Information
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Trainee Name
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Assessor Name
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Conducted on
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Location
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Workplace
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Check and ensure that all supplies are available and in reach
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Wash and dry own hands
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Place a protection sheet on the change table
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Wear gloves
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Remove the baby/child's nappy and put it in a lidded bin
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Remove any clothing with urine and/or faeces on baby/child
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Clean the baby/child using wipe or damp individual cloth in correct motion
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Remove the paper and put in a 'hands free' lidded bin
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Remove their gloves in a hygienic manner
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Place a clean nappy on the child
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Dress the baby/child
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Wash or clean the baby/child's hands
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Clean the change mat and the table
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Wash and dry own hands
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Interact with the baby/child during the procedure
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Trainee Signature
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Supervisor Signature
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Assessor Signature