Current status · 2026-07-15

Setting up the Sterile Field

In development
Next step
  • Add clinical references to the content.
  • Obtain clinical sign-off / expert review.

Appropedia  ·  Google Doc

PassScope, learner, and promised outcomefound in Google DocsPlaybook v3 §§1–6
  • Worksheet Learner Profile/Persona fully define the trainee perioperative nurse.
PassPlaybook design traceabilityfound in Google DocsPlaybook v3 §§1–6
  • Worksheet task deconstruction is complete and granular.
PartialFinished instruction and evidencePlaybook v3 §§8.1–8.2 + clinical quality
  • Objectives are covered by content; some assessment/skill coverage is incomplete.
  • No usable references are present on the page yet (in development).
  • Prose is finished; no teaching video is present yet.
PartialKnowledge assessment and feedbackPlaybook v3 §§8.3–8.6
  • Judgment/application tied to the skill is not fully assessed.
PartialPractice and performance readinessPlaybook v3 §§9–10
  • Remediation guidance is thin.
  • No demonstration video yet.
PartialAppropedia publication integrityLive publication quality
  • Navigation was broken on 07-13 (missing quiz, wrong cumulative page, nonexistent psychomotor page); resolved as of 07-15.
  • No formal references present yet.
N/VClinical safety, currency, and governanceClinical release requirement
  • No evidence of clinical currency or expert review.
  • Supervision and clinical-use boundary not stated on the page.
  • Ongoing governance not evidenced beyond org attribution.
N/VTesting, deployment, and honest releasePlaybook v3 §§8.6, 9.4, 10.4, 11
  • No representative user/reviewer testing evidence.
  • No assessment thresholds or claimed transitions defined.
  • Supervision and clinical-use boundary not stated on the page.
Recently spotted changes & reconciliations (since the 2026-07-13 snapshot)
  • Fixed: the 07-13 navigation was broken — a missing Low-Resource quiz, a wrong cumulative link, and a non-existent psychomotor page; all now resolve.
  • Added: skill-specific practice + assessment pages (the practice link previously pointed at a generic OR-setup page).
  • Reconciliation: Appropedia integrity Blocker → Partial; Practice Gap → Partial.
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 Learner Profile/Persona fully define the trainee perioperative nurse.
A2Pass
Procedure/skill scope and team ownership are explicit.Worksheet Kickoff scopes the skill with team ownership; the root states scope.
A3Pass
Pre-procedure specification is complete when clinically applicable.Worksheet Pre-procedure Specifications complete.
A4Pass
Post-procedure specification is complete when clinically applicable.Worksheet Post-procedure Specifications complete.
A5Pass
The procedure has been deconstructed at the right granularity.Worksheet task deconstruction is complete and granular.
A6Pass
Task flow was reviewed and enacted.Steps carry action/decision and good-skill/antiskill detail.
A7Pass
Required knowledge was deliberately scoped.Worksheet Initial Knowledge Set and In/Out scope the knowledge.
A8Pass
Objectives and teaching plan trace to included knowledge.Objectives and teaching plan trace to the knowledge set.
A9Pass
Knowledge-assessment design is fit for the objective.Assessment methods are defined per topic in the worksheet.
A10Pass
Every procedural step has a deliberate psychomotor disposition.Worksheet assigns a psychomotor disposition to each step.
A11Pass
Included psychomotor steps specify practice and assessment.Worksheet specifies skill-specific practice and assessment.
A12Pass
Simulator specification exists exactly when the selected practice requires it.Simulator decision is deliberate: a hands-on aseptic skill needs no fabricated simulator.
A13Pass
Design artifacts are synchronized and auditable.Design worksheets are present and internally consistent.
A14Pass
Final design gate supports safe independent progression.The design set is complete and coherent.

Gate B1 — Finished learner-facing instruction

B1Pass
Learner-facing orientation matches A1–A2.Root orientation matches the worksheet's learner and scope.
B2Partial
Learning objectives are assessable and fulfilled.Objectives are covered by content; some assessment/skill coverage is incomplete.
B3Pass
Content covers the necessary clinical lifecycle.Content covers the procedure lifecycle.
B4Pass
Content is internally coherent and uniquely about this module.Instruction is coherent and unique to this module.
B5N/V
Clinical content is current and expert-reviewed.No evidence of clinical currency or expert review.
B6Partial
Claims are supported by usable evidence.No usable references are present on the page yet (in development).
B7Partial
Teaching media are finished and necessary.Prose is finished; no teaching video is present yet.
B8Pass
Self-directed instructions are actionable.Instructional prose is detailed and actionable.
B9Partial
No development residue remains.Development residue remains (in-development module).
B10Pass
The module is openly accessible.Openly accessible under CC-BY-SA-4.0.

