Essential Soft Skills for Sterile Processing Technicians: Insights of an SPD Educator

  

By Martin Li, MA, CRCST, CER, CIS, CHL

 Photo from online free photo

Introduction

Sterile Processing Technicians (SPD Techs) play a critical role in maintaining the safety and efficiency of healthcare environments. Their work ensures that surgical instruments and medical devices are properly decontaminated, sterilized, and ready for use. While technical skills are essential, soft skills are equally important for SPD Techs to excel in their roles. Here are five key soft skills that every SPD Tech should possess.

1. Attention to Detail

Clearly, details are an important part of an SPD Tech’s Day. Those details are important, especially because overlooking them may endanger patients. Increased regulation also means SPD Techs need to be on top of every detail, every time.

Attention to detail is critical in every aspect of the SPD Tech’s duties. From identifying minute signs of contamination to ensuring that sterilization parameters are met, no detail is too small to overlook. This skill ensures that the reprocessing cycle is completed thoroughly and that all instruments are safe for use. Regulatory standards in healthcare are stringent, and SPD Techs must be diligent in following these guidelines to avoid any lapses in safety.

2. Compliance

With the safety of patients and care providers in their hands, it’s important for SPD Techs to follow the rules. If they don’t, safety could be compromised, and the results could be disastrous. SPD Techs must wear Personal Protective Equipment (PPE) on the job. No one enjoys wearing all these layers (it can be hot and uncomfortable), but it is of the utmost importance to protect one from infectious materials and blood-borne pathogens.

Compliance extends beyond wearing PPE. It includes following established protocols for cleaning and sterilizing instruments, documenting processes accurately, and staying up-to-date with the latest industry standards and guidelines. SPD Techs must have a strong sense of responsibility and commitment to adhering to these standards to maintain a safe and sterile environment.

3. Cautiousness

SPD Techs are the first line of defense against infection in healthcare settings. Their role is so crucial that hospitals and other facilities couldn’t function without them. It’s not surprising that SPD Techs must be cautious. Even after items are sterilized, there’s an extra step: a test that confirms specific parameters of a sterilization cycle were met. Ensuring an instrument is sterile and safe to use is vital to the reprocessing cycle.

Being cautious means being meticulous and vigilant about every step in the process. SPD Techs must constantly check for signs of contamination, follow protocols precisely, and ensure that every instrument is properly sterilized before it reaches the surgical team. Those who have a greater appreciation for the importance of their job are the ones to hire, as they understand that their diligence directly impacts patient safety.

4. Patience

Patience is necessary for this role. SPD Techs spend their entire shifts washing, flushing, drying, and sterilizing every screw, hinge, tube, and crevice of medical instruments. Each piece must be reassembled properly for patient safety and surgical effectiveness. Although SPD Techs don’t have direct contact with patients, their duties are vital to keeping patients safe, and patience is critical to perform those duties properly.

The reprocessing of surgical instruments is a time-consuming and detailed task. Rushing through this process can lead to errors, which can compromise patient safety. Patience allows SPD Techs to methodically follow each step, ensuring that nothing is overlooked and that all instruments are properly sterilized and ready for use.

5. Hands-on Skills

SPD Techs are meticulous individuals in charge of surgical instrument and medical device decontamination, organization, and packaging. This career is not limited to theory and concepts. Although they study the theory and concepts behind their work, they must be hands-on and analytical to get the job done.

Hands-on skills involve the physical manipulation of instruments, operating sterilization equipment, and assembling complex medical devices. SPD Techs need to be comfortable working with their hands and have a keen eye for detail to ensure that every instrument is cleaned and sterilized correctly. Practical experience and a hands-on approach are essential for mastering the technical aspects of the job.

Conclusion

As an SPD educator, it’s essential to emphasize the importance of these soft skills to your trainees. Cautiousness, patience, compliance, hands-on skills, and attention to detail are fundamental to the success of SPD Techs. These soft skills, combined with technical proficiency, ensure that SPD Techs can perform their roles effectively, maintaining the highest standards of safety and sterility in healthcare environments. By fostering these skills, we can ensure that our teams are not only competent but also committed to the critical mission of infection control and patient safety.

