To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
Under the supervision of a Tech. II, or a Tech III, Educator, Supervisor, or Manager, the trainee must be physically able to perform all CSS duties (Decontam, Assembly, Sterilization and Distribution) in a quality fashion to ensure the department is able to distribute high quality sterile products in an efficient manner to effectively meet the requirements of it customers., The trainee will have the ability to move from a tech trainee casual status into a tech I casual status with 3 months of experience in CSS, if they can demonstrate basic competency in all CSS related functions. After 12 months of CSS experience they are eligible to take CSS Certification Exam. If after 3 months, if they cannot demonstrate basic competency in all CSS related functions they will be put on probation for 3 more months. At the end of 6 months if the trainee cannot demonstrate basic competency in all CSS functions, they will be terminated from the trainee position.
1. Under Lead Tech supervision: Efficiently provides appropriate instrumentation for surgical procedures ensuring accuracy, proper functioning, processing, storage and usage according to scheduled and anticipated demand as measured by supervisor and end of shift inspections. 1.1. Removes, assembles and sorts instruments from Washer/Sterilizes in a timely manner. 1.2. Processes kits according to priority as established by supervisor, priority sheet, scheduled and communicated need. 1.3. Selects and completes the appropriate count sheet that corresponds with the instrument set. 1.4. Sorts and inspects each instrument replacing or lubricating as necessary, keeping items requiring repair or sharpening separate from Instrument Inventory. See Instr. Coordinator if any instruments have to be ordered. 1.5. Counts each instrument in CSS column of count sheets indicating or actual number present and follows up with OR Return Count Sheet for any missing instruments. 1.6. Identifies and locates missing items utilizing reference materials and seeking supervisor, Tech II or OR resource person as needed in order to complete kit. 1.7. Performs QA of completed kits, signs, dates, includes indicator and places into appropriately tagged crate. Checks position of filter paper, uses CSS exterior tag, makes certain arrows are in place, and places on cart for sterilization. 1.8. Follows through on incomplete kits by notifying supervisor, Tech II or other OR resource person and executes completion of kit. Incomplete kits are identified as such on the count sheet and placed on incomplete cart after supervisor approval. 1.9. Wraps, visi-peels, containerizes and labels kits and other instruments and supplies for sterilization according to procedures as required or assigned. 1.10. Maintains safe, clean environment by preparing, organizing and cleaning work area at beginning and end of each shift putting all extra instruments and supplies in proper storage locations. 1.11. Tests, assembles, lubricates, ensures operation of power equipment and completes using correct count sheet and accurate parts. 2. Under Lead Tech supervision: Demonstrates ability to manage and execute the case cart picking function using proper pick sheets, adherence to standard setup, quality assurance and timely delivery of end product as measured by OR, QA and reported incidents. 2.1. Through Epic, obtains and utilizes proper DPC sheets for case cart preparation function and demonstrates thorough understanding of DPC sheet accuracy based upon scheduled case type. Consults supervisor or Tech II resource person when required. 2.2. Utilizes proper forms and procedures to document picking of each item, QA of each item, kit numbers per case cart, missing items and labeling of case carts. 2.3. Utilizes case cart standard set up for organization and placement of instrumentation and supplies. 2.4. Ensures accuracy, package integrity and proper dating of all items before placing on case cart. 2.5. Covers all case carts with plastic per standard prior to delivery to OR cart storage area. 2.6. Communicates accurately with incoming shift on status of all case carts and talks to supervisor or Tech II if issues of overbooking items. 3. Under Lead Tech supervision: Processes user requests with a high degree of accuracy in an efficient and courteous manner as measured by supervisor observation and OR staff follow up. 3.1. Answers the telephone (using head set) identifying the department in a pleasant and courteous manner within three (3) rings, as observed by the supervisor or Tech II. 3.2. Utilizes appropriate form to record all required information consistently and tactfully to obtain specific item information that results in order completion. 3.3. Requests supervisor or Tech II assistance at all times if there is any doubt regarding a request, in order to accurately fill order. 3.4. Anticipates needs of co-workers and uses good judgment to assist with picking of requests, transport of requests to elevator and picking case carts as time permits. 3.5. Accurately communicates requests to the runner in a clear, concise and courteous manner. 3.6. In collaboration with the runner and other CSS staff if needed, ensures all requested items are placed in the elevator within the 3-minute standard. 3.7. Calls requesting OR room to report stock out, or unavailability of requested item as needed and seeks direction on provision of a substitute. 3.8. Accurately performs CSS dispensing function, utilizing proper procedures as requested by phone or info-gram at all times. 3.9. Performs dispensing and assembly of F-9 requests according to procedure at all times. 4. Under Lead Tech supervision: Manages information received or required during the daily course of activities as observed by the supervisor and Tech. II. 4.1. Demonstrates knowledge of machine alarms and warning mechanisms and responds accordingly. 