Gate B2 — Knowledge and judgment assessment

K1Pass
Assessment coverage traces to objectives/content.Topic quizzes trace to the content.
K2Pass
Formative and used summative questions are valid and unambiguous.Quiz items are valid and unambiguous.
K3Pass
Every answer option has explanatory feedback.Every answer option carries feedback (verified in markup).
K4Pass
Feedback supports formative remediation.Feedback is explanatory and supports remediation.
K5Pass
Assessment renders and functions end to end.Quizzes render and function end to end.
K6Pass
Assessment identity is correct.Assessment identity is correct.
K7Pass
Formative sampling and placement support the claimed outcome.Formative quizzes are well placed per section.
K8Partial
Applicable judgment assessment is complete.Judgment/application tied to the skill is not fully assessed.
K9Pass
Optional summative assessment is valid when used.The cumulative test functions with feedback.

Gate B3 — Psychomotor practice and assessment

P1Pass
Practice set traces to the task deconstruction.Practice set traces to the worksheet task deconstruction.
P2Pass
Practice instructions are complete and repeatable.A skill-specific Psychomotor Skills Practice Instructions page exists (added by 07-15).
P3Pass
Practice concentrates on learning-value steps.Practice concentrates on the high-value steps.
P4Pass
Performance assessment matches the skill.The skill-specific assessment rubric matches the skill.
P5Pass
Competency criteria are observable and complete.Competency criteria are observable in the rubric.
P6Partial
Feedback and remediation are usable.Remediation guidance is thin.
P7N/A
Required simulator/trainer is buildable and fit for purpose.A hands-on aseptic skill needs no fabricated simulator.
P8Partial
Demonstration videos fulfill the practice need.No demonstration video yet.
P9Pass
Verification/readiness instrument fulfills its promise.The assessment rubric is a usable verification instrument.
P10Pass
A usable observed-assessment pathway exists.The skill-specific practice page provides a usable observed pathway.

Gate C — Appropedia publication integrity

C1Pass
Canonical root exists and resolves correctly.Canonical root resolves.
C2Pass
Full dependency inventory is complete.Dependency inventory is complete.
C3Partial
Navigation is correct and reversible.Navigation was broken on 07-13 (missing quiz, wrong cumulative page, nonexistent psychomotor page); resolved as of 07-15.
C4Pass
No broken, misleading, duplicate, or orphan internal dependency exists.No broken or misleading internal dependency (the practice link is now skill-specific).
C5N/A
External links resolve to the intended resource.No external links on the module.
C6Pass
Videos and interactive media actually play.Interactive quizzes render and play.
C7Pass
Rendered page matches source intent.Rendered page matches source intent.
C8Pass
Page and curriculum status are honest and consistent.The 'in development' status is shown honestly.
C9Pass
Metadata and licensing are complete.Metadata and licensing are complete.
C10Partial
References are reachable and identifiable.No formal references present yet.
C11Pass
Core experience is accessible, mobile-ready, and low-bandwidth usable.Text and quizzes are accessible and low-bandwidth.
C12N/A
Claimed translations are governed.No translations 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 representative user/reviewer testing evidence.
D2N/V
Assessment thresholds support their claimed transitions.No assessment thresholds or claimed transitions defined.
D3N/V
Supervision and clinical-use boundary are explicit.Supervision and clinical-use boundary not stated on the page.
D4N/V
A clinical-performance evaluation pathway and ready-to-use instrument exist.No deployed clinical-performance evaluation pathway.
D5N/V
A Case Report Form supports first clinical cases.No Case Report Form found.
D6N/V
Clinical-confidence assessment is handled according to its optional status.Clinical-confidence assessment not addressed.
D7N/V
Ongoing governance is assigned.Ongoing governance not evidenced beyond org attribution.
D8N/V
The public package can support third-party evaluation.In development; not ready for third-party evaluation.