Current status · 2026-07-15

Instrument Handling and Maintaining Sterile Field

In development
Next step
  • Build the psychomotor practice + assessment pages — the worksheet stops before these sections.
  • Fix the quiz “Part of” metadata that mislabels the parent as “Setting Up the Operating Room.”
  • Add clinical references.

Appropedia  ·  Google Doc

PassScope, learner, and promised outcomefound in Google DocsPlaybook v3 §§1–6
  • Worksheet fully defines the trainee perioperative nurse (RN), experience, current skills, and district-hospital LMIC resource floor.
PartialPlaybook design traceabilityPlaybook v3 §§1–6
  • The 18-step flow is complete, but no walkthrough/act-out feedback is recorded.
  • Knowledge artifacts agree with live content, but psychomotor/simulator/final-gate sections are absent.
PartialFinished instruction and evidencePlaybook v3 §§8.1–8.2 + clinical quality
  • Content is clinically plausible but no named reviewer, review date, or currency check.
  • Extensive clinical prose carries no citations and no References section (in development).
  • The worksheet plans images/video, but live content is text-only with no finished media.
PartialKnowledge assessment and feedbackPlaybook v3 §§8.3–8.6
  • Quiz identity is correct, but the 'Part of' metadata names the sibling module 'Setting Up the Operating Room'.
N/VPractice and performance readinessPlaybook v3 §§9–10
  • A learner-facing practice set is not built; the deconstruction exists only in the worksheet.
  • No learner-facing practice instructions are built or evidenced.
  • No practice set exists to evaluate.
PartialAppropedia publication integrityLive publication quality
  • License/org/language present, but 'Part of' names the wrong module and the author differs from the developer team.
  • No references are provided in the content, so none can be resolved (in development).
PartialClinical safety, currency, and governanceClinical release requirement
  • Content is clinically plausible but no named reviewer, review date, or currency check.
  • Quiz identity is correct, but the 'Part of' metadata names the sibling module 'Setting Up the Operating Room'.
N/VTesting, deployment, and honest releasePlaybook v3 §§8.6, 9.4, 10.4, 11
  • No evidence of target-learner or reviewer testing.
  • No assessment thresholds are stated.
  • No explicit supervision/first-clinical-use boundary is present.
Full 63-criterion detail (rolls up to the eight chips above)

Gate A — Playbook design and auditable ground truth

A1Pass
Target learner is defined for independent learning.Worksheet fully defines the trainee perioperative nurse (RN), experience, current skills, and district-hospital LMIC resource floor.
A2Pass
Procedure/skill scope and team ownership are explicit.Worksheet bounds the procedure/skills and names the core clinician+educator team (Angelina and Kanaeli).
A3Pass
Pre-procedure specification is complete when clinically applicable.Worksheet 3.1 gives indications, contraindications, and complications, with patient-assessment/consent justified N/A.
A4Pass
Post-procedure specification is complete when clinically applicable.Worksheet 3.2 specifies immediate post-procedure care and disposition.
A5Pass
The procedure has been deconstructed at the right granularity.Worksheet 3.3b deconstructs the task into 18 steps with actor, action/decision, tools, good skills, and antiskills.
A6Partial
Task flow was reviewed and enacted.The 18-step flow is complete, but no walkthrough/act-out feedback is recorded.
A7Pass
Required knowledge was deliberately scoped.Worksheet 4.2 classifies knowledge In/Out/Maybe Later, with Out items mapping to sibling modules.
A8Pass
Objectives and teaching plan trace to included knowledge.Worksheet 4.3 maps each topic to objectives, teaching methods, and assessment methods.
A9Pass
Knowledge-assessment design is fit for the objective.Worksheet 4.3 specifies MCQ + clinical-scenario assessment methods with per-topic notes.
A10N/V
Every procedural step has a deliberate psychomotor disposition.No psychomotor-disposition worksheet section exists.
A11N/V
Included psychomotor steps specify practice and assessment.No psychomotor practice/assessment worksheet section exists.
A12N/A
Simulator specification exists exactly when the selected practice requires it.Instrument handling is practiced with real instruments and OR setup, not a fabricated simulator.
A13Partial
Design artifacts are synchronized and auditable.Knowledge artifacts agree with live content, but psychomotor/simulator/final-gate sections are absent.
A14N/V
Final design gate supports safe independent progression.No reviewer affirmation or final design-gate sign-off exists.

Gate B1 — Finished learner-facing instruction

B1Pass
Learner-facing orientation matches A1–A2.The root page states audience, prerequisites, purpose, scope, and expected outcome.
B2Pass
Learning objectives are assessable and fulfilled.Seven objectives use observable verbs and map to content sections and quizzes.
B3Pass
Content covers the necessary clinical lifecycle.Content covers recognition, inspection, organization, handling/passing, sterility, sharps, and accountability.
B4Pass
Content is internally coherent and uniquely about this module.Content and quiz items are uniquely about instrument handling and sterile field.
B5Partial
Clinical content is current and expert-reviewed.Content is clinically plausible but no named reviewer, review date, or currency check.
B6Partial
Claims are supported by usable evidence.Extensive clinical prose carries no citations and no References section (in development).
B7Partial
Teaching media are finished and necessary.The worksheet plans images/video, but live content is text-only with no finished media.
B8Pass
Self-directed instructions are actionable.The knowledge content and quiz instructions read and navigate without an unstated instructor.
B9Pass
No development residue remains.No TODO/TBD or placeholder appears; the 'In Development' banner is an honest status, not residue.
B10Pass
The module is openly accessible.Pages are publicly reachable with no login.

