Medical Device Logbook

MEDICAL DEVICE
REPROCESSING
(DECONTAMINATION
SPECIALIST)
Student Log book
Decontam Logbook.indd 1 14/07/2017 16:42

Contents Module 0 Introduction
4. Exercise 1 - Meet Your Team

7. Exercise 2 - Check Your Knowledge
9. Module 0 Signoff
Module1 Introduction to Decontamination
10. Exercise 1 - Explore Your CSSD

13. Module 1 Signoff
Module 2 Microbiology and Infection Control
16. Exercise 1 - Follow the Glow Germ

17. Exercise 2 - PPE & Infection Control Competency
Checklist
Module 3 Surgical Instrument Types
21. Exercise 1 - Terminology

22. Exercise 2 - Explore Your Unit
Module 4 Contaminated Medical Device Transportation
26. Exercise 1 - Documentation

27. Exercise 2 - Procedure
27. Exercise 3 - Scenario
28. Exercise 4 - RMD Handling & Transportation
Competency Checklist
Medical Device Reprocessing (Decontamination Specialist) 1

Module 5 Cleaning and Disinfection
30. Exercise 1 - Simple Hinged Devices

30. Exercise 2 - Efficacy of Disinfection
31. Exercise 3 - Daily/Weekly Validation Methods
31. Exercise 4 - Decontamination Washroom
Module 6 Inspection, Assembly & Packaging (IAP)
34. Exercise 1 - Wrapping/Packaging Systems

35. Exercise 2 - IAP Competency Checklist
Module 7 Sterilization
39. Exercise 1 - Sterilizer Types

39. Exercise 2 - Review Sterilizer Indicators
40. Exercise 3 - Bowie Dick Test
40. Exercise 4 - Sterilization Competency Checklist
Checklist
Module 8 Sterile Storage, Handling & Transportation
43. Exercise 1 - Explore Your Sterile Storage Room

44. Exercise 2 - RMD Handling and Transportation
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Module 9 Endoscope Decontamination
47. Exercise 1
47. Exercise 2
48. Exercise 3
48. Checklist
Module 10 Dental Instrument Processing
52. Exercise 1
54. Checklist
Competency Log During Internship
56. Week 1
66. Week 2
69. Week 4
72. Week 6
76. Week 7
79. Placement Complete

Module 0
INTRODUCTION
Exercise 1 – Meet Your Team
1. Who is your Unit Manager/Director?
2. Who are your trainers/supervisors or any other members

of the team that will be supporting you in your education?
3. Introduce yourself to your fellow students. Who are they,

where are they from, what’s interesting about them?
Where are they from? What

Student Name
is one of their interesting
strengths, skills or hobbies?
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4. Introduce yourself to your new colleagues. Who are they,
what do they do, what’s interesting about them?
Where are they from? What

Student Name
is one of their interesting
strengths, skills or hobbies?

5. Visit all areas of the facility and make a note of the different
areas where you will be working.
6. Discuss the facility’s policies and procedures as general

protocol. Make a note of what you have learned.
7. Discuss the importance of knowing staff culture, including

cultural sensitivities/limitations. Make a note of areas where
you need to be culturally sensitive.
8.What challenges do you think you might face as you under-

take this program?
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Exercise 2—Check Your Knowledge
1. List some different approaches to learning and indicate

which approaches you feel will work best for you?
Learning Approach Suitable for you?
1.
2.
3.
4.
5.
2. What are some of the characteristics of adult learners?
1.
2.
3.
4.
5.
3. What are some of the common challenges you may face

as a returning student?
1.
2.
3.
4.

4. List some things to be aware of to ensure positive
communication amongst your team and with your customers.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
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5. What must you do to ensure confidentiality and how might it be
different in a hospital/healthcare setting? List your ideas below.
1.
2.
3.
4.
5.
Module 0 Signoff
I confirm that this student has adequately completed the module 0 exercise, as well as successfully
answered the Check Your Knowledge questions.
Tutor Feedback
Tutor Signature
Tutor Name Title Badge # Date
Student Comment
Student Signature
Student Name Title Badge # Date
Verified & Approved By

(Signature)
Approval Date

Module 1
INTRODUCTION TO
DECONTAMINATION
Exercise 1—Explore Your CSSD
1. List the titles of all policies and procedures that must be

adhered to in your CSSD.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
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2. What standards or guidelines are referenced in your policies?
1.
2.
3.
4.
5.
Decontamination Zone
Is there a contaminated returns area for staff to deliver containers or trolleys? Y|N
Is there an environmental cleaners room dedicated to the decontamination area? Y|N
Is there a gowning area with

Y|N Is this separated from the wash area? Y|N
PPE?
Is there a hand wash sink? Y|N Is there an eye wash station? Y|N
3. What PPE do you have available?
Cover gowns with sleeves Y|N Face masks Y|N
Eye protection Y|N Gloves Y|N
Shoe covers or alternative shoes Y|N Mirror Y|N
4. What equipment or tools do you have available?
Sinks Y|N Brushes Y|N
Air guns Y|N Water Guns Y|N
Magnifiers Y|N Task Lighting Y|N
Enzyme Detergents Y|N Alkaline Detergents Y|N

Disinfectants? Y|N Ultrasonic Washer Y|N
Automated Washer/Disinfector (WD) Y|N Cart Washer Y|N
Automated Endoscope Reprocessor

Y|N Monitor (Temp / Humidity / Pressure) Y|N
(AER)
5. What is the manufacturer, model number and quantity of the

equipment in the Decontamination Zone?
Type Manufacturer Model # Quantity
Ultrasonic Washer
Washer Disinfector
Cart Washer
Endoscope Reprocessor
Inspection, Assembly and Packing Room
Is there a gowning area with PPE? Y|N Is there a hand wash sink? Y|N
Is there an EVS room for IAP? Y|N Is there a Materials Transfer Room? Y|N
Packing Tables Y|N Chairs Y|N
Wrappers Y|N Containers Y|N
View Pack Pouches Y|N Instrument Tip Protector Y|N
Air Gun Y|N Tray Liner Y|N
Pass Through Hatch Y|N Heat Sealer Y|N
Sterilizer—High Temperature Y|N Sterilizer—Low Temperature Y|N
Biological Incubators Y|N Monitor (Temp / Humidity / Pressure) Y|N
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7. What is the manufacturer, model number and quantity of
the equipment in this zone?
Heat Sealer
Sterilizer—High Temperature
Sterilizer—Low Temperature
Biological Incubator
Sterile Storage Area
Is the shelving washable? Y|N Are there transport carts? Y|N
Is there a documenting workstation? Y|N Is there environmental monitoring? Y|N
Staff Facilities—Changing / Toilets / Showers
Are toilets located close to the decontamination room? Y|N
Are there lockers to accommodate specialist belongings? Y|N
Are there showers in case of a workplace spill or splash? Y|N
Staff Rest Room
Is there an area for staff breaks? Y|N
Are all food and drinks restricted to this area? Y|N
Materials Storage
Is there a room for bulk storage of production materials separate from sterile storage? Y|N
Are there any sterile items stored in this location? Y|N

