• TABLE OF CONTENTS
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 Front Cover
 Title Page
 Introduction
 Table of Contents
 Main
 Appendix A: Sample course...
 Appendix B: Suggested reading...
 Appendix C: Contractual agreem...
 Appendix D: Equipment and...
 Back Cover






Title: Guidelines for the training of central service aides.
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Permanent Link: http://ufdc.ufl.edu/UF00080753/00001
 Material Information
Title: Guidelines for the training of central service aides.
Physical Description: Book
Language: English
Creator: Florida Department of Education
Publisher: Florida Department of Education
Place of Publication: Tallahassee, Fla.
Publication Date: July, 1969
 Notes
General Note: Florida Department of Education bulletin 77L-6
 Record Information
Bibliographic ID: UF00080753
Volume ID: VID00001
Source Institution: University of Florida
Holding Location: University of Florida
Rights Management: All rights reserved by the source institution and holding location.

Table of Contents
    Front Cover
        Front Cover 1
        Front Cover 2
    Title Page
        Page i
        Page i-a
    Introduction
        Page ii
        Page ii-a
    Table of Contents
        Page iii
        Page iv
    Main
        Page 1
        Page 2
        Page 3
        Page 4
        Page 5
        Page 6
    Appendix A: Sample course outline
        Page 7
        Page 8
        Page 9
        Page 10
        Page 11
        Page 12
    Appendix B: Suggested reading materials
        Page 13
        Page 14
        Page 15
        Page 16
    Appendix C: Contractual agreement
        Page 17
        Page 18
        Page 19
        Page 20
        Page 21
        Page 22
    Appendix D: Equipment and supplies
        Page 23
        Page 24
        Page 25
        Page 26
    Back Cover
        Page 27
        Page 28
Full Text














= W/ GUIDELINES
for the
training of
CENTRAL
SERVICE
AIDES




DIVISION OF VOCATIONAL,
TECHNICAL, AND ADULT EDUCATION
o FCARL W. PROEHL, Assistant Commissioner

TECHNICAL and HEALTH
OCCUPATIONS EDUCATION


THOMAS W. STRICKLAND, DIRECTOR








5;-ao, c-
C-d3 t














INTRODUCTION


Continued departmentalization and specialization within hospitals and
other health agencies today has brought about an immediate need for
personnel supportive to professional staff in many areas of health
service.

One of the areas in need of supportive health workers is the Central
Service department. The primary employers of this type of employee
are hospitals and nursing homes.

Because of the variation of job function in employing agencies, the
tasks taught in this program are intended to provide basic pre-service
preparation only. If additional tasks are required, they should be
taught by the employing agency through in-service education.


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TABLE OF CONTENTS


Introduction . . . . . . . . .


General Statement . . . . . . .


Definition: Central Service Aide . . .


Determination of Need . . . . . .


Qualifications of Trainees . . . . .


Selection and Screening of Trainee Applicants


Standards for Relation in Course . . . .


Class Size . . . . .


Facilities Needed . . . .


Criteria for Use of Nursing Home a


Evaluation of Programs and Need


Instructor Qualifications . .


Student Uniform . . . . .


Notice of Completion . . . .


Course Description . . . .


Appendixes:


A. Sample Course Outline . .


B. Suggested Reading Materials


C. Contractual Agreement . .


D. Equipment and Supplies . .


nd


. . . . . . . . 2


. . . . . . . . 3


Hospital for Experience . . 3


. . . . . . . . . 3


. . . . . . . . . 4


. . . . . . . . . 4


. . . . . . . . . 4


. . . . . . . . . 4


. . . . . . . . . 7


. . . . . . . . . 13


. . . . . . . . . 17


. . . . . . . . . 23


-iii-


. . . . . . ii


. . . . . . 1


. . . . . . 1


. . . . . . 1


. . . . . . 2


. . . . . . 2


. . . . . . 2
2














GENERAL STATEMENT


This program is based on the belief that the Central Service Aide should
be prepared to perform certain tasks in a supportive role of the Super-
visor of the Central Service department.



DEFINITION: CENTRAL SERVICE AIDE


The Central Service Aide is an auxiliary worker in the Central Service
department of a health agency. A Central Service Aide is a "task
trained" person who has been taught through a short term course, to
perform tasks which involve care of, preparation, sterilization, dis-
pensing and storage of materials and equipment within hospitals and/or
nursing homes.



DETERMINATION OF NEED


A survey of local health agencies will determine the current and pro-
spective need for such workers. The Florida State Employment Service
cooperates in the determination of need for specific workers in the
health service areas.














