17. I cannot access my CRICE training programme.

If you had been successfully enrolled into the program, you would have received an email from noreply@masoom.co.za with login information and instructions. Your point of contact at your company would be in CC. If you are unable to find this email, please check your spam email box or ask the point of contact at your company to forward. 

16. For CRICE Including Sterile Field programme (Green Card), how do I go about completing the practical aseptic technique observations?

Practical observation of aseptic techniques (scrub techniques) ONLY for CRICE Including Sterile Field (Green Card)

  1. The practical course (including Sterile Field) was specifically designed for people who routinely enter the sterile field (option 1). However, we have provided options 2 and 3 below for people who do not routinely enter the sterile field but may do so in future.
  2. Observation of your aseptic techniques is NOT intended to be a training session but a competency assessment. You must be familiar with the techniques PRIOR to the observations. Please view the videos in the e-learning programme and practice your aseptic techniques with colleagues, friends and family before attempting the practical observations. Hospital personnel have been quite willing to collaborate on this initiative but are NOT required to do this as part of their job and do so on a voluntary basis.
  3. If a hospital’s aseptic procedure differs to the checklist, please amend on the checklist itself. We will review amendments and query if necessary.
  4. You must be observed on the closed-gloving technique even though you may not routinely perform this technique. You may therefore perform this in dummy sessions.
    • Perform this practical in the presence of a colleague from your company (NOT done at hospitals). Your colleague must have a clinical or medical qualification and must have experience with donning and doffing of PPE. Colleagues who are nurses, doctors, first aiders, OHS safety officers, lab techs etc typically qualify on both criteria. 
  1. Two different observers (on two separate occasions) who are currently registered with SANC/HPCSA and who have either a Theatre Qualification or Theatre Experience to observe your aseptic techniques and complete the Observation Checklist
  2. Practical observations can be completed at ANY hospital. 

Completion of Electronic Observation Checklist  

Practical aseptic technique is only applicable to Including Sterile field (Green) course. Observers will complete the electronic observation checklist which appears under the steps on CRICE CAMS mobile application 

You have three options to complete the practical component. 

Very Important: Irrespective of the option chosen below please take note of the following:   

  • Two observations are required on to different occasions (second can occur immediately after the first)  
  • Two different observers must be selected for each observation.  
  • Observers must have theatre experience and must be either a registered nurse with a valid SANC number or a registered medical doctor with a valid HPCSA Registration Number.  
  • SANC Numbers start with the number 1 and are 8 digits long.  
  • HPCSA Registration Numbers start with letters MP and have 7 digits  
  • They will complete the Observation Checklist Practical observations.  

Option 1 

During your next routine visit (s) into theatre at ANY HOSPITAL where you are required to scrub, request any 2 observers  who meet the above criteria to observe your aseptic techniques and complete the Observation Checklist. 

Option 2 

You and/or your company may arrange to have 2 different observers who meet above to observer your aseptic techniques in dummy runs in-house. This option is especially viable if you have experienced scrub sisters in your team who are currently registered with SANC and for reps who do not have sufficient experience with scrubbing, gowning and gloving as it can be a combined training and assessment session. 

Option 3 

Netcare has agreed to provide the third option which includes a training component at Netcare campuses at a nominal fee. Your company may enrol a team of 10 or more people into the Netcare 1 day programme at any of the Netcare campuses nationwide. Click here for more info on cost, campus locations and course. 

This is a viable option for reps who are required to complete the practical but have not had sufficient experience with scrubbing, gowning and gloving as it is a combined training and assessment session. 

15. Do all levels of access (White, Blue and Green) require declarations by Company Representative and hence the Hep B vaccination?

No, the CRICE General (White card) does not require Declarations and hence does not require Hep B vaccination. Green and Blue card access requires Declarations and hence Hep B vaccinations.

