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Competency Validation Checklist

This document is a competency validation checklist used to assess a practitioner's knowledge, skills, and attitude regarding infection control practices in a laboratory setting. It contains sections to evaluate the practitioner's knowledge of key infection control concepts like hand hygiene and personal protective equipment as well as their skills in performing relevant tasks. The assessor uses the checklist to assign ratings in areas like satisfactory, need improvement, or unsatisfactory. Upon completion, it is signed by both the practitioner and assessor.

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Megdame Alnour
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140 views2 pages

Competency Validation Checklist

This document is a competency validation checklist used to assess a practitioner's knowledge, skills, and attitude regarding infection control practices in a laboratory setting. It contains sections to evaluate the practitioner's knowledge of key infection control concepts like hand hygiene and personal protective equipment as well as their skills in performing relevant tasks. The assessor uses the checklist to assign ratings in areas like satisfactory, need improvement, or unsatisfactory. Upon completion, it is signed by both the practitioner and assessor.

Uploaded by

Megdame Alnour
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

)2( ‫مــــجمع عيــــادات زهــــرة األمـــــل الطبي‬

Zahrat ALAmal Medical Polyclinics (2)

LABORATORY
COMPETENCY VALIDATION CHECKLIST
NAME: ________________________________________________ ID NO.: ______________

POSITION / DEPT: ________________________________ JOINING DATE: _________________

ASSESSMENT DATE: __________________________ Initial Competency Annual Evaluation

ASSESSOR: ________________________________ POSITION: _________________

COMPETENCY STATEMENT:
The participant demonstrates clinical knowledge, skill, and appropriate attitude in performing the task
independently without direct supervision.

% Unsatisfactor Not
KNOWLEDGE Satisfactory
y done
5% Infection control basic skills
5% When to perform hand hygiene (5 moments)
5% How to handle spills (chemical/biological)
5% Proper waste disposal
5% Sharp handling
5% Needle stick injury
5% PPE choice and use

% Unsatisfactor Not
SKILLS Satisfactory
y done
5% Performing hand hygiene
5% Donning PPE
5% Doffing PPE
5% Handling needle stick injuries
5% Handling waste delivery and sharp container delivery
5% Performing random audits on lab to check compliance

% Unsatisfactor Not
ATTITUDE Satisfactory
y done
5% Understanding risk of non-compliance
5% Always encouraging safe practices

FINAL OUTCOME:
GRADE OF COMPETENCY: (please encircle one)
Satisfactory 80 – 100 %
Need Improvement 60 – 79 %
Unsatisfactory < 60 %
)2( ‫مــــجمع عيــــادات زهــــرة األمـــــل الطبي‬

Zahrat ALAmal Medical Polyclinics (2)

COMMENTS:

PRACTITIONER INFORMATION:

NAME: __________________________________________________ ID NUMBER:


____________________

POSITION / UNIT: _____________________________________ SIGNATURE:


_________________________
The above candidate has been verified as competent in all key elements of this competency by the following
assessor on specified date.

ASSESSOR INFORMATION:

NAME: __________________________________________________ ID NUMBER:


____________________

POSITION / UNIT: _____________________________________ SIGNATURE:


_________________________

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