References

1. Moab Healthcare. (2023). 5 key soft skills sterilization techs should have. Retrieved from https://moabhealthcare.com/5-key-soft-skills-sterilization-techs-should-have/
2. Indeed. (2023). Sterile processing technician skills. Retrieved from https://www.indeed.com/career-advice/resumes-cover-letters/sterile-processing-technician-skills
3. Zippia. (2023). Sterile processing technician skills. Retrieved from https://www.zippia.com/sterile-processing-technician-jobs/skills/
4. Fortis. (2023). 7 essential sterile processing technician skills. Retrieved from https://www.fortis.edu/blog/healthcare/7-essential-sterile-processing-technician-skills.html
5. Noorani, S. (2024). What skills does a sterile processing technician need? Health Tech Academy. Retrieved from https://healthtechacademy.org

The Power of Attitude and Work Ethic in Sterile Processing: An SPD Educator’s Perspective

 

By Martin Li, MA, CRCST, CER, CIS, CHL

Figure 1 Free photo from online

 Introduction

"Talent might make you good, but it is your attitude and work ethic that will make you great." This insightful quote by Alistair McCann resonates deeply within the realm of sterile processing. As an SPD educator, I’ve seen firsthand how attitude and work ethic can significantly impact the performance and career trajectory of Sterile Processing Technicians (SPTs). While technical skills are vital, it is the right mindset and dedication to excellence that truly distinguishes great technicians from merely good ones.

The Importance of Attitude in Sterile Processing

In sterile processing, a positive attitude is crucial. The nature of the job demands meticulous attention to detail, patience, and a commitment to maintaining the highest standards of hygiene and safety. Technicians with a positive attitude are more likely to approach their tasks with diligence and a willingness to go the extra mile, ensuring that every instrument is correctly sterilized and ready for use.

A positive attitude also fosters a collaborative work environment. When SPTs maintain a constructive and supportive attitude, it enhances team cohesion and efficiency. This, in turn, leads to better outcomes for both the department and the patients they serve. Studies have shown that employees with a positive attitude are more productive, have better problem-solving abilities, and contribute to a more harmonious workplace (Luthans & Youssef, 2007).

The Role of Work Ethic in Achieving Excellence

Work ethic is the backbone of professional excellence in sterile processing. A strong work ethic encompasses reliability, responsibility, and a commitment to quality. Technicians who exhibit a robust work ethic consistently perform their duties to the best of their abilities, regardless of the challenges they face.

In the high-pressure environment of sterile processing, where errors can have serious implications for patient safety, a strong work ethic ensures that tasks are completed meticulously and on time. Technicians with a solid work ethic are diligent about following protocols, double-checking their work, and continuously seeking ways to improve their skills and processes.

Integrating Attitude and Work Ethic in SPD Training

As an SPD educator, it is essential to instill the values of a positive attitude and a strong work ethic in trainees. Here are some strategies to achieve this:

1. Lead by Example: Demonstrating a positive attitude and a strong work ethic in your own behavior sets a powerful example for trainees. When educators model these qualities, it inspires trainees to adopt similar behaviors.
2. Emphasize the Importance of Attitude and Work Ethic: During training sessions, highlight real-life examples of how a positive attitude and a strong work ethic have led to success in the field. This helps trainees understand the tangible benefits of these qualities.
3. Provide Constructive Feedback: Offer regular feedback that not only addresses technical skills but also focuses on attitude and work ethic. Encourage trainees to reflect on their performance and identify areas for improvement.
4. Create a Supportive Learning Environment: Foster a learning environment that encourages questions, collaboration, and mutual support. This helps trainees develop a positive attitude towards their work and colleagues.
5. Encourage Continuous Learning: Promote the idea that learning does not stop after training. Encourage trainees to stay updated with the latest industry standards and practices, and to continually seek opportunities for professional development.

The Impact of Attitude and Work Ethic on Career Growth

Technicians who combine technical skills with a positive attitude and a strong work ethic are more likely to advance in their careers. They gain the respect and trust of their colleagues and supervisors, leading to greater opportunities for leadership roles and professional growth. Moreover, their commitment to excellence ensures that they contribute significantly to patient safety and the overall success of the healthcare facility.

Conclusion

In the field of sterile processing, talent alone is not enough to achieve greatness. It is the combination of a positive attitude and a strong work ethic that sets exceptional technicians apart. As an SPD educator, my goal is to cultivate these qualities in every trainee, ensuring they are not only skilled but also dedicated to maintaining the highest standards of safety and quality. By embracing the wisdom of Alistair McCann’s quote, we can inspire the next generation of SPTs to achieve greatness in their careers.