Education / Training / Meeting room
Is there a room dedicated for staff meetings and education? Y|N
Is this room separate from the work area and have space to store teaching materials? Y|N
Detergent Room
Is there a dedicated detergent room separate from decontamination room? Y|N
Can this be accessed without entering the decontamination room? Y|N
General Requirements
Is access to the unit restricted to authorized personnel only? Y|N
Is the unit monitored and controlled between 18-25°C (64-77°F)? Y|N
Is the unit monitored and controlled between 30-60% humidity? Y|N
Air pressures
Negative ( - ) in Decontamination Wash

Y|N Positive ( + ) in IAP Room Y|N
Room
Positive ( + ) in Sterile Storage Room Y|N
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Module 1 Signoff
I confirm that this student has adequately completed the module 1 exercise.
Tutor Feedback
Tutor Signature
Student Comment
Student Signature

(Signature)
Approval Date

Module 2
MICROBIOLOGY AND
INFECTION CONTROL
Exercise 1—Follow the Glow Germ
Place a pair of scissors, artificially contaminated with Glo GermTM, at the reception desk.
Follow the scissor’s progress as they are handled by multiple people. Using a long wave
UV lamp examine the scissors for removal of the Glo GermTM indicator. Examine staff
hands and the environment to see the spread of the indicator. This simulates microbial
contamination and its spread.
Activity Notes Complete
Place scissors with

Glo GermTM at reception
Examine scissors periodically

throughout the day
Examine hands of anyone

who may have touched the
scissors
Additional Notes:
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Exercise 2—Check your Knowledge
1. Match each microorganism to the appropriate cleaning notes.
Microorganism Cleaning Notes
They are very small and can be difficult to remove during

cleaning as they may lodge in uneven surfaces. As they
Microorganism are not alive, disinfection or heat does not kill them. Instead
it dismantles or disrupts their chemical structure—most
are susceptible to this but there are some which can be
resistant.
Protozoa
They are relatively easy to remove from RMDs during
decontamination but some have life-cycle stages which are
encysted (within a tough protective capsule). These stages
are more difficult to kill as they resist disinfectants but heat
Fungi will kill them.
They are difficult to remove from RMDs due to their small

size and their strong adherence to surfaces. They are
Yeasts very difficult to inactivate using heat or disinfectants. It is
important
to have a traceability system for medical devices in place to
ensure these RMDs are not used again.
Bacteria
They are relatively easy to clean from RMDs, however,
their thick cell walls and spores are often resistant to
disinfectants but heat will kill them.
Viruses They are relatively easy to remove from RMDs when

cleaning and are susceptible to disinfectants
and heat.
Prions They are quite small and can be difficult to remove from
uneven surfaces during cleaning. Most can be killed
by disinfectants and heat although spores often resist
disinfectants.

2. Name each of the links in the chain of infection.
Infectious Agent
Susceptible Treatment of P
Reservoir
Host Recognise Hig
Ase
Portal of Portal of
Entry Exit H
C
Mode of Transmission
3. Put the steps for putting on and taking off PPE into the correct sequence
Seq Putting on PPE Seq Removing PPE
Gown Mask/Respirator
Goggles/Face Shield Wash hands
Shoe Goggles/Face Shield
Mask/Respirator Gown
Gloves Gloves
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Exercise 3—PPE and Infection Control Competency Checklist
Competency Competency Level
None Limited Some Excels
Demonstrates correct choice of PPE when handling surgical

1
instruments
Demonstrates correct sequence for putting on and
2
removing PPE
3 Outlines the policy for changing PPE
4 Demonstrates correct hand hygiene technique
5 Demonstrates/outlines the policy for changing gloves
Demonstrates and can explain safe disposal of sharps and

6
waste materials as per policies
Can explain routine procedure should a needle-stick/sharps
7
injury occur
8 Explains risks which exist in the decontamination zone
9 Can outline his/her responsibilities

Module 2 Signoff
I confirm that this student has adequately completed the module 2 exercise.
I have observed this student demonstrate PPE and Infection Control competency in accordance
with departmental policies and judge him/her to be at a level of competence and safety required in
a CSSD environment.
Tutor Feedback
Tutor Signature
Student Comment
Student Signature

(Signature)
Approval Date
20 Student Log book

Module 3
SURGICAL INSTRUMENT
AND RMD TYPES
Exercise 1—Terminology
Define the following terms:
Activity Notes
Osteotomes
Chisels
Rongeurs
Forceps
Hemostatic
forceps
Needleholders
Martensitic
Retractors
Cannulas
Rib spreaders
Suction devices
Austenitic
Serrations
Ratchet
Passivation

Exercise 2—Explore Your Unit
The following exercise will help you compare what you have learned to real-world
examples in your current training environment. Explore what surgical instruments and
reusable medical devices your unit reprocesses and complete the following checklist.
1. Circle which of the surgical specialties listed below are provided in your organization?
Ears, Nose &

Cardiac Dental General Gynecology
Throat (ENT)
Neurology Ophthalmology Orthopedic Pediatric Plastic
Robotic Thoracic Trauma Urology Vascular

2. Do you have any other services? If so what are they?
3. How many of the following scissor types do you have in your facility?
Iris Kilner Mayo Metzenbaum Potts Stevens

4. Can you list another three scissor types you have?
5. How many of the following needleholder types do you have in your facility?
Crile-Wood De Bakey Halsey Hegar-Mayo Ryder Webster

6. Can you list another 3 needleholder types?
22 Student Log book

7. How many of the following tissue and dressing forceps types do you have in your facility?
Adson De Bakey Gerald Mc Indoe Russian Standard
8. Can you list another 3 forceps types you have?
9. How many of the following knife handle types do you have?
#3 # 3 Long #4 #7 Barron Beaver

10. How many of the following knife blade types are used in your facility?
10 11 12 18 20 24
11. Are there any other knife blade types you are using?

