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.
Competent and physically able to perform all duties in CSS (Central Sterile Supply) independently (Decontam, Assembly, Sterilization and Distribution) including successful completion of accredited SPD tech program along with current certification from CSS professional specialty organization. In addition, fullfills all requirements for documentation to ensure the department is able to distribute high quality sterile products in an efficient manner to effectively meet the requirements of its customers.
Patient and family centered care (PFCC) at YNHH is demonstrated by working with patients and their families based on the 4 principles of PFCC: participation, dignity and respect, information sharing, and collaboration. This includes providing service excellence by creating a great "First Impression" by demonstrating exemplary customer service skills for all customer groups including patients, families/friends, physicians, staff and support department personnel.
Adheres to the "I Am YNHH" service excellence pledge and promotes a positive work environment.
1. Assembly of Instrumentation: Efficiently provides appropriate instrumentation for surgical procedures ensuring accuracy, proper functioning, processing, storage and usage according to scheduled and anticipated demand as measured by lead teach 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 Lead Technician, 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 Supervisor if any instruments have to be ordered. 1.5. Proper count/verification of instruments against count sheet. 1.6. Identifies and locates missing items utilizing reference materials and seeking Lead Technician, Tech II 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 Lead Technician, Tech II or other OR resource person and executes completion of kit. Incomplete kits are identified as such on the count sheet and marked on the outside of the kit. 1.9. Wraps, visi-peels, containerize 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, organizingand 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. Case Cart Preparation: 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. 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. 2.2. Utilizes case cart standard set up for organization and placement of instrumentation. 2.3. Ensures accuracy, package integrity and proper dating of all items before placing on case cart. 2.4. Covers all case trays with plastic per standard prior to delivery to OR cart storage area. 3. Dispensing and Storage Functions: Processes user requests with a high degree of accuracy in an efficientand courteous manner as measured by Lead Technician observation and OR staff follow up. 3.1. Answers the telephone identifying the department in a pleasant and courteous manner within three (3) rings, as observed by the Lead Technician 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 Lead Technician or Tech II assistance at all times if there isany 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 toelevator and picking case carts as time permits. 3.5. Calls requesting OR room to report stock out, or unavailability of requested item as needed and seeks direction on provisionof a substitute. 3.6. Accurately performs CSS dispensing function, utilizing proper procedures as requested by phone or info-gram at all times. 4. Communication/Information: Manages information received or required during the daily course of activities as observed by the Lead Technician and Tech II. 4.1. Demonstrates knowledge of machine alarms and warning mechanisms and responds accordingly. 4.2. Communicates any malfunctioning equipment to Lead Technician immediately. 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 Lead Technician immediately. 4.6. Communicates with Lead Technician or Tech. II for direction when necessary. 4.7. Collaborates with OR Staff to achieve resolution ofinstrumentation 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 requiredtasks and adjusting personal schedule as needed. 5. Sterilization Function: Performs the sterilization procedure in a timely and accurate manner ensuring strict adherence to all documentation requirements as measured by daily Lead Technician 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 eachsterilizer. 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-Verifies test result, places date, sterilizer number and signature on the test and places in corresponding envelope-Notifies Lead Technician or Tech II for advisement if air is present in the chamber as determined by non-uniformity of test color pattern 5.7. Loads all items consistently in the same direction and does not overload carts 5.8. Labels each item with proper autoclave number, load number, and sterilization date 5.9. Places the load log in logbook, by Sterilization process and later on when load is complete place load log in the logbook for the corresponding machine and stamps the sterilization envelope with the appropriate information in the correct number section of the envelopeThe daily printout is placed in envelope 5.10. Labels and appropriately places biological test pack in the fully loaded sterilizer cart 5.11. Upon completion of the cycle with a BI, affixes load label to both capsules, labels the control capsule with a 'C' Cool, Close, Crush, Tap x 3and places the biological test and control capsules into the proper section of the incubator-Records the appropriate information in the biological indicator log book or the implant quarantine log sheet and records test results for hour and 3 hours for steam 5.12. After sterilization of each load, verifies machine parameters, load # and initials tape read out Notifies Lead Technician immediately if result is inadequate and reprocesses load if necessary 5.13. Places carts in the designated cooling area and stocks all items in the correct locations, rotating all supplies accordingly 6. Surgical Set Processing Function: 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 Lead Technician, daily worksheets and Lead Technician 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 surgical sets with all necessary indicators in each set. 6.5. Processes all instrument 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. Unloads washer/sterilizers in a safe and efficient manner 6.9. Organizes work space at the beginning and end of each shift returning all instruments and supplies to proper storage location. 