Competency Checklist

COMPETENCY ASSESSMENT CHECKLIST

Complete for each trainee and sign below.

Trainee Name Date

Pre-Training Steps

▢ Watch the Highlight for Wipes Training Video

▢ Review Highlight Training Powerpoint Slides

Competency Assessment

▢ Demonstrates assembly of Highlight Lid and Cartridge with your wipes product

▢ Demonstrates use of Highlight, preferably in typical use settings (Ex: patient room, operating room, etc.)

▢ Wipes surface until color is evenly spread, with folded wipe and even pressure

▢ Understands reasons for potential residue

▢ Product expired / wrong product

▢ Tape residue or other contamination is still on surface

▢ Wipe technique spreads product unevenly

▢ Removes residue with blank wipe

Trainer Signature