12. How many of the following hemostatic forceps do you use in your facility?
Crile Halsted Kocher Mosquito Pean Spencer-Well

13. Can you list 3 more hemostatic forceps that you have?

14. How many of the following retractor types are used in your facility?
Balfour Gelpi Harrington Kelly Kocher Lane
Langenbeck Morris Richardson Roux US—Army Weitlaner

15. Can you list 3 more retractor types used?
16. How many of the following suction device types do you have?
Adson De Bakey Fergusson Frazier Pool Yankauer

17. Can you list another 3 suction device types you have?
18. Which of the following power tools do you have?
Drill Reamer Oscillating Saw Sagittal Saw Wire Driver Dermatome

19. Which of the following power types do you have?
Battery Electric Pneumatic
24 Student Log book

Module 3 Signoff
I confirm that this student has adequately completed the Module 3 exercises and has correctly
documented the requested data.
Tutor Feedback
Tutor Signature
Student Comment
Student Signature

(Signature)
Approval Date

Module 4
CONTAMINATED MEDICAL
DEVICE TRANSPORTATION
Exercise 1—Documentation
Locate important policy documents in your CSSD.
Check your organization’s PPE

policy
Check your organization’s blood/

bodily fluid spillage policy
Locate the IFUs for any chemicals

used in the
spill kit

Exercise 2—Procedure
Visit the OR and follow a used surgical tray after use. Note your observations below.
What did you observe?
Did you identify any risks/

hazards?
Were the RMD wet or dry i.e.,

pre-treated?
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Did the OR staff use sealed,
leak-proof containers?
What method of transport was

used for sending items back to
the CSSD?

Exercise 3—Scenario
1. In this scenario, you have arrived at the soiled utility room to collect contaminated
surgical instruments. Consider each of the questions below.
What PPE should you wear?
Did you identify any risks/

hazards?
Does it match what your policy

states?
What should you look for when

checking if the transport cart and/
or its contents have been secured
and labelled biohazardous?
What paperwork should be signed

off?
2. Have you received training for manual handling, collection and transportation?
YES NO

3. Does it match what you learned in this module, if not what is different?
Exercise 4—RMD Handling and Transportation Competency Checklist
Competency Level
Competency
Handling
Demonstrates correct method of picking up, carrying and

1
setting down of sterile packs onto trolley.
Understands and demonstrates handling practice compatible
2
with event related sterility.
Demonstrates correct technique for lifting from the autoclave
3
to the rack storage
Demonstrates correct technique for lifting from the counter to
4
the autoclave
5
to the rack storage
Demonstrates correct technique for getting an instrument tray
6
from wire rack storage (reaching)
Transportation—sterile equipment None Limited Some Excels
7 Identifies correct trolley used for delivery of items.
Demonstrates correct stacking of items on trolley based on

8
type of packs/containers.
Ensures trolley is free of any other material such as

9 boxes /contaminated items and is closed /covered during
transportation outside controlled areas.
28 Student Log book

Module 4 Signoff
I confirm that this student has adequately completed the module 4 exercises.
I have observed this student demonstrate RMD Handling and Transportation competencies in
accordance with departmental policies and judge him/her to be at a level of competence and safety
required in a CSSD environment.
Tutor Feedback
Tutor Signature
Student Comment
Student Signature

(Signature)
Approval Date


Module 5
CLEANING AND
DISINFECTION
Exercise 1—Simple Hinged Devices
Demonstrate and discuss examples of simple hinged devices.
Device Notes Complete
Cannulated medical devices
Multipart devices
Difficult to clean RMDs
Exercise 2—Efficacy of Disinfection
In your CSSD what factors do you think affect the efficacy of disinfection?
30 Student Log book

Exercise 3—Daily/Weekly Validation Methods
Discuss the daily/weekly validation methods in your CSSD. Which do

you think is the most effective?
Validation Methods Notes Complete
Daily
Weekly
Exercise 4—Decontamination Washroom Competency Checklist
Competency Level
Competency
Cleaning and Disinfection procedures
1 Demonstrates correct choice of PPE when in the Wash Area
Demonstrates correct sequence of donning and doffing of

2
PPE
3 Explains risks that exist in Wash Area
Can outline the reasons for choosing certain decontamination

4
methods

5
injury occur
6 Demonstrates clearly how to pre-wash RMD
Can outline basic device preparation & loading techniques for

7
the Ultrasonic washer

8
the Washer-Disinfector

Receiving Contaminated Instruments None Limited Some Excels
Can outline procedure for collection/receiving of instruments

9
from units
Inspects and documents instruments numbers against the

10
accompanying checklist then signs name and date
Outlines and demonstrates correct procedure to follow if

11
instrument(s) are missing /damaged
Instrument Cleaning & General Maintenance None Limited Some Excels
Demonstrates correct rinsing /flushing procedure in relation to

12
grossly soiled /hollow instruments
Opens all hinged forceps and dissembles items as required,

13
placing neatly in baskets
Demonstrates ability to run sets through ultrasonic machine

14 and can outline his/her responsibilities for refilling/degassing
including time frames involved
Demonstrates ability to correctly load instrument sets and

15
containers into washer/disinfector racks
Can demonstrate /outline correct dosage of detergents as per

16
manufacturer’s guidelines
Demonstrates correct cleaning of filters and drains and

17
inspects washer chamber before running cycles
Checks enzymatic and detergent levels in detergent dosing

18
room at beginning and end of shift, fills as required
19 Demonstrates routine cleaning of surfaces, trolleys and floors
32 Student Log book

Module 5 Signoff
I have observed this student demonstrate Decontamination Washroom competencies in accor-

dance with departmental policies and judge him/her to be at a level of competence and safety
Tutor Feedback
Tutor Signature
Student Comment
Student Signature

(Signature)
Approval Date

Module 6
INSPECTION, ASSEMBLY
AND PACKAGING
Exercise 1—Wrapping/Packaging Systems
1. What wrapping/packaging systems are used in your CSSD?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
2. Can you suggest any other type of packaging material or techniques that may improve
the system in your department?
1.
2.
3.
4.
5.
34 Student Log book

