure to blood or other body fluids as required

2 1 1

PC8. Remove spills in accordance with the policies and procedures of the organization

2 1 1

PC9.Clean and dry all work surfaces with a neutral detergent and warm water solution before and after each session or when visibly soiled

5 2 3

PC10: Demarcate and maintain clean and contaminated zones in all aspects of health care work

2 1 1

PC11. Confine records, materials and medicaments to a

well‐designated clean zone 2 1 1

PC12. Confine contaminated instruments and equipment to a

well‐designated contaminated Zone

2 1 1

PC13. Decontaminate equipment requiring special processing in accordance with quality management systems to ensure full compliance with cleaning, disinfection and sterilization protocols

2 1 1

PC14. Replace surface covers where applicable

3 1 2

PC15. Maintain and store cleaning equipment

2 1 1

PC16. Report and deal with spillages and contamination in

2 1 1


34

accordance with current legislation and procedures

PC17. Maintain hand hygiene following hand washing procedures before and after patient contact and/or after any activity likely to cause contamination

2 1 1

PC18. Cover cuts and

abrasions with water‐proof dressings and change as necessary

2 1 1

PC19.Change protective clothing and gowns/aprons daily, more frequently if soiled and where appropriate, after each patient contact

2 1 1

PC20. Perform additional precautions when standard precautions alone may not be sufficient to prevent transmission of infection

2 1 1

Total 5 50 50 23 27

Grand Total Theory Practical Total

100 1400 1500

model curriculum · 2018-11-01 · version no. 1.0 version update date 04/07/2018 pre-requisites to...

Documents