References

Luthans, F., & Youssef, C. M. (2007). Emerging positive organizational behavior. Journal of Management, 33(3), 321-349. https://doi.org/10.1177/0149206307300814

 

Behind the Scenes of Sterilization: The Unsung Heroes Ensuring Patient Safety

 

By Martin Li, MA, CRCST, CER, CIS, CHL

Figure 1 photo from cssdtechnicianhub.com

Introduction

According to the U.S. Centers for Disease Control and Prevention (CDC), each day, 1 in every 31 hospital patients acquires a healthcare-associated infection (HAI) (Centers for Disease Control and Prevention, 2020). These infections can be serious and even result in death. While several factors can lead to healthcare-associated infections, one significant risk factor is not adhering to best practices in medical instrument sterilization. Fortunately, relying on the skills of sterile processing technicians (SPTs) can help healthcare organizations minimize infection and maintain safe environments for their patients. Behind the Scenes of Sterilization SPTs are the Unsung Heroes Ensuring Patient Safety.

What Is a Sterile Processing Technician?

A sterile processing technician ensures that the instruments used by a healthcare organization’s staff are sterile. To accomplish this, sterile processing technicians perform both manual cleaning and sterilization using specialized equipment such as an autoclave, also known as a steam sterilizer. An autoclave uses steam under pressure to kill harmful bacteria, viruses, fungi, and spores on medical equipment (Infection Control Today, 2018).

Why Become a Sterile Processing Technician?

After receiving training to acquire the proper skills, sterile processing technicians could play a vital role in healthcare. The expertise of sterile processing technicians makes them essential in nearly any category of care. Because of that, sterile processing technicians can work at a broad range of employers, including:

• General and surgical hospitals
• Dental offices
• Outpatient centers
• Physicians’ offices
• Specialty hospitals
• Medical laboratories
• Pharmaceutical companies

Sterile Processing Technician Responsibilities

While sterilizing instruments is the primary responsibility of sterile processing technicians, individuals in the role also carry out several other duties. Examples include:

• Reviewing sterilization equipment for defects
• Testing sterilization equipment and recording test results
• Ordering sterilization supplies
• Assembling trays with sterilized instruments
• Distributing sterilization supplies and ensuring those supplies have not exceeded expiration dates

How to Become a Sterile Processing Technician

The overall steps to becoming a sterile processing technician include:

1. Earn a high school diploma or the equivalent.
2. Complete a sterile processing technician educational program.
3. Gain work experience in a sterile processing department and obtain certification. (For example, to obtain certification as a Certified Registered Central Service Technician, or CRCST, an individual needs to work at least 400 hours in a sterile processing department and pass a certification exam.)

Essential Sterile Processing Technician Skills

Reviewing essential sterile processing technician skills is a good way to become acquainted with the profession and understand what working in the role entails. The seven skills outlined below parallel the categories of skills individuals must possess to become a CRCST.

1. Cleaning, Decontamination, and Disinfection

Skills and expertise in cleaning, decontamination, and disinfection are at the heart of succeeding in the role of a sterile processing technician. This starts with expertise in areas such as safety standards and the work environment's climate and extends into skills in areas such as:

• Preparing instruments and equipment for decontamination
• Selecting appropriate disinfectants
• Performing specific disinfecting processes, which requires skills in areas such as dilution, rinsing, storage, and recordkeeping.

2. Preparation and Packaging

Sterilization efforts can be undone by improper preparation and packaging. Therefore, sterile processing technicians need to have skills in areas such as:

• Assembling items for packaging
• Keeping items safe by using elements like tray liners and tip protectors
• Testing items for functionality
• Properly identifying items
• Using count sheets to keep track of items and their quantity

3. Sterilization Processes

Knowing how to perform specific sterilization processes is one of the most critical skills of a sterilization processing technician. Carrying out these processes requires skills in areas such as:

• High temperature sterilization using steam or dry heat
• Low temperature sterilization using gas plasma, vaporization, ethylene oxide, or liquid chemicals

Skills in sterilization processes also encompass skills in biological testing and interpreting test results, as well as the use of sterilization equipment and sterilization verification processes.