Exercise 2—IAP Competency Checklist
Competency Level
Competency
Washer Unloading
1 Demonstrates correct choice of attire when in the IAP Room

2
cleanroom attire and use of the transfer area
Demonstrates ability to unload washer in a timely manner

3
ensuring all items are still in basket
4 Can outline checks required to pass the load for I&P
5 Demonstrates correct procedure for rejecting a load or item
Inspects all items for any remaining contamination and dries

6
basins/bowls as required
Returns soiled instruments to decontamination for

7
reprocessing, including any instruments dropped onto floor
Ensures instrument baskets are reunited with their containers

8
and placed together
Communicates with decontamination team and reports any

9
discrepancies to Supervisor as required
Ensures unloading trolleys are cleaned regularly and floors

10
toweled dry as needed
Communicates with supervisor to identify prioritized

11
instrument sets
Ensures instrument basket and container match and acquires

12
new checklist form
Inspects instruments in line with checklist and documents

13
numbers

Demonstrates /outlines process for dealing with mildly
14 stained/decontaminated instruments and /or grossly soiled
instruments
Outlines process for dealing with any discrepancies such as

15
missing/damaged items
Documents set number, staff name and date on checklist

16
when completed
Demonstrates ability to pack instruments correctly based on

17
type of instrument /set
Can outline the reasons for choosing certain wrapping

18
materials
19 Demonstrates correct wrapping and/or packaging technique
Demonstrates clear understanding of the working of the

20
heatsealer
Can outline reasons for choosing the correct size and type of
21
peel pouch
Ensures name of set, name of operative and date

22
documented on outside of packaging
Ensures completed set is placed on sterilizer cart and logged

23
appropriately
24 Can explain routine procedure should a sharps injury occur
View Packing None Limited Some Excels
Demonstrates ability to view pack items correctly according to

25
size without folding
36 Student Log book

Instrument Set Sign Off Sheet
List each surgical service handled by your CSSD and then list 3-5 sets from each
service, so that you have a total of at least 30 sets. Once the table is complete your
tutor/supervisor should initial the appropriate column when you have completed the sets
correctly – 1st time and 2nd time
Surgical Service Set name

1st Sign Off 2nd Sign Off
e.g. General e.g. Minor
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

Module 6 Signoff
I have observed this student demonstrate IAP competencies in accordance with departmental
policies and judge him/her to be at a level of competence and safety required in a CSSD
environment.
Tutor Feedback
Tutor Signature
Student Comment
Student Signature

(Signature)
Approval Date
38 Student Log book

Module 7
STERILIZATION
Exercise 1—Sterilizer Types
What type of sterilizers do you have in your department and what

temperature do they utilize?
Sterilizer Type Temperature
1.
2.
3.
4.
5.

Exercise 2—Review Sterilizer Indicators
Look at the indicators used for sterilization in your unit. Note your findings
below.
1.
2.
3.
4.
5.

Exercise 3—Bowie Dick Test
Carry out a Bowie Dick test on one of your steam sterilizers. Discuss your
results.
Sterilizer:
Results:
Exercise 4—Sterilization Competency Checklist
Competency Level
Competency
Pre-Sterilization Quality Assurance
Ensures instrument packaging is appropriate and intact before

1
sterilization process commences
Can explain the difference between a steam sterilizer and a

2
gas plasma sterilizer
Can explain the difference between a biological and a

3
chemical indicator
Can explain the difference between a type 1 and a type 5

4
chemical indicator
Ensures sets are labelled clearly and include operative’s

5
name, date, autoclave number and autoclave cycle number
Can define what is meant by sterilization and describe in

6
general terms cycles and their parameters
Can describe purpose of, and types of ‘sterility indicators’ and

7
for which type of instruments each is used
40 Student Log book

8 Demonstrate correct method for loading a sterilizer
Sterilizer Loading
9 Demonstrates ability to place instruments on racks correctly
Demonstrates correct procedure for loading trolley to

10
autoclave and ensures no items are touching chamber wall
Demonstrates ability to start cycle and document in ‘Load Log

11
Record Sheet’
Sterilizer Unloading
Ensures all required cycle parameters are met and

12
documented in the ‘Log Record Sheet’ before releasing
Can demonstrate/outline correct temperature to be held and

13
for how long
Ensures packaging is dry and that autoclave date and cycle

14
number label is affixed
Ensures autoclaves printed graph of cycle is accurate and

15
signs same and cycle number
Demonstrate the information to be recorded on completion of

16
a sterilizer cycle
Demonstrates/outlines time that items should be left in bay to

17
cool before release

Module 7 Signoff
I have observed this student demonstrate Sterilization competencies in accordance with

departmental policies and judge him/her to be at a level of competence and safety required in a
CSSD environment.
Tutor Feedback
Tutor Signature
Student Comment
Student Signature

(Signature)
Approval Date
42 Student Log book

Module 8
STERILE STORAGE,
HANDLING AND
TRANSPORTATION
Exercise 1—Explore Your Sterile Storage Room
Explore your sterile storage room and answer the following questions.
Are temperature, humidity and air pressure monitored in the sterile storage room? Y|N
Is the sterile storage room monitored and controlled between 18-25°C (64-77°F)? Y|N
Is the sterile storage room monitored and controlled between 30-60% humidity? Y|N
Is the sterile storage room monitored and controlled to maintain positive air pressure? Y|N
What is the current temperature? What is the current humidity?
Is the area restricted to authorized

Does the room have positive pressure? Y|N Y|N
personnel only?
Does your hospital use time related expiration, event related expiration or both?
Is there a sink for hand hygiene? Y|N Are items stored close to the sink? Y|N
Are corrugated boxes in the room? Y|N Any food or drinks in the room? Y|N
Are any items stacked or forced? Y|N Is there writing on packs from a pen? Y|N
Are there any rubber bands used? Y|N Is the shelving washable? Y|N
Are there any windows in the room that allow direct sunlight to hit sets? Y|N
What is the height of the tallest shelf? Is it 45 cm lower than the ceiling? Y|N
Are all the bottom shelves at least 25-30cm above the floor? Y|N
Which inventory management system do you use? PAR, exchange or something else?