14. Is the hepatitis B vaccination compulsory? If staff has an anti-vaccine approach, should we not uphold the basic human right to refuse? If a CR is a carrier of Hep B, what would the course of action be? What if the CR is pregnant/breastfeeding and has been advised not to have the Hep B vaccination?

The above situations will be handled on a case-by-case basis as follows:

  • Firstly, it is the company’s responsibility to assess the risk that such refusal may pose to the employee, other employees and patients and to determine how the company will mitigate such risk. This requires review of the CR activities and evaluation of exposure to possibility of Hep B transmission to and from
  • Thereafter, the company should provide a synopsis, on company letterhead, of the above risk evaluation and mitigation strategy to MTS who will centrally coordinate the discussion with Netcare and/or other relevant parties.
  • For pregnant/breastfeeding CR please include the dates where CR will require access without the Hep B vaccination.

13. Where can I obtain the necessary documents (confidentiality undertaking and declaration form)?

As of 1 Nov 2016, all forms are completed using electronic signatures. 

The forms will appear under Step 4 in your CRICE CAMS mobile application. The forms will be completed  on your mobile device electronically. 

Once you have accessed Step 4, you will do the following: 

  • Click on the ‘view’ button 
  • Complete all fields. You may partially complete, save and return to complete. 
  • Click on the SUMBIT button and a green (tick) will appear if successfully submitted.

12. Clause 1b of the confidentiality undertaking states that the CR needs to ensure that he has patient consent to be in theatre. What does this mean?

The consent for the presence of a CR during the procedure is obtained by the HCP from the patient either as an inclusion in the routine consent form or in a separate consent form but the obligation to obtain the consent rests with the HCP. Netcare has informed HCPs of this requirement. 

However, from the company perspective, the CR needs to confirm with the HCP (verbally or in writing according to company policy) that the patient has given consent hence the clause in the Confidentiality Undertaking. Once the Confidentiality Undertaking is signed the CR, in effect, takes on the obligation to ensure that he has patient consent for every case even though he himself is not obtaining this consent.  

11. Clause 5 of the confidentiality undertaking states: ‘I acknowledge that this Undertaking is governed and construed in accordance with the laws of the Republic of South Africa and I agree to submit to the exclusive jurisdiction of the High courts of South Africa in respect of any claim, dispute or difference arising out of or in connection with this Undertaking’. What does this mean?

It means that the confidentiality undertaking was compiled based on laws of the country but that any dispute in interpretation or understanding that may arise in future can be challenged in court. Hence, in signing the agreement a CR does not give up his legal right to challenge the contents in future. 

10. Is the CRICE Access Card only applicable to medical device companies?

No, the Digital CRICE ACCESS CARD applies to all CRs in the medical industry including IVD, medical device and pharmaceuticals. It is anticipated that pharmaceutical representatives will require the CRICE General Card as they primarily visit HCP rooms and do not enter their facilities. 

Likewise, CRs who only enter Pharmacy, laboratory or radiology departments will only require CRICE General Cards. 

Ask your POC to use the ‘Determine the Level of Access Requirement’ tool on their home page to ensure which CRICE Course you will qualify for.  

The CRICE Access Card includes, but is not limited to, representatives from the following sectors: 

  • Pharmaceutical Representatives 
  • Consumer Representatives 
  • IVD Representatives 
  • Surgical devices Representatives 
  • Supplier company service engineer/technicians 
  • Equipment Representatives 
  • Health Technology Representatives 
  • Private Nurse Practitioners 
  • Sales Agents

9. I am not a Company Representative but would like to enter the medical sales profession. I would like to complete the CRICE programme. Can I?

Yes and No; Yes you may complete the e-learning component of the programme and receive Certification but No, you will not qualify to receive a Digital CRICE Access Card unless you are currently a medical sales representative representing a bona-fide company in South Africa. .

8. What should I do if my CRICE Access Card has expired?

You will need to be enrolled into the CRICE Refresher course by the main CRICE point of contact (POC) at your company. Please contact your CRICE POC or if you do not know who the POC is, then consult with your manager.