4. Patient Care Equipment

Sterilization of patient care equipment requires skills in areas such as:

• Proper use of personal protective equipment (PPE)
• Hand hygiene
• Maintaining electrical safety
• Proper receiving of items for sterilization

5. Sterile Storage and Inventory Management

Ensuring proper storage and inventory of sterile items requires skills in several areas such as:

• Procuring and replenishing sterile items
• Stocking and distributing sterile items
• Tracking high-dollar items such as emergency carts
• Inspecting new sterile items as they come into inventory

6. Documentation and Record Maintenance

Sterile processing technicians need strong skills in documentation and recordkeeping. For example, they need to be able to:

• Track maintenance performed on sterilization equipment
• Record the details of accidents and incidents related to sterilization and equipment
• Document the education and training that staff members receive related to sterilization

7. Customer Relations

Serving in a support role requires sterile processing technicians to refine their customer relations skills, including skills in areas such as:

• Communication
• Teamwork
• Decision making
• Critical thinking
• Prioritization

Sterile processing technicians also benefit from anticipating the needs of their customers and developing the ability to communicate through commonly used medical terminology.

Benefits of a Sterile Processing Technician Training Program

Completing a sterile processing technician training program prepares an individual for a rewarding career. But acquiring skills to work in sterile processing also provides other benefits. For example, completing a training program in sterile processing enables individuals to:

• Embark on a career in healthcare. Becoming a sterile processing technician is a great way to enter the field of healthcare and have the opportunity to work in various healthcare settings.
• Make a difference in patients’ lives. The work that sterile processing technicians conduct is critical to achieving positive health outcomes. Doctors, nurses, and surgeons depend on sterile processing technicians to provide them with sterile instruments that will enable them to improve their patients’ health.
• Work in a field with a strong job outlook. The U.S. Bureau of Labor Statistics (BLS) projects 5% job growth for medical equipment preparers between 2022 and 2032. That growth exceeds the 3% rate projected by the BLS for the U.S. job market as a whole.
• Pursue advancement and specialization. CRCST certification is just one certification that can be pursued. For example, an individual can pursue training to become a:
• Certified Instrument Specialist (CIS), which is a certification that indicates an individual has the expertise and skills to perform advanced work in sterile processing.
• Certified Endoscope Reprocessor (CER), which is a certification that indicates an individual has specific expertise and skills related to the sterilization of endoscopes.

Strong Sterile Processing Technician Skills Are Crucial to Effective Healthcare

The broad reach and critical nature of sterile processing makes it an important component of healthcare. Affecting the lives of every patient, the skills of sterile processing technicians are crucial to supporting providers’ ability to offer quality healthcare. Individuals with an interest in working in healthcare can explore the Sterile Processing Technician programs to learn how they can help in achieving their career ambitions. With curricula combining classroom instruction with the development of skills through real-world experience, these programs can prepare individuals for starting a journey to a rewarding career in healthcare.

References

1.Centers for Disease Control and Prevention. (2020). Health topics – Healthcare-associated infections (HAI). Retrieved from https://www.cdc.gov

2.Healthcare Sterile Processing Association. (2021). Certification handbook.

3.Healthcare Sterile Processing Association. (2021). Certified Registered Central Service Technician (CRCST) exam content outline.

4.Indeed. (2020). How to become a sterile processing technician. Retrieved from https://www.indeed.com

5.Infection Control Today. (2018). Sterile processing techs can never ‘dial it in’ because lives are on the line. Retrieved from https://www.infectioncontroltoday.com

6.U.S. Bureau of Labor Statistics. (2023). Occupational employment and wage statistics, 31-9093 medical equipment preparers. Retrieved from https://www.bls.gov

7.U.S. Bureau of Labor Statistics. (2023). Occupational employment and wage statistics, data for occupations not covered in detail, medical equipment preparers. Retrieved from https://www.bls.gov

8.U.S. Centers for Disease Control and Prevention. (2020). Health topics – Healthcare-associated infections (HAI). Retrieved from https://www.cdc.gov

 

 

Humility in Leadership: Lessons from C.S. Lewis for SPD Leaders

  

By Martin Li, MA, CRCST, CER, CIS,CHL

"Humility is not thinking less of yourself, it's thinking of yourself less" - C.S. Lewis

"Humility is not thinking less of yourself, it's thinking of yourself less" - C.S. Lewis

Introduction

In the realm of Sterile Processing Departments (SPD), leadership plays a pivotal role in ensuring that all processes run smoothly, and patient safety is maintained at the highest standards. As an SPD educator, embodying the principles of humility, as articulated by C.S. Lewis, can significantly enhance your effectiveness as a leader. Lewis famously said, "Humility is not thinking less of yourself, it's thinking of yourself less" [3]. This quote encapsulates a crucial aspect of leadership that can transform how we guide and influence our teams.