Exercise 2—RMD Handling and Transportation Competency Checklist

Competency Level
Competency
Pre-handling/Transportation Quality Assurance
Ensures sterile packs are at a safe temperature before

1
handling and transporting from cooling room
Ensures packaging is appropriate, integrity is intact and

2 identification label with set name, Technician name, date,
autoclave number and autoclave cycle is affixed
Handling None Limited Some Excels

3
setting down of sterile packs onto trolley
4 Ensures items are carried upright and not sideways
Ensures containers are not placed on ‘wrapped’ or ‘view

5
packed’ items

6
with ‘Event Related’ sterility
7 Demonstrates correct technique for lifting from the floor

8
to the rack storage

9
the autoclave

10
to the rack storage
Demonstrates correct technique for pulling and pushing of

11
instrument trolley

12
44 Student Log book

14
type of packs/containers

transportation outside controlled areas
Transportation—contaminated equipment None Limited Some Excels
Demonstrates correct choice of PPE when handling

16
contaminated RMD

17
PPE
18 Explains risks associated with handling contaminated RMD
20 Demonstrates/outlines policy for changing gloves
21 Ensures used gloves are discarded after ‘pick up’

22
23 Identifies correct trolley
Demonstrates clear understanding of segregation procedures

24
when transporting RMD

Module 8 Signoff
I have observed this student demonstrate RMD Handling and Transportation competencies in
accordance with departmental policies and judge him/her to be at a level of competence and safety
Tutor Feedback
Tutor Signature
Student Comment
Student Signature

(Signature)
Approval Date
46 Student Log book

Module 9
ENDOSCOPE
DECONTAMINATION
Exercise 1—Visit Your Endoscope Decontamination Dept.
Visit your endoscope decontamination department and observe the

decontamination process. Record your observations.

Exercise 2—Sketch
You are given the freedom to design a new endoscope decontamination

department. Do a sketch of the department and create the flow from dirty
to clean. Record your observations.

Exercise 3—List Endoscopes
List the types of endoscopes (gastroscopes, colonoscopes etc.) reprocessed in your unit
and establish what channels they have. Record your observations.
Endoscope Channels
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Exercise 4—Flexible Endoscope Competency Checklist
Competency Level
Competency
Able to describe the difference between a rigid and a flexible

1
endoscope
Demonstrates correct choice of PPE when decontaminating a

2
flexible endoscope
Can demonstrate correct method for manual cleaning of a

3
flexible endoscope
4 Can explain the stages in flexible endoscope decontamination
Can identify a gastroscope and describe the channel

5
configuration
6 Can explain the importance of the leak test
48 Student Log book

Competency None Limited Some Excels
Pre-Cleaning of Flexible Endoscope—Procedure Room
Ensure Pre-cleaning of flexible endoscope was carried out

7 at point of use according to Manufacturer instructions for use
(IFU) before acceptance to CSSD
Personal Protection Equipment
Caregivers should wear appropriate personal protective

8 equipment at all times when handling contaminated flexible
endoscopes
Leak Testing
In order to detect damage to the flexible endoscope it must

9 be leak tested according to the Manufacturer IFU before any
further processing
All endoscopes must be leak tested prior to immersion and

10
between each service user use
Manual Washing
After a successful leak rate test, the endoscope must be

11 meticulously cleaned as per the manufacturer IFU with an
enzymatic cleaner that is compatible
Cleaning must include surfaces, and all accessible channels

12
to ensure removal of all organic (e.g.blood, tissue) residues
Cleaning brushes must be of appropriate size for the

13
endoscope channel or port and should be disposable
Use ultrasonic cleaning of reusable endoscopic accessories

14
to remove soil and organic material from hard to clean areas.
Rinsing
After manual cleaning has been completed, place the

endoscope in the second sink filled with clean potable water
15
and re-wipe all surface of the endoscope and flush the port to
remove residual enzymatic detergents.
Disinfection
Place the endoscope in an Automated Endoscope

Reproccessor (AER) and attach all channel connectors
16
according to the AER IFU, to ensure exposure of all internal
surfaces the high level disinfectant
Storage/Drying
Prior to unloading AER, caregiver PPE must be changed to

17
reduce risk of cross contamination

Competency None Limited Some Excels
Endoscope must be connected to the forced air drying tube

and placed in the endoscope cabinet in a vertical position to
18
facilitate further drying with caps, valves and other detachable
components removed as per manufacturer IFU
Documentation
Records should be maintained of:

• The caregiver who carried out leak testing and manually
19 cleaning.
• The AER used, cycle number and result.
• The caregiver who unloaded the endoscope and stored it.
50 Student Log book

Module 9 Signoff
I have observed this student demonstrate Flexible Endoscopy competencies in accordance with
departmental policies and judge him/her to be at a level of competence and safety required in a
CSSD environment.
Tutor Feedback
Tutor Signature
Student Comment
Student Signature

(Signature)
Approval Date

Module 10
DENTAL INSTRUMENT
PROCESSING
Exercise 1—Unit Design
1. The typical designs and layouts for Dental Decontamination Units have been discussed
in this Module. Which one of them most closely resembles your unit?
2. Sketch the layout of your Unit. Indicate the following in your sketch:
• the respective work zones (at least 5) and how they are kept separate
• the work flow through your Unit from Reception to Storage
• the air flows through your Unit and how it is controlled
52 Student Log book

3. Do you have any design or equipment aspect that differs from those shown in the
Module layout diagrams? If so, is there any reason for differences?
4. Who is responsible for decontaminating the dental chair units, the dental unit waterlines
and suction/cuspidor units? At what intervals are these decontaminated?
Equipment Responsible Intervals
1. Dental chair units
2. Dental unit waterlines
3. Suction/cuspidor units
5. Is the water which enters the patient’s mouth tested microbiologically to verify the
decontamination process? Describe how this is achieved.