QUALIFICATIONS OF TRAINEES


1. Age at least 18 years of age

2. Sex male and female

3. Education 8th grade or equivalency

4. Good physical health as determined by a physician's examination

5. Minimum score on appropriate aptitude test(s)



SELECTION AND SCREENING OF TRAINEE APPLICANTS


Students are to be recruited and selected by the educational institution
conducting the program with the cooperation of local health agencies.



STANDARDS FOR RELATION IN COURSE


Students should be informed that failure to perform satisfactorily in
both the classroom and clinical area is cause for dismissal and that
the judgment of the school is final.

Policies regarding absences as established by the school will be
followed.



CLASS SIZE


Enrollment should be limited to a maximum of 15 students per teacher
to insure effective instruction and supervision in the clinical area.
The students will be under continuous supervision by an instructor
working and planning with the Central Service supervisor.














FACILITIES NEEDED


1. Classroom with space for demonstration and laboratory practice,
with handwashing facilities.

2. Clinical facility in a nursing home and/or hospital for supervised
practice.

3. Clinical facilities should have adequate number of personnel to
provide regular services of the department including supervisory
staff.

4. Office facility for faculty.



CRITERIA FOR USE OF NURSING HOME AND HOSPITAL FOR EXPERIENCE


1. Licensure by the State Board of Health.

2. Accredited by Joint Commission on Accreditation of Hospitals or
accreditation by The National Association of Accreditation of
Nursing Homes, Inc., as appropriate, is strongly recommended.

3. Supervisor on duty in charge of service when students are having
clinical experience.

4. Appropriate job descriptions for all department personnel.

5. Adequate equipment and facilities available in the clinical
facility to meet the objectives of the program.

6. Signed agreement with the participating agency. (See Appendix
for suggested agreement form.)



EVALUATION OF PROGRAMS AND NEED


The appropriate agency or agencies shall conduct regular and periodic
assessments of the program as well as determine the need for continuation
of the program.















INSTRUCTOR QUALIFICATIONS


1. Registered Nurse, currently licensed in Florida.

2. Recent experience in nursing.

3. Valid vocational education teaching certificate.



STUDENT UNIFORM


1. The suggested uniform is the same as that worn by the employees of
the health agency in the department.

2. A name pin with the addition of "Central Service Trainee" or other
identifying label should be worn with the uniform.



NOTICE OF COMPLETION


The school shall provide the aide with a certificate indicating the
number of hours of Central Service Aide instruction and practice in
performing tasks related to Central Service employment.

No graduation exercises, insignia, school pin or cap shall be provided.



COURSE DESCRIPTION


I. Time Allotment

Total hours 180

1. Classroom 80 hours

2. Clinical learning experience 100 hours














II. Program Objectives

This course of instruction is designed to help the student in the
following ways:

1. To understand the role of the Central Service Aide
and its limitation.

2. To gain beginning skill in performing selected tasks
listed in the course content.

3. To gain increasing skill in performing these tasks
safely, economically and effectively within the
Central Service department.

III. Course Content

A. It is suggested that some period of time be devoted to defining
the role and relationships of the Central Service department in
the health agency and to the roles and relationships of the
workers within the department.

B. Because of the nature of the work involved in a Central Service
department, safety factors such as measures to follow in the
event of fire or disaster should be stressed. Ethical legal
and moral responsibilities of Central Service workers should be
discussed.

C. Introduction to Medical asepsis

See the sample of a topical course outline in the Appendix.

Suggested list of Tasks

A. General care of supplies and equipment

1. Rubber materials

2. Glassware

3. Metals

B. Sterilization and Disinfection

1. Prevention and control of infection

2. Methods of sterilization and disinfection















C. Preparation of Linen for Use


1. Folding

2. Inspecting

D. Preparation of trays for sterilization

E. Preparation of equipment for reuse

1. Thermometers

2. Instruments

3. Resuscitation and suction machines

F. Dispensing supplies and equipment

Units of weights and measures

G. Effective methods of storage of supplies and equipment

IV. Teaching Methods and Materials

In addition to lecture and discussion, demonstration will be a much
used method of teaching; student involvement in return practice is
another frequently used method. Discussion of problems encountered
in the work-practice situation should be another method. Visual
aids should be used to reinforce teacher lectures and demonstrations.
When possible, visual aid materials should be made available to
students to assist them in their studies.

The student should be provided with a copy of the topics to be
covered, tasks to be included under each topic, and any other
hand-out materials that would help him.

Student Supplies

Notebook each student should have a regular three-ring notebook.
All hand-outs should be punched ready for use in the
notebook.

Textbook Students may or may not be required to have the manual
of the Central Service department (if available). This
would be a teacher decision.




