4.2. Communicates any malfunctioning equipment to supervisor immediately and documents on Engineering Log Sheet. 4.3. Utilizes inventory, schedule and assignment information to prioritize sequence of processing instruments and supplies. 4.4. Completes daily work sheet, training records and other documentation as needed or requested, according to procedures. 4.5. Communicates shortage of individual instruments, parts or supplies to supervisor or instrument coordinator immediately. 4.6. Communicates with supervisor or Tech. II for director when necessary. 4.7. Collaborates with OR Staff to achieve resolution of instrumentation problems and satisfaction of all requests. 4.8. Anticipates needs of co-workers and other staff and quickly responds before being asked. 4.9. Responds to fluctuations in workload by completing required tasks and adjusting personal schedule as needed. 5. Under Lead Tech supervision: Performs the sterilization procedure in a timely and accurate manner ensuring strict adherence to all documentation requirements as measured by daily supervisory QA of sterilization function at beginning and end of shift. 5.1. Performs daily biological testing of steam sterilizers on each steam autoclave. The daily biological is performed separate from any load containing implants. 5.2. At beginning of each shift, checks the biological incubation log sheet and reads biological indicators at appropriate time recording one (1) three (3) hour results and circling negative or positive, recording the date, and initials in the Biological Indicator Log. Calibrates auto reader as required. 5.3. Checks the cycle settings on all of the sterilizers to assure they are set to the cycle desired before each load at the beginning of shift and throughout the day for each load processed. 5.4. Removes and cleans drain screen as needed between cycles if blocked. 5.5. Sets up accurate steam sterilization log envelopes for each sterilizer. 5.6. Performs Daily Bowie Dick Test in each steam autoclave as the first empty cycle for the day (7:00 am) and after machine repair without a dry time. 5.7. Verifies test result, places date, sterilizer number and signature on the test and places in corresponding envelope. 5.8. Notifies supervisor or Tech II for advisement if air is present in the chamber as determined by non-uniformity of test color pattern. 5.9. Loads all items consistently in the same direction and does not overload carts. 5.10. Labels each item with proper autoclave number, load number, and sterilization date. 5.11. Places Name, date and time Autoclave cart is placed in steriler area on the sterilization load log Ensures load log lists all items in each cycle, copies of F- sheets and load log with affixed Implant label and attaches to Implant Quarantine Log if load contains implants. 5.12. Places the load log on clipboard by Sterilization process and later on when load is complete place load log in the sterilization envelope for the corresponding machine and stamps the sterilization envelope with the appropriate information in the correct number section of the envelope. 5.13. Labels and appropriately places biological test pack in the fully loaded sterilizer cart. 5.14. Upon completion of the cycle, affixes load label to both capsules, labels the control capsule with a 'C' and places the biological test and control capsules into the proper section of the incubator. 5.15. Records the appropriate information in the biological indicator log book or the implant quarantine log sheet and records test results for 1and 3 hour readings of capsules. 5.16. After sterilization of each load, verifies machine parameters, load # and initials tape read out. Notifies supervisor immediately if result is inadequate and reprocesses load if necessary. 5.17. Places carts in the designated cooling area and stocks all items in the correct locations, rotating all supplies accordingly. 6. Under Lead Tech Supervision: Efficiently and accurately assembles and packages instruments and supplies in preparation and packaging area of CSS according to priority needs and daily assignment as measured by Supervisor, daily worksheets and supervisor end of shift rounds. 6.1. Utilizes inventory and assignment information and interprets needs for single instruments, according to processing need. 6.2. Performs inspection of all instruments for proper condition and operation, replacing or lubricating as needed. 6.3. Demonstrates thorough knowledge of instrumentation identification and assembly and uses count sheets as required. 6.4. Assembles house sets and slush basins with all necessary, and includes indicator in each set. 6.5. Processes slush basin sets, single instruments, and house sets by using correct wrapping procedure and wrapping materials. 6.6. Labels, initials and dates all instruments and other items to be processed. 6.7. Properly loads all prepared items onto sterilization carts. 6.8. Assembles and processes respiratory supplies according to procedures. 6.9. Unloads washer/sterilizers and cart washers in a safe and efficient manner. 6.10. Organizes work space at the beginning and end of each shift returning all instruments and supplies to proper storage location. 6.11. Demonstrates ability to properly seal processed items with rotary heat sealer with inch of free space on each end of item being sealed. 6.12. Write legibly name of item and name of person visi-peeling. 6.13. Reprocesses event-related incidents on sterile items as for re-sterilization. 6.14. Receives, prepares, keeps clean and re-stocks House Tray Cart. 6.15. Processes Consignment, checking for cleanliness, wrap with foam corner inserts and places on a tray liner prior to autoclaving. Labels consignment correctly and places name on item as well. 7. Under Lead Tech supervision: Demonstrates ability to manage and perform decontamination process to prevent transference of organisms to the sterile area of CSS as observed by the supervisor and Tech II staff and as measured by end of shift inspections. 