Exercise 2—Dental Decontamination Competency Checklist
Competency Level
Competency
PPE and Infection Control Issues

in Dental Decontamination Unit
Demonstrates correct choice of PPE when in decontamination

1
zone
Demonstrates correct sequence of putting on and removing of

2
PPE
3 Explains risks which exist in decontamination zone
Demonstrates and can explain safe segregation and disposal

6
of sharps and waste materials as per policies
7 Can outline his/her responsibilities on a particular day

8
injury occur
Can identify the contamination risk areas on the dental chair

10
unit
Can describe the decontamination process for a typical

11
handpiece
Demonstrates a non-cluttered cleanup in a LDU with

12
appropriate disinfection of surfaces and equipment at end
of work

54 Student Log book

Module 10 Signoff
I have observed this student demonstrate Dental Unit decontamination competencies in

accordance with departmental policies and judge him/her to be at a level of competence
and safety required.
Tutor Feedback
Tutor Signature
Student Comment
Student Signature

(Signature)
Approval Date

COMPETENCY LOG
DURING INTERNSHIP
WEEK 1
1. Who is your Unit Manager/Director?
2. List the titles of all policies and procedures that must be adhered to in your CSSD.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
56 Student Log book

3. What standards or guidelines are referenced in your policies?
1.
2.
3.
4.
5.
Decontamination Zone
Is there a contaminated returns area for staff to deliver containers or trolleys? Y|N
Is there an Environmental cleaners room dedicated to the decontamination area? Y|N
Is there a gowning area with

Y|N Is this separated from the wash area? Y|N
PPE?
Is there a hand wash sink? Y|N Is there an eye wash station? Y|N
4. What PPE do you have available?
Cover gowns with sleeves Y|N Face masks Y|N
Eye protection Y|N Gloves Y|N
Shoe covers or alternative shoes Y|N Mirror Y|N
Sinks Y|N Brushes Y|N
Air guns Y|N Water Guns Y|N
Enzyme Detergents Y|N Alkaline Detergents Y|N
Disinfectants? Y|N Ultrasonic Washer Y|N

Automated Washer/Disinfector (WD) Y|N Cart Washer Y|N
Automated Endoscope Reprocessor

Y|N Monitor (Temp / Humidity / Pressure) Y|N
(AER)
6. What is the manufacturer, model number and quantity of the equipment in the
Decontamination Zone?
Ultrasonic Washer
Washer Disinfector
Cart Washer
Endoscope Reprocessor
Inspection, Assembly and Packing Room
Is there a gowning area with PPE? Y|N Is there a hand wash sink? Y|N
Is there an EVS room for IAP? Y|N Is there a Materials Transfer Room? Y|N
Packing Tables Y|N Chairs Y|N
Wrappers Y|N Containers Y|N
View Pack Pouches Y|N Instrument Tip Protector Y|N
Air Gun Y|N Tray Liner Y|N
Pass Through Hatch Y|N Heat Sealer Y|N
Sterilizer—High Temperature Y|N Sterilizer—Low Temperature Y|N
Biological Incubators Y|N Monitor (Temp / Humidity / Pressure) Y|N
58 Student Log book

8. What is the manufacturer, model number and quantity of the equipment in this zone?
Heat Sealer
Sterilizer—High Temperature
Sterilizer—Low Temperature
Biological Incubator
Sterile Storage Area
Is the shelving washable? Y|N Are there transport carts? Y|N
Is there a documenting workstation? Y|N Is there environmental monitoring? Y|N
Staff Facilities—Changing / Toilets / Showers
Are toilets located close to the decontamination room? Y|N
Are there lockers to accommodate specialist belongings? Y|N
Are there showers in case of a workplace spill or splash? Y|N
Staff Rest Room
Is there an area for staff breaks? Y|N
Are all food and drinks restricted to this area? Y|N
Materials Storage
Is there a room for bulk storage of production materials separate from sterile storage? Y|N
Are there any sterile items stored in this location? Y|N
Education / Training / Meeting room
Is there a room dedicated for staff meetings and education? Y|N

Is this room separate from the work area and have space to store teaching materials? Y|N
Detergent Room
Is there a dedicated detergent room separate from decontamination room? Y|N
Can this be accessed without entering the decontamination room? Y|N
General Requirements
Is access to the unit restricted to authorized personnel only? Y|N
Is the unit monitored and controlled between 18-25°C (64-77°F)? Y|N
Is the unit monitored and controlled between 30-60% humidity? Y|N
Air pressures
Negative ( - ) in Decontamination Wash

Y|N Positive ( + ) in IAP Room Y|N
Room
Positive ( + ) in Sterile Storage Room Y|N
9. Circle which of the surgical specialties listed below are provided in your organization?
Ears, Nose &

Cardiac Dental General Gynecology
Throat (ENT)
Neurology Ophthalmology Orthopedic Pediatric Plastic
Robotic Thoracic Trauma Urology Vascular
10. Do you have any other services? If so what are they?
11. How many of the following scissor types do you have in your facility?
Iris Kilner Mayo Metzenbaum Potts Stevens
60 Student Log book

12. Can you list another three scissor types you have?
13. How many of the following needleholder types do you have in your facility?
Crile-Wood De Bakey Halsey Hegar-Mayo Ryder Webster

14. Can you list another 3 needleholder types?
15. How many of the following tissue and dressing forceps types do you have in your facility?
Adson De Bakey Gerald Mc Indoe Russian Standard
16. Can you list another 3 forceps types you have?
17. How many of the following knife handle types do you have?
#3 # 3 Long #4 #7 Barron Beaver

18. How many of the following knife blade types are used in your facility?
10 11 12 18 20 24

19. Are there any other knife blade types you are using?

20. How many of the following hemostatic forceps do you use in your facility?
Crile Halsted Kocher Mosquito Pean Spencer-Well

21. Can you list 3 more hemostatic forceps that you have?
22. How many of the following retractor types are used in your facility?
Balfour Gelpi Harrington Kelly Kocher Lane
Langenbeck Morris Richardson Roux US—Army Weitlaner

23. Can you list 3 more retractor types used?
24. How many of the following suction device types do you have?
Adson De Bakey Fergusson Frazier Pool Yankauer
62 Student Log book

25. Can you list another 3 suction device types you have?
26. Which of the following power tools do you have?
Drill Reamer Oscillating Saw Sagittal Saw Wire Driver Dermatome

27. Which of the following power types do you have?
Battery Electric Pneumatic
PPE and Infection Control Competency Checklist
Competency Competency Level
Demonstrates correct choice of PPE when handling surgical

1
instruments
Demonstrates correct sequence for putting on and
2
removing PPE
3 Outlines the policy for changing PPE
5 Demonstrates/outlines the policy for changing gloves

6
7
injury occur
8 Explains risks which exist in the decontamination zone
9 Can outline his/her responsibilities