APPENDIX A

SAMPLE COURSE OUTLINE


CENTRAL SERVICE AIDE

AUGUST 1969















Sarasota County Vocational-Technical School
4748 Beneva Road
Sarasota, Florida 33581



COURSE OUTLINE

CENTRAL SERVICE AIDE


Course Content

I. Introduction (Orientation and Registration)

A. The Central Service Department

1. Functions

2. Purpose

3. Advantages

4. Flow of work

B. Role of the Central Service Aide

1. Responsibilities

2. Moral obligations

3. Hospital Ethics

4. Personal cleanliness

5. Intra-departmental relationship

C. Inter-departmental relationships and communication

D. Related terminology

E. Body mechanics

II. Disinfection

A. Medical and Surgical Asepsis

B. Microbiology as related to Central Service Department















C. Types of disinfectants

1. Physical

2. Chemical

a. uses

b. advantages and disadvantages

III. Preparation of linen for use

1. Inspecting

2. Folding

IV. Preparation of instruments

1. Cleaning

2. Drying

V. Preparation of trays

1. Purpose of each

2. Supplying and wrapping

VI. Sterile solutions

1. Preparation of solutions

2. Commercially prepared solutions

VII. Sterilization

1. Principles and procedures

2. Types of sterilizing

3. Loading and unloading sterilizers

4. Care of the sterilizers

VIII. Safety

IX. Disposable materials


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Student References


"Handwashing" American Journal
American Nurses Association
June 1963 pp. 75 81


of Nursing


"Evaluating Disinfectants" Thompson
American Journal of Nursing
American Nurses Association
January 1962 pp. 82 83

"Gas Sterilization" Tyles
American Journal of Nursing
American Nurses Association
November 1960 pp. 1596 99


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APPENDIX B

SUGGESTED READING MATERIALS


CENTRAL SERVICE AIDE

AUGUST 1969














SUGGESTED READING MATERIALS


Becton Dickenson Lectures on Sterilization, Seton Hall College of
Medicine and Dentistry, Seton Hall University, South Orange, N.J.

Hall, Edith D., Surgical Instrument Guide for Nurses, New York, Edward
Weck and Company, 1953

Lawrence, C. A. and Block, S., Dininfection, Sterilization and
Preservation Principles and Practice, Philadelphia, Lea and
Febiger, 1968

Perkins, John J., Principles and Methods of Sterilization, Springfield,
Illinois, Thomas Company, 1963

Perkins, John J., Aseptic Technique for Operating Room Personnel,
Second Edition, Philadelphia, W. B. Saunders Company, 1964

Sykes, George, Disinfection and Sterilization, Second Edition,
Philadelphia, J. B. Lippincott, 1965

Teaching the Operating Room Technician, Association of Operating Room
Nurses, Inc.


Articles

Brown and Prickett, "Processing of Surgical Instruments," The Journal
of Hospital Research 2:2, July 1964

Kretz, A. P., "High Vacuum Sterilization," AORN Journal 2:3, May-June
1964

Spaulding, Earle, "Chemical Disinfection in the Hospital," Journal of
Hospital Research 3:1, January 1965

Tyler, V. R., "Gas Sterilization," American Journal of Nursing 60:11,
November 1960


Free Materials

1. AMSCO American Sterilizer Company, Erie, Pennsylvania
"Sterilization Aids"
"Tips for Improving your Sterilizing Techniques"
"Guides to Processing Techniques of Medical Equipment and Supplies"


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2. Arbrook, Somerville, New Jersey
"Programmed Instruction in Asepsis"

3. One Free Copy Each additional charged as per item
a. Division of Hospital and Medical Facilities
Public Health Service
U. S. Department of Health, Education and Welfare
Washington, D.C. 20201
"Infection Control," Volume I Public Health Service
Publication No. 930-C-15 $.45
*"A Manual for Hospital Central Medical and Surgical Supply Services $.70


b. Edward Weck and Company, Inc.
49 33 Thirty-first Place
Long Island City, New York 11101
"Surgical Instrument Sheets Common to Operating Room
and Central Service Trays"


*May be purchased as Text by students.


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APPENDIX C

CONTRACTUAL AGREEMENT


CENTRAL SERVICE AIDE

AUGUST 1969














Information Relative to an Agreement Between


The Sponsoring Agency of a Health Occupations Education Program

And

The Administration of the Health Agency

for the Use of Clinical Resources


It is essential that the sponsoring agency of the Health Occupations
Education Program and the health agency(s) have a written agreement
which includes specific policies for regulating the use of clinical
resources for the program.

The purpose of establishing a working arrangement with the hospital or
any other health agency is to secure for the students continuing learning
experiences and practice through application of knowledge and principles
in actual patient-centered situations.

