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 the key functions of the position (Decontam, Assembly, Sterilization and Distribution). Perform all duties in CSS independently and fulfills 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.
Responsibilities: 1. Assembly of Instrumentation. 1.1. 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. 1.2. Removes, assembles and sorts instruments from Washer/Sterilizes in a timely manner. 1.3. Processes kits according to priority as established by supervisor, priority sheet, scheduled and communicated need. 1.4. Selects and completes the appropriate count sheet that corresponds with the instrument set. 1.5. Sorts and inspects each instrument replacing or lubricating as necessary, keeping items requiring repair or sharpening separate from Instrument Inventory. See Lead Tech. if any instruments have to be ordered. 1.6. Counts each instrument in CSS column of count sheets indicating 0 or actual number present and follows up with OR Return Count Sheet for any missing instruments. 1.7. Identifies and locates missing items utilizing reference materials and seeking Lead Tech, Tech II or manager as needed in order to complete kit. 1.8. 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 locks are in place, and places on cart for sterilization. 1.9. Follows through on incomplete kits by notifying Lead tech, 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. 1.10. Wraps, view packs, containerize and labels kits and other instruments and supplies for sterilization according to procedures as required or assigned. 1.11. 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. 1.12. Assembles power equipment and completes using correct count sheet and accurate parts. 2. Case Cart Preparation. 2.1. 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. 2.2. Through POINTS, 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. 2.3. 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. 2.4. Utilizes case cart standard set up for organization and placement of instrumentation and supplies. 2.5. Ensures accuracy, package integrity and proper dating of all items before placing on case cart. 2.6. Communicates accurately with incoming shift on status of all case carts and talks to supervisor or Tech II/III if issues of overbooking items. 3. Dispensing and Storage Functions. 3.1. 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. 3.2. Answers the telephone identifying the department in a pleasant and courteous manner within three (3) rings, as observed by the supervisor or Tech II/III. 3.3. Utilizes appropriate form to record all required information consistently and tactfully to obtain specific item information that results in order completion. 3.4. Requests Lead tech or Tech II/III assistance at all times if there is any doubt regarding a request, in order to accurately fill order. 3.5. 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. 3.6. Accurately communicates requests to the runner in a clear, concise and courteous manner. 3.7. In collaboration with the runner and other CSS staff if needed, ensures all requested items are placed in the elevator within the designated time frame for the special request. 3.8. Calls requesting OR room to unavailability of requested item as needed and seeks direction on provision of a substitute. 3.9. Accurately performs CSS dispensing function, utilizing proper procedures as requested. 3.10. Covers the equipment function as necessary. 4. Communication/Information. 4.1. Manages information received or required during the daily course of activities as observed by the supervisor and Tech. II/III. 4.2. Demonstrates knowledge of machine alarms and warning mechanisms and responds accordingly. 4.3. Communicates any malfunctioning equipment to supervisor immediately and documents in Engineering Log book and shift report. 4.4. Utilizes inventory, schedule and assignment information to prioritize sequence of processing instruments and supplies. 4.5. Completes daily work sheet, training records and other documentation as needed or requested, according to procedures. 4.6. Communicates shortage of individual instruments, parts or supplies to supervisor immediately. 4.7. Communicates with supervisor or Tech. II/III for manager when necessary. 4.8. Collaborates with OR Staff to achieve resolution of instrumentation problems and satisfaction of all requests. 4.9. Anticipates needs of co-workers and other staff and quickly responds before being asked. 4.10. Responds to fluctuations in workload by completing required tasks and adjusting personal schedule as needed. 5. Sterilization Function. 5.1. 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. 5.2. Performs daily biological testing of steam and sterrad sterilizers on each steam autoclave and sterrad cycle. The daily biological is performed separate from any load containing implants. 5.3. At beginning of each shift, checks the biological incubation log sheet and reads biological indicators at appropriate time recording one (1) hour, three (3) hour and twenty four (24) hour results and circling negative or positive, recording the date, and initials in the Biological Indicator Log. 5.4. 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. 5.5. Removes and cleans drain screen as needed between cycles if blocked. 5.6. Sets up accurate steam sterilization log books for each sterilizer. 5.7. Performs Daily Bowie Dick Test in each steam autoclave as the first empty cycle for the day (after midnight) and after machine repair without a dry time. Verifies test result, places date, sterilizer number and signature on the test and places in corresponding log book. Notifies supervisor, Tech II or Tech III for advisement if air is present in the chamber as determined by non-uniformity of test color pattern. 