Appendix 2: Competency and Assessment Tool
Standard: The Participant has knowledge and skills to perform decontamination as per this policyAssessor: A Decontamination Technician Lymington Hospital( Holds IDSc Technical Certificate, completed an in-house induction training programme )
- All clinical staff who disinfectant or sterilise endoscope equipment require competency assessment
- Staff working in endoscopy must receive training prior to performing decontamination this should be arranged locally by staff managereg from manufacturer, in house, private provider
- Competency to decontaminate in endoscopy must be assessed by a designated practitioner
- Competency to decontaminate in areas other than endoscopy must be assessed by line manager on commencing the role.
Performance Criteria / Evaluation Method/
Evidence / Achieved/ not achieved / Date / Assessor
The Participant will be able to:
Demonstrate
- An understanding the principles of decontamination
- The correct procedure of decontamination depending on the item for decontamination
Be aware of which disinfectants are Trust approved disinfectants / Questioning
Demonstrate knowledge of methods available for decontamination and when each are indicated. / Questioning
Demonstrate an awareness of COSHH / Questioning
Perform decontamination in endoscopy as per policy and manufacturers guidelines / Observation and questioning
Understand factors which can reduce the effectiveness of the decontamination processes eg correct dilution, correct time of application / Questioning
Recognise the significance of a medical device which is labelled as single patient use. / Questioning
Performance Criteria / Intended answer/outcome
Be aware of which disinfectants are Trust approved disinfectants / Describes main disinfectants approved for use in the participants clinical environment.
Demonstrate a knowledge of methods available for decontamination and when each are indicated / Can define sterilisation, disinfection and cleaning and can give examples of medical devices which are decontaminated by each process.
Demonstrate an awareness of COSHH / Explain which disinfectants , used in the participants area, require a COSHH assessment, PPE and being locked away
Perform decontamination in endoscopy as per policyand manufacturers guidelines. / Endoscopy:
- Identifies individual endoscopes and all associated channels
- Can demonstrate an understanding of design and function of endoscopes
- Can demonstrate theory of decontamination, microbiology, detergent, disinfectants and EWDs
- Can demonstrate a knowledge of Health and Safety, COSHH, and general infection prevention
- Can demonstrate knowledge and skills on assembly and dismantling of scopes, pre-cleaning, manual cleaning, reprocessing accessories and ancillary equipment, disinfection and use of the automated endoscope reprocessors (EWD), drying, transportation storage, tracking/traceability, maintenance, testing and validation.
- Can demonstrate good understanding of Decontamination of Endoscopes in this Policy
Understand factors which can reduce the effectiveness of the decontamination processes e.g. correct dilution, correct time of application / Describe factors which reduce the effectiveness a high level disinfectant e.g.Tristel
Recognise the significance of a medical device which is labelled as single patient use. / Describe what the single use sign means and potential risk of re-use of single use items.
Assessor statement
Name and Signature of assessor
Name and Signature of participant
Date:
Action if competency not demonstrated by participant during assessment: / Action if competency not demonstrated by participant during self-assessment:
- Date for reassessment
- Any training/CPD requirements
- Action plan
Name and Signature of participant
Date:
SH CP 135 Decontamination of Flexible Endoscopes Procedure
Version: 2
December 2017