The agreement should be written through the joint preparation of the
local administration of the sponsoring agency and the authorities of the
health agency. There shall be a separate agreement with each agency
used for the purpose of providing clinical experiences for students.

The agreement shall define the total plan for the use of clinical
resources for the education of the health occupations student.

A copy of the statement of agreements) must be sent to the State Office
of the Vocational, Technical and Adult Education Division, Technical and
Health Occupations Education Section, and a copy of the agreement kept
on file by each of the involved agencies.

The following list suggests the main topics to be included in the agreement:

1. The nature and scope of the responsibilities of the sponsoring
educational agency and all cooperating clinical resource agencies in
the total educational program for the health occupations student.

2. A written plan of organization to show:

a. The place of organization within the sponsoring agency.
b. Lines of authority and responsibility.
c. Relationships to any and all cooperating agencies.

3. Approval of education program teachers) by the clinical resource
agency before employment.


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4. Responsibility of the faculty of the education program for directing
the total educational program, and for maintaining cooperative re-
lationships with personnel in the clinical resource agency.

5. The maximum number of students to be assigned to a specified area in
the clinical resource agency at one time.

6. The nature, range, and time allotments of student assignments to units
within the clinical resource agency.

7. The extent to which the clinical resource agency and/or sponsoring
agency(s) will assist in the maintenance of the health care of the
student if illness should occur during the program.

8. Arrangements for benefits, if any, for each student during clinical
practice at the clinical resource agency.

9. Understanding regarding securing of equipment and supplies needed
for the instructional program.

10. Understanding regarding the student uniform.

11. Understanding regarding the level of performance of the health
occupations student within the patient areas of the clinical resource
agency.

12. Understanding concerning the responsibility for evaluating student
behavior and educational progress.

13. Understandings and specifications concerning the types, uses, and
availability of essential records and reports to be used in the
program and in the clinical resource agency and/or Administrative
Agency(s).

14. Provision for classroom instruction and clinical supervision, including
understandings about the use of the hospital library, appropriate
equipment, and other facilities required for the program.

15. Agreement that standards established by the State Department of
Education will be maintained at all times.

16. It is expected that each working agreement will be designed to meet
the particular needs of individual programs. The attached SAMPLE
COPY is to be used only as a guide.


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SUGGESTED

AGREEMENT FOR LEARNING

EXPERIENCES IN A HEALTH AGENCY

(To be appropriately modified if program is conducted under provisions
of Manpower Development and Training Act.)


The Brady Area Vocational-Technical School of Surry, Florida is
conducting a Central Service Aide training program 6 weeks in length.

The Surry Community Hospital (health agency) agrees to permit the use
of their facilities for trainee experience under the supervision of a
qualified instructor employed to teach the course.

The experience in the hospital agency shall consist of approximately 180
hours scheduled during the course by the instructor and in cooperation
with the Health Agency personnel in charge. The instructor shall select
assignments in accordance with the functions taught in the course.

The maximum number of trainees in a single class will be 15 The
number of classes trained will be determined by the local need. (Attach
separate sheet for additional conditions.)

The undersigned approves the cooperative plan of training as outlined
herein for Central Service Aide between the Brady Vocational-Technical
School and the Surry (health agency) at Surry Florida.


August 25, 1969
Date
James T. Brown
Administrator of Hospital



Robert S. Tully
Director, Vocational Education




S. S. Thomas
Chairman of School Board


SDE/August 1969


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APPENDIX D

EQUIPMENT AND SUPPLIES


CENTRAL SERVICE AIDE

AUGUST 1969














SUGGESTED EQUIPMENT FOR


CENTRAL SERVICE AIDE PROGRAM


Classroom Equipment

It is suggested that large tables and individual chairs be considered
for this classroom since the tables could then double for work space
when preparing trays, folding linen, etc.

A chalk board, bulletin board and a sink with water supply are essentials
for the classroom. It is recommended that if a nursing or nursing related
program laboratory is available, that through careful scheduling both
groups may utilize the same laboratory facility. A general classroom
would then need to be provided.

Articles for classroom and/or laboratory (Estimate for 10-12 students)

3 tables Paper towel dispenser
10-12 single chairs 3 large basins
6 large trays 6 small basins
6 small trays 6 medicine cups
Assorted linen (towels, wraps, etc.)
*Limited number of instruments use clinical facility instruments while
in clinical area.
*Teachers choice.

Disposable items

Paper towels
Soap
Tongue depressers
Applicators, Cotton tipped
Square gauze
Variety of disposable syringes
Variety of disposable treatment trays
Variety of disposable patient (personal) items

Audio-Visual Materials


-25-


Overhead projector
8mm movie projector
Movie screen







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