Gate B2 — Knowledge and judgment assessment

K1Pass
Assessment coverage traces to objectives/content.The six quizzes correspond to the six content sections and cover every objective.
K2Pass
Formative and used summative questions are valid and unambiguous.Every question has a clear stem, four plausible options, error-based distractors, and defensible keys.
K3Pass
Every answer option has explanatory feedback.Hand-checked all six quizzes: every option has an explanatory feedback line.
K4Pass
Feedback supports formative remediation.Feedback corrects the specific misconception and reinforces the concept.
K5Pass
Assessment renders and functions end to end.All quizzes use un-escaped quiz markup, render correctly, and include navigation.
K6Partial
Assessment identity is correct.Quiz identity is correct, but the 'Part of' metadata names the sibling module 'Setting Up the Operating Room'.
K7Pass
Formative sampling and placement support the claimed outcome.Six topic-aligned quizzes of five questions each give sufficient coverage.
K8N/A
Applicable judgment assessment is complete.The outcome is knowledge plus psychomotor technique, not a graded clinical-judgment decision.
K9N/V
Optional summative assessment is valid when used.A 'Cumulative Assessment' heading appears but its content is not evidenced; formative coverage is sufficient.

Gate B3 — Psychomotor practice and assessment

P1N/V
Practice set traces to the task deconstruction.A learner-facing practice set is not built; the deconstruction exists only in the worksheet.
P2N/V
Practice instructions are complete and repeatable.No learner-facing practice instructions are built or evidenced.
P3N/V
Practice concentrates on learning-value steps.No practice set exists to evaluate.
P4N/V
Performance assessment matches the skill.No performance-assessment instrument is built.
P5N/V
Competency criteria are observable and complete.No competency rubric/anchors are built.
P6N/V
Feedback and remediation are usable.No practice feedback/remediation pathway is built.
P7N/A
Required simulator/trainer is buildable and fit for purpose.No fabricated simulator is expected; practiced with real instruments and OR setup.
P8N/V
Demonstration videos fulfill the practice need.Demonstration video is planned in the worksheet but none is built or embedded.
P9N/V
Verification/readiness instrument fulfills its promise.No skill sheet/checklist/rubric is built or promised on the live page.
P10N/V
A usable observed-assessment pathway exists.No observed-assessment pathway is built; psychomotor practice is explicitly deferred, and no misleading link is present.

Gate C — Appropedia publication integrity

C1Pass
Canonical root exists and resolves correctly.The canonical hierarchical root resolves and renders.
C2Pass
Full dependency inventory is complete.Dependencies are enumerable - the root links to six sibling quiz subpages.
C3Pass
Navigation is correct and reversible.Curriculum navigation and 'Return to main' paths work.
C4Pass
No broken, misleading, duplicate, or orphan internal dependency exists.No broken, duplicate, or orphan internal link is evidenced.
C5N/A
External links resolve to the intended resource.No external/reference links are present to verify.
C6N/A
Videos and interactive media actually play.No video or interactive media is currently embedded to verify.
C7Pass
Rendered page matches source intent.Headings, templates, and quiz controls render; quiz markup is not escaped.
C8Pass
Page and curriculum status are honest and consistent.The 'In Development' banner honestly matches the module's readiness.
C9Partial
Metadata and licensing are complete.License/org/language present, but 'Part of' names the wrong module and the author differs from the developer team.
C10Partial
References are reachable and identifiable.No references are provided in the content, so none can be resolved (in development).
C11Pass
Core experience is accessible, mobile-ready, and low-bandwidth usable.Responsive templates and text-only low-bandwidth content support small-screen use.
C12N/A
Claimed translations are governed.No translations are claimed.

Gate D — Testing, deployment, and clinical transition

D1N/V
Every applicable knowledge, simulator, practice, media, and assessment layer was tested and revised with representative users/reviewers.No evidence of target-learner or reviewer testing.
D2N/V
Assessment thresholds support their claimed transitions.No assessment thresholds are stated.
D3N/V
Supervision and clinical-use boundary are explicit.No explicit supervision/first-clinical-use boundary is present.
D4N/V
A clinical-performance evaluation pathway and ready-to-use instrument exist.No clinical-performance evaluation pathway is published.
D5N/V
A Case Report Form supports first clinical cases.No Case Report Form is present.
D6N/A
Clinical-confidence assessment is handled according to its optional status.The optional clinical-confidence instrument is not used.
D7N/V
Ongoing governance is assigned.No content owner, review date, or issue-reporting process is assigned.
D8N/V
The public package can support third-party evaluation.The public package is incomplete, so third-party evaluation cannot yet be supported.