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Travel Nursing Skills Checklists

Congratulations on your decision to apply for a travel nursing position with American Mobile! Before we can offer you a nursing employment opportunity, an electronic skills assessment must be completed. From the nursing skills checklist below, please locate the list that matches your specialty and complete the online form. Be sure to review your information thoroughly before clicking the submit button. Thank you!


Sterile Processing Technologist Skills Checklist

*
Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
E-Mail Address* Phone Number*
 
 
Please mark your level of experience
1. No experience; requires education, training and supervision
2. Intermittent experience; may need support or supervision
3. Proficient; consistent experience, independent
4. Expert level; can teach/supervise others
 
Processing:
1 2 3 4
 
Endoscopes (indicate types)
 
Instrument Containers
 
Repairs
 
Single Instruments
 
Wrapped Sets
 
Safety Procedures
1 2 3 4
 
Managing Biohazardous Waste
 
Protective Attire
 
Sharps Handling
 
Standard Precautions
 
Decontamination
1 2 3 4
 
Chemical Agents for Decontamination
 
Detergent Use and Refills
 
Equipment (e.g. crash carts, IV pumps)
 
Ultrasonic Cleaner
 
Washer/Disinfectors
 
Washer/Sterilizers
 
STERILIZATION- Steam Autoclave
1 2 3 4
 
Flash
 
Gravity Displacement
 
Prevacuum
 
STERILIZATION- Sterility Assurance Tests
1 2 3 4
 
Biological
 
Bowie Dick
 
Chemical
 
STERILIZATION- Steam
1 2 3 4
 
Cart Loading
 
Load Documentation
 
Testing Validation Procedures
 
Trouble Shooting
 
STERILIZATION- Gas (ETOH)
1 2 3 4
 
Load Documentation
 
Loading Procedures
 
Testing Validation Procedures
 
Trouble Shooting
 
STERILIZATION- Sterrad
1 2 3 4
 
Load Documentation
 
Loading Procedures
 
Testing Validation Procedures
 
Trouble Shooting
 
STERILIZATION-Steris
1 2 3 4
 
Load Documentation
 
Testing Validation Procedures
 
Tray Loading
 
Trouble Shooting
 
Assembly and Preparation
1 2 3 4
 
Assembly of Peel Pack Items
 
Case Picking
 
Instrument Count Sheets
 
Instrument Set Assembly
 
Labeling Standards
 
Peel Pack/Heat Sealing
 
Physician Preference Cards
 
Preparation of Hard Instrument Containers
 
Selection of Appropriate Wrapping Material
 
Selection of Sterilization Tapes
 
Sterile Storage Standards
 
Towel/Linen Folding
 
Wrapping Procedure
 
SPECIALTY EQUIPMENT PROCESSING
1 2 3 4
 
Cardiac
 
Endoscopy
 
General
 
Laparoscopic
 
Neurology
 
OB/GYN
 
Ophthalmology
 
Orthopedics
 
Plastics
 
Robotics
 
Urology
 
Other Specialty Service
 
Other Specialty Service
 
EXPERIENCE
1 2 3 4
 
SPT: Ambulatory Surg. Center - # of Suites
 
SPT: In-Patient OR - # of Suites
 
Surgical Tech: Ambulatory Surg. Center - # Suites
 
Surgical Tech: In-Patient OR - # of Suites
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Universal Protocol Procedures (Time Out)
 
Restraints/Use of Least Restrictive Device
 
Wound Care /Wound Vac
 
AGE SPECIFIC/POPULATION-BASED CARE
1 2 3 4
 
Neonate/Infant
 
Toddler/Preschool
 
School Age
 
Adolescents
 
Young/Middle Adults
 
Older Adults/Geriatrics
 
EMR
1 2 3 4
 
Allscripts
 
GE
 
Bar Coding for Medication Administration
 
Cerner
 
Computer Physician Order Entry
 
Eclipsys
 
Epic
 
McKesson
 
Meditech
 
Other: Specify
 
Other: Specify
 
EMR Conversion
 
CERTIFICATIONS * (Current at time of completing this form)
 
BLS
 
IAHCSMM
 
CBSPD
 
Certified Sterile Processing & Distribution Technician (CSPDT)
 
Certified Surgical Instrument Processor (CSIP)
 
Certified Flexible Endoscope Reprocessor (CFER)
 
Certified Surgical Technologist (CST)
Sterile Processing Technologist Skills Checklist, version 2

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. Falsification of any information provided, will result in being ineligible to travel with AMN. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.

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