RMD Handling and Transportation Competency Checklist
Competency Level
Competency
Handling

1
setting down of sterile packs onto trolley.
2
with event related sterility.
3
to the rack storage
4
the autoclave
5
to the rack storage
6

8
type of packs/containers.

transportation outside controlled areas.
64 Student Log book

Week 1 Signoff
Supervisor Feedback
Supervisor Signature
Name Title Badge # Date

WEEK 2
Decontamination Washroom Competency Checklist
Competency Level
Competency
Cleaning and Disinfection procedures
1 Demonstrates correct choice of PPE when in the Wash Area

2
PPE
3 Explains risks that exist in Wash Area
Can outline the reasons for choosing certain decontamination

4
methods

5
injury occur
6 Demonstrates clearly how to pre-wash RMD

7
the Ultrasonic washer
8
the Washer-Disinfector
Receiving Contaminated Instruments None Limited Some Excels
Can outline procedure for collection/receiving of instruments

9
from units
Inspects and documents instruments numbers against the

10
accompanying checklist then signs name and date
Outlines and demonstrates correct procedure to follow if

11
instrument(s) are missing /damaged
Demonstrates correct rinsing /flushing procedure in relation to

12
grossly soiled /hollow instruments
66 Student Log book

Opens all hinged forceps and dissembles items as required,
13
placing neatly in baskets
Demonstrates ability to run sets through ultrasonic machine

14 and can outline his/her responsibilities for refilling/degassing
including time frames involved
Demonstrates ability to correctly load instrument sets and

15
containers into washer/disinfector racks
Can demonstrate /outline correct dosage of detergents as per

16
manufacturer’s guidelines
Demonstrates correct cleaning of filters and drains and

17
inspects washer chamber before running cycles
Checks enzymatic and detergent levels in detergent dosing

18
room at beginning and end of shift, fills as required
19 Demonstrates routine cleaning of surfaces, trolleys and floors
Outlines his/her responsibilities and procedure involved as

20
equipment problems/damages or stock shortages arise

21. Document sets processed in the Decontamination Unit of this Facility.

Week 2 Signoff
Supervisor Feedback
68 Student Log book

WEEK 4
IAP Competency Checklist
Competency Level
Competency
Washer Unloading
1 Demonstrates correct choice of attire when in the IAP Room

2
cleanroom attire and use of the transfer area
Demonstrates ability to unload washer in a timely manner

3
ensuring all items are still in basket
4 Can outline checks required to pass the load for I&P
5 Demonstrates correct procedure for rejecting a load or item
Inspects all items for any remaining contamination and dries

6
basins/bowls as required
Returns soiled instruments to decontamination for

7
reprocessing, including any instruments dropped onto floor
Ensures instrument baskets are reunited with their containers

8
and placed together
Communicates with decontamination team and reports any

9
discrepancies to Supervisor as required
Ensures unloading trolleys are cleaned regularly and floors

10
toweled dry as needed
Communicates with supervisor to identify prioritized

11
instrument sets
Ensures instrument basket and container match and acquires

12
new checklist form

Inspects instruments in line with checklist and documents
13
numbers
Demonstrates /outlines process for dealing with mildly

14 stained/decontaminated instruments and /or grossly soiled
instruments
Outlines process for dealing with any discrepancies such as

15
missing/damaged items
Documents set number, staff name and date on checklist

16
when completed
Demonstrates ability to pack instruments correctly based on

17
type of instrument /set
Can outline the reasons for choosing certain wrapping

18
materials
19 Demonstrates correct wrapping and/or packaging technique
Demonstrates clear understanding of the working of the

20
heatsealer
Can outline reasons for choosing the correct size and type of
21
peel pouch
Ensures name of set, name of operative and date

22
documented on outside of packaging
Ensures completed set is placed on sterilizer cart and logged

23
appropriately
24 Can explain routine procedure should a sharps injury occur
View Packing None Limited Some Excels
Demonstrates ability to view pack items correctly according to

25
size without folding

In the table below list all sets available in the facility in the first column, update the second
column when you have attempted to pack this type of set and have the attempt initialed
by your supervisor. The purpose of this exercise is to have you attempt to pack as many
different types as possible during your internship.
70 Student Log book

Set Type Packing Complete Supervisor Initials
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

Week 4 Signoff
Supervisor Feedback

WEEK 6
Sterilization Competency Checklist
Competency Level
Competency
Pre-Sterilization Quality Assurance
Ensures instrument packaging is appropriate and intact before

1
sterilization process commences
Can explain the difference between a steam sterilizer and a

2
gas plasma sterilizer
Can explain the difference between a biological and a

3
chemical indicator
Can explain the difference between a type 1 and a type 5

4
chemical indicator
Ensures sets are labelled clearly and include operative’s

5
name, date, autoclave number and autoclave cycle number
Can define what is meant by sterilization and describe in

6
general terms cycles and their parameters
Can describe purpose of, and types of ‘sterility indicators’ and

7
for which type of instruments each is used
8 Demonstrate correct method for loading a sterilizer
Sterilizer Loading
9 Demonstrates ability to place instruments on racks correctly
Demonstrates correct procedure for loading trolley to

10
autoclave and ensures no items are touching chamber wall
Demonstrates ability to start cycle and document in ‘Load Log

11
Record Sheet’
Sterilizer Unloading
Ensures all required cycle parameters are met and

12
documented in the ‘Log Record Sheet’ before releasing
72 Student Log book

Can demonstrate/outline correct temperature to be held and
13
for how long
Ensures packaging is dry and that autoclave date and cycle

14
number label is affixed
Ensures autoclaves printed graph of cycle is accurate and

15
signs same and cycle number
Demonstrate the information to be recorded on completion of

16
a sterilizer cycle
Demonstrates/outlines time that items should be left in bay to

17
cool before release

RMD Handling and Transportation Competency Checklist
Competency Level
Competency
Pre-handling/Transportation Quality Assurance
Ensures sterile packs are at a safe temperature before

1
handling and transporting from cooling room
Ensures packaging is appropriate, integrity is intact and

2 identification label with set name, Technician name, date,
autoclave number and autoclave cycle is affixed
Handling None Limited Some Excels

3
setting down of sterile packs onto trolley
4 Ensures items are carried upright and not sideways
Ensures containers are not placed on ‘wrapped’ or ‘view

