Instructions: Observe a colleague who is performing skills practice
for wrapping items for sterilization. As each action is observed, place a check next to
"Yes" if the action was performed as described and place a check next to
"No" if the action was not performed as described. If the action was not
observed, make a note under "Comments." The Comments area can also be used to
note any actions that were performed that are not described or that need to be corrected.
1. Places the instrument or other item in the center of the top wrapper, which is
positioned with the points at the top, bottom, and sides.
___Yes | No___
Comments:
2. Folds the bottom section to the center and folds back the point.
___Yes | No___
Comments:
3. Folds the left section to the center and folds back the point.
___Yes | No___
Comments:
4. Folds the right section to the center and folds back the point.
___Yes | No___
Comments:
5. Folds the top section to the center and folds back the point.
___Yes | No___
Comments:
6. Folds the bottom section of the bottom wrapper to the center and folds back the point.
___Yes | No___
Comments:
7. Folds the left section to the center and folds back the point.
___Yes | No___
Comments:
8. Folds the right section to the center and folds back the point.
___Yes | No___
Comments:
9. Folds the top section to the center and folds back the point.
___Yes | No___
Comments:
10. Tucks the point under the right and left sections.
___Yes | No___
Comments:
11. Fastens the folds securely, using autoclave tape, if available.
___Yes | No___
Comments:
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