5.8. Loads all items consistently in the same direction and does not overload carts. 5.9. Labels each item with proper autoclave number, load number, and sterilization date. 5.10. Places the load log on clipboard by Sterilization process and later on when load is complete place load log in the sterilization book for the corresponding machine and stamps the sterilization log sheet with the appropriate information in the correct number section of the form. 5.11. Labels and appropriately places biological test pack over drain in the fully loaded sterilizer cart. 5.12. Upon completion of the cycle with a B.I., 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 and records test results for 1 hour and 3 hour for steam and 24 hour readings for sterrad. 5.13. 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. 5.14. Places carts in the designated cooling area and stocks all items in the correct locations, rotating all supplies accordingly. 6. House Set Processing Function. 6.1. 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. 6.2. Utilizes inventory and assignment information and interprets needs for single instruments, according to processing need. 6.3. Performs inspection of all instruments for proper condition and operation, replacing or lubricating as needed. 6.4. Demonstrates thorough knowledge of instrumentation identification and assembly and uses count sheets as required. 6.5. Assembles house sets with all necessary, and includes indicator in each set. 6.6. Processes single instruments, and house sets by using correct wrapping procedure and wrapping materials. 6.7. Labels, initials and dates all instruments and other items to be processed. 6.8. Properly loads all prepared items onto sterilization carts. 6.9. Assembles and processes respiratory supplies according to procedures. 6.10. Unloads washer/sterilizers and cart washers in a safe and efficient manner. 6.11. Organizes work space at the beginning and end of each shift returning all instruments and supplies to proper storage location. 6.12. Demonstrates ability to properly seal processed items with rotary heat sealer with 1 inch of free space on each end of item being sealed. Write legibly name of item location and name of person visi-peeling. 6.13. Reprocesses event-related incidents on sterile items as for re-sterilization. 6.14. Receives, prepares and checks supply expiration dates, keeps clean and re-stocks House Tray Shelf. 6.15. Processes Consignment, checking for cleanliness, wrap with a white tray liner under all sets prior to autoclaving. Labels consignment correctly and places name on item as well. 7. Decontamination Function. 7.1. Demonstrates ability to manage and perform decontamination process to prevent transference of organisms to the prep and pack area of CSS as observed by the supervisor and Tech II staff and as measured by end of shift inspections. 7.2. Empties soiled elevator in a timely manner. 7.3. Preclean instruments before placing in the ultrasonic cleaner. 7.4. Places all instrumentation in Sonic Washers using proper settings, chemicals and dilutions. 7.5. After removal from sonic washers, instruments are inspected again prior to placing instrumentation into the washer/decontaminator according to procedure. Utilizes proper machine settings. 7.6. Manages decontamination of power equipment according to manufacturer's recommendations. 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/decontaminating. 7.8. Demonstrates ability to properly set up all equipment for instrument processing include sinks, Enzymatic solution for sink, sonic washers, and washer/decontaminators. Troubleshoots machine malfunctions by reporting problems to supervisor. 7.9. Performs proper clean up and sanitizing of all work surfaces, and sinks, throughout the shift as needed and at shift end. 7.10. Performs duties with minimum degree of supervision. Sequences work by priority of instrumentation or Operating Room request. 7.11. 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. 7.12. Consistently completes required daily work sheets, training forms, and other documentation as requested or required. 8. Completes non-therapeutic functions under the direction of MD, PA, APRN or RN. 8.1. Place IV solutions in appropriate storage area within Central Supply. 8.2. Remove IV solutions from appropriate storage area and place in Code Carts for delivery when ordered from patient care areas. 8.3. Remove IV solutions from appropriate storage area and place in Procedural/Case Carts for delivery when ordered from patient care areas. 8.4. Demonstrates ability to manage and execute the procedural carts picking function, checking expiration dates and placing correct supplies needed in cart. Deliver Code Carts and/or Procedural/Case Carts to appropriate patient care area.
High school graduate or equivalent. Graduate of Sterile Processing Program.
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. Must Achieve national certification from CBSPD or IAHCSMM by the first anniversary date.
Knowledge of Operating Room surgical instrumentation and Quality Assurance practices. Ability to assemble all CSS, Surgease, and Main Operating Room 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 to ensure the most accurate and highest quality services to the OR and other areas.
Must be able to lift a minimum of 40 pounds repetitively. Majority of tasks require ability to push, pull, bend and stand throughout 8 hour shifts and perform fine hand manipulations.