5
packed’ items

6
with ‘Event Related’ sterility
7 Demonstrates correct technique for lifting from the floor

8
to the rack storage

9
the autoclave

10
to the rack storage
Demonstrates correct technique for pulling and pushing of

11
instrument trolley

12

14
type of packs/containers

transportation outside controlled areas
Transportation—contaminated equipment None Limited Some Excels
Demonstrates correct choice of PPE when handling

16
contaminated RMD

17
PPE
18 Explains risks associated with handling contaminated RMD
21 Ensures used gloves are discarded after ‘pick up’

22
23 Identifies correct trolley
Demonstrates clear understanding of segregation procedures

24
when transporting RMD
74 Student Log book

Week 6 Signoff
Supervisor Feedback

WEEK 7
Flexible Endoscope Competency Checklist
Competency Level
Competency
Able to describe the difference between a rigid and a flexible

1
endoscope
Demonstrates correct choice of PPE when decontaminating a

2
flexible endoscope
Can demonstrate correct method for manual cleaning of a

3
flexible endoscope
4 Can explain the stages in flexible endoscope decontamination
Can identify a gastroscope and describe the channel

5
configuration
6 Can explain the importance of the leak test
Pre-Cleaning of Flexible Endoscope—Procedure Room
Ensure Pre-cleaning of flexible endoscope was carried out

7 at point of use according to Manufacturer instructions for use
(IFU) before acceptance to CSSD
Personal Protection Equipment
Caregivers should wear appropriate personal protective

8 equipment at all times when handling contaminated flexible
endoscopes
Leak Testing
In order to detect damage to the flexible endoscope it must

9 be leak tested according to the Manufacturer IFU before any
further processing
All endoscopes must be leak tested prior to immersion and

10
between each service user use
Manual Washing
Example After a successful leak rate test, the endoscope must

11 be meticulously cleaned as per the manufacturer IFU with an
enzymatic cleaner that is compatible
76 Student Log book

Cleaning must include surfaces, and all accessible channels
12
to ensure removal of all organic (e.g.blood, tissue) residues
Cleaning brushes must be of appropriate size for the

13
endoscope channel or port and should be disposable
Use ultrasonic cleaning of reusable endoscopic accessories

14
to remove soil and organic material from hard to clean areas.
Rinsing
After manual cleaning has been completed, place the

endoscope in the second sink filled with clean potable water
15
and re-wipe all surface of the endoscope and flush the port to
remove residual enzymatic detergents.
Disinfection
Place the endoscope in an Automated Endoscope

Reproccessor (AER) and attach all channel connectors
16
according to the AER IFU, to ensure exposure of all internal
surfaces the high level disinfectant
Storage/Drying
Prior to unloading AER, caregiver PPE must be changed to

17
reduce risk of cross contamination
Endoscope must be connected to the forced air drying tube

and placed in the endoscope cabinet in a vertical position to
18
facilitate further drying with caps, valves and other detachable
components removed as per manufacturer IFU
Documentation
Records should be maintained of:

• The caregiver who carried out leak testing and manually
19 cleaning.
• The AER used, cycle number and result.
• The caregiver who unloaded the endoscope and stored it.

Week 7 Signoff
Supervisor Feedback
78 Student Log book

PLACEMENT COMPLETE
Facility: Date:

Student Name: Badge Number:
Unit Manager Feedback
Successful completion of
Yes No
placement
Unit Manager Signature
Supervisor Feedback
Successful completion of
Yes No
placement

Notes
Cover & Contents.indd 9 02/05/2017 20:54

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MEDICAL DEVICE

Student Log book

Decontam Logbook.indd 1 14/07/2017 16:42

4. Exercise 1 - Meet Your Team

Module1 Introduction to Decontamination

10. Exercise 1 - Explore Your CSSD

Module 2 Microbiology and Infection Control

16. Exercise 1 - Follow the Glow Germ

Module 3 Surgical Instrument Types

21. Exercise 1 - Terminology

Module 4 Contaminated Medical Device Transportation

26. Exercise 1 - Documentation

Medical Device Reprocessing (Decontamination Specialist) 1

Decontam Logbook.indd 1 14/07/2017 16:42

30. Exercise 1 - Simple Hinged Devices

Module 6 Inspection, Assembly & Packaging (IAP)

34. Exercise 1 - Wrapping/Packaging Systems

39. Exercise 1 - Sterilizer Types

Module 8 Sterile Storage, Handling & Transportation

43. Exercise 1 - Explore Your Sterile Storage Room

2 Student Log book

Decontam Logbook.indd 2 14/07/2017 16:42

Module 10 Dental Instrument Processing

Competency Log During Internship

Medical Device Reprocessing (Decontamination Specialist) 3

Decontam Logbook.indd 3 14/07/2017 16:42

Exercise 1 – Meet Your Team

1. Who is your Unit Manager/Director?

2. Who are your trainers/supervisors or any other members

3. Introduce yourself to your fellow students. Who are they,

Where are they from? What

4 Student Log book

Decontam Logbook.indd 4 14/07/2017 16:42

Where are they from? What

Medical Device Reprocessing (Decontamination Specialist) 5

Decontam Logbook.indd 5 14/07/2017 16:42

6. Discuss the facility’s policies and procedures as general

7. Discuss the importance of knowing staff culture, including

8.What challenges do you think you might face as you under-

6 Student Log book

Decontam Logbook.indd 6 14/07/2017 16:42

1. List some different approaches to learning and indicate

Learning Approach Suitable for you?

2. What are some of the characteristics of adult learners?

3. What are some of the common challenges you may face

Medical Device Reprocessing (Decontamination Specialist) 7

Decontam Logbook.indd 7 14/07/2017 16:42

8 Student Log book

Decontam Logbook.indd 8 14/07/2017 16:42

Tutor Name Title Badge # Date

Student Name Title Badge # Date

Verified & Approved By

Medical Device Reprocessing (Decontamination Specialist) 9

Decontam Logbook.indd 9 14/07/2017 16:42

Exercise 1—Explore Your CSSD

1. List the titles of all policies and procedures that must be

10 Student Log book

Decontam Logbook.indd 10 14/07/2017 16:42

Is there an environmental cleaners room dedicated to the decontamination area? Y|N

Is there a gowning area with

3. What PPE do you have available?

Cover gowns with sleeves Y|N Face masks Y|N