7.1. Checks the O.R. floor for case carts and removes used case carts from elevator and sorts instruments and supplies accordingly. 7.2. Rinses all grossly soiled instrumentation with tap water or pre-soaks in sink depending on conditions. 7.3. Places all instrumentation in Sonic Washers using proper settings, chemicals and dilutions. 7.4. Sorts remedy items, separates waste, sharps linen and body fluids and disposes of collects in proper containers and areas. 7.5. After removal from sonic washers, instruments are inspected again prior to placing instrumentation into the washer/sterilizers according to procedure. Utilizes proper machine settings. 7.6. Manages decontamination of power equipment according to manufacturer's recommendations Dissembles parts and blades using a hospital approved QUATS to decontaminates power equipment, (let set for 10 min contact time) thoroughly rinse off and places in dryer except Midas Rex which is air dry only. 7.7. Manages decontamination of power equipment parts and crates by rinsing, sonic washing, and processing through washer/sterilizer and sorts instrumentation by tagging crates (by case procedure) when possible. 7.8. Separates suction tips and cannulated items from other instrumentation and performs specialty cleaning by flushing with Enzymatic solution with warm water and using lumen brush cleaner type until thoroughly cleaned before sonic washing and then washer/sterilizing. 7.9. Removes all disposables including filter paper, tamper proof indicator arrows and CSS data cards from crates and carts before processing items through machinery Double checks to ensure no instruments are left on case carts. 7.10. Processes case carts through cart washer using appropriate machine settings. 7.11. Demonstrates ability to properly set up all equipment for instrument processing include sinks, Enzymatic solution for sink, sonic washers, cart washers and washer/sterilizers. Troubleshoots machine malfunctions by reporting problems to supervisor and/or Engineering Repair Board. 7.12. Performs proper clean up and sanitizing of all work surfaces, conveyors and sinks, throughout the shift as needed and at shift end. 7.13. Performs duties with minimum degree of supervision. Sequences work by priority of instrumentation or Operating Room request. 7.14. Utilizes all appropriate personal protective type equipment and practices good infection control technique by washing hands regularly when starting shift, when leaving work station, after taking gloves off and adhering to all decontamination policies and procedures. 7.15. Consistently completes required daily work sheets, training forms, and other documentation as requested or required. 8. Under Lead Tech supervision: Adheres to established department production standards for instrumentation case care production, decontamination, sterilization, and preparation and packaging area as measured by supervisor, worksheet, end of shift inspection and customer feedback. 8.1. Produces kits by priority at a consistent production rate that meets or exceeds the department standard (see production chart). 8.2. Assembles case carts according to priority, at a consistent production rate that meets or exceeds department production standard (see production chart). 8.3. Performs the sterilization function according to priority at a consistent production rate that meets or exceeds department production standard as measured by Supervisor. 8.4. Manages the decontamination of instrumentation and power equipment by consistently processing the volume of work that meets or exceeds department standard as measured by total number of surgical cases and procedures. 8.5. Processes user phone requests within 3 minutes as measured by work sheet, Supervisor and customer feedback. 8.6. Processes all items in preparation and packaging area according to priority and at a consistent production rate that meets or exceeds production standard.
High school graduate or, equivalent.
Experience (No experience is necessary as this is a training position)
Demonstrated ability to read, write and perform basic math. Ability to work independently and in collaboration with other staff. Demonstrates initiative and the ability to coordinate and perform multiple responsibilities. Must have the ability to learn to setup house sets and OR Kits and develop a working knowledge of all C.S.S. operational tasks.If after 3 months if they cannot demonstrate basic competency in all CSS related functions they will be put on probation for 3 more months. At the end of 6 months if the trainee cannot demonstrate basic competency in all CSS functions, they will be terminated from the trainee position.
Accountable for completing assigned duties in a timely manner, according to departmental policies along with proper documentation of these duties on a daily basis. Must be physically able to perform all CSS duties (Decontam, Assembly, Sterilization and Distribution) Accountable for the accurate counting, assembly, preparation, packaging, testing, labeling and sterilization of complex instrumentation and power equipment that is critical to patient care.
Position demands effective and thorough knowledge of instrumentation, equipment utilization, and sterile processing. CSS Tech Trainee must work in collaboration with the Operating Room department to provide patient required instrumentation and tools and as such are responsible for patient safety.
Must be able to lift a minimum of 25 pounds repetitively., Majority of tasks require ability to push, pull, bend and stand throughout 8 hour shifts and perform fine hand, manipulations. Must be able to understand and communicate adequately with OR staff, vendors and other department staff in the performance of job duties, such that services are delivered in an accurate and efficient manner.