6.10. Receives, prepares, keeps clean and re-stocks Surgical Tray Cart. 6.11. Processes Consignment, checking for cleanliness, wrap with foamcorner inserts and places on a tray liner prior to autoclaving. Labels consignment correctly and places name on item as well 7. Decontamination Function: Demonstrates ability to manage and perform decontamination process to prevent transference of organisms to the sterile area of CSS as observed by the Lead Technician and Tech II staff and as measured by end of shift inspections. 7.1. Rinses all grossly soiled instrumentation with tap water or pre-soaks in sink depending on conditions 7.2. Places all instrumentation in Sonic Washers using proper settings, chemicals and dilutions 7.3. Sorts remedy items, separates waste, sharps linen and body fluids and disposes of collects in proper containers and areas 7.4. After removal from sonic washers, instruments are inspected again prior to placing instrumentation into the washer/sterilizers according to procedure Utilizes proper machine settings 7.5. 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 7.6. 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 7.7. 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 7.8. 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 7.9. Demonstrates ability to properly set up all equipment for instrument processing include sinks, Enzymatic solution for sink, sonic washers, and washer/sterilizers Troubleshoots machine malfunctions by reporting problems to Lead Technician 7.10. Performs proper clean up and sanitizing of all work surfaces, and sinks, throughout the shift as needed and at shift end 7.11. Performs duties with minimum degree of supervision Sequences work by priority of instrumentation or Operating Room request 7.12. 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 7.13. Consistently completes required daily work sheets, training forms, and other documentation as requested or required 8. Production Standards: Adheres to established department production standards for instrumentation case care production, decontamination, sterilization, and preparation and packaging area as measured by Lead Technician, 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 8.2. Assembles case carts according to priority, at a consistent production rate that meets or exceeds department production standard 8.3. Performs the sterilization function according to priority at a consistent production rate that meets or exceeds department production standard as measured by Lead Technician 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 all user phone requests within 3 minutes 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 8.7. Achieves and exceeds production standards through adherence to department policies regarding break and lunch periods Engages only in interruptions of work and workflow that are necessary for completion
High school graduate or equivalent. Completion of accredited SPD Tech Program, along with current certification from CSS specialty organization.
Competent and physically able to perform all duties in CSS independently (Decontam, Assembly, Sterilization and Distribution). No current written disciplinary actions. Meet or exceed production standards. OR. Scrub Tech. training acceptable, but must complete independent study of Training Manual for HC CSS Tech within 3 months of employment and successfully complete the four annual CSS Competencies.
Current certification from CSS specialty organization.
Knowledge of Operating Room surgical instrumentation and Quality Assurance practices. Ability to assemble all CSS surgical instrumentation. Possess excellent knowledge of CSS operations. Must have excellent knowledge of sterilization equipment and sterility assurance practices. Must demonstrate proficiency in biological monitoring, testing of sterilization equipment and all required forms of documentation and record keeping. Must be able to solve problems utilizing excellent communication skills and medical terminology skills in potentially stressful situations.
Responsible for the care and maintenance of all surgical instrumentation. Responsible for completion of assigned duties in a timely manner in preparation for OR cases according to departmental policies and with proper documentation. Must prepare surgical instrumentation and case carts for all surgical procedures as needed and as requested and is accountable through pick sheets and count sheets for the accuracy, thoroughness and proper operation of all items. Staff member must have good attendance and be punctional to work and at work station at assigned time.
Responsible for performing C.S.S. assignments and using good judgment for the prioritization of tasks. Seeks direction as required. Must demonstrate analytical skills in the performance of job duties such as add on and scheduled case cart picking, OR dispensing, sterilization, kit assembly and other tasks in order ensure the most accurate and highest quality services to the OR and other areas.
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.