Understanding Humility in Leadership

Humility in leadership doesn't mean undermining your capabilities or contributions. Instead, it means prioritizing the needs and development of your team over personal recognition. This approach fosters a collaborative and supportive environment where team members feel valued and empowered to excel in their roles.

Practical Applications of Humility in SPD Leadership

1. Active Listening and Engagement:
• As an SPD educator, it's essential to listen actively to your team's concerns and feedback. This not only shows respect for their perspectives but also allows you to address issues more effectively. By thinking of yourself less and focusing on your team’s input, you can create a more inclusive and responsive work environment.
2. Empowering Others:
• Encourage your team members to take initiative and make decisions within their areas of expertise. By delegating responsibilities and trusting your team, you demonstrate confidence in their abilities and foster a sense of ownership and accountability.
3. Recognizing and Celebrating Achievements:
• Highlight the accomplishments of your team rather than your own. Celebrating their successes builds morale and encourages continuous improvement. It also reinforces the idea that their contributions are integral to the department's success.
4. Leading by Example:
• Show humility by being willing to perform any task that you ask of your team. Whether it's assisting in decontamination or participating in audits, leading by example reinforces the value of every role within the SPD.

The Impact of Humble Leadership on SPD Operations

1. Enhanced Team Cohesion:
• When leaders focus on the well-being and development of their team, it fosters a strong sense of unity and purpose. Team members are more likely to collaborate effectively and support each other in achieving common goals.
2. Improved Problem-Solving:
• A humble leader who values input from all team members can tap into a diverse range of ideas and solutions. This collaborative approach to problem-solving can lead to more innovative and effective strategies for improving SPD operations.
3. Increased Job Satisfaction:
• Team members who feel heard, valued, and empowered are more likely to experience higher job satisfaction. This can result in lower turnover rates and a more stable, experienced workforce.

Conclusion

Embracing humility in leadership, as highlighted by C.S. Lewis, can profoundly impact the dynamics and success of the Sterile Processing Department. As an SPD educator, by thinking of yourself less and focusing on the growth and well-being of your team, you can foster a culture of excellence, collaboration, and continuous improvement. This not only enhances the efficiency and effectiveness of SPD operations but also ensures the highest standards of patient safety and care.

References

1. https://aaronarmstrong.co/what-cs-lewis-wrote-is-better-than-what-he-didnt/
2. linkedin.com - Amy Dean's Post - Fav CS Lewis quote
3. https://addicted2success.com/quotes/45-insightful-c-s-lewis-quotes/

 

 

 

Talk Transcript for Introducing SPD to New Hires

  

By Martin Li, MA, CRCST, CER, CIS, CHL

 

 

Figure 1 Workflow of SPD

Top of Form

Talk Transcript

Hello new friends,

Welcome onboard to our Sterile Processing Department (SPD)! As new hires, you are about to embark on a crucial role within our healthcare facility. Today, I want to walk you through the essential aspects of SPD operations, from decontamination, pre-pack, sterilization/high-level disinfection processes, sterile storage and distribution, to the importance of sterility assurance. Let’s dive into the core responsibilities and procedures that define our department.

Introduction to the Sterile Processing Department

The Sterile Processing Department (SPD), also known as the Central Sterile Services Department (CSSD), is the backbone of infection control in any hospital or medical center. Our primary role is to ensure that all surgical instruments and medical devices are thoroughly cleaned, sterilized, and ready for use in patient care. This department plays a pivotal role in preventing infections and ensuring patient safety.

The Journey of an Instrument Through the SPD

The journey of a surgical instrument in the SPD is meticulous and involves several critical stages:

1. Arrival at the Decontamination Area: Instruments used in medical procedures, especially those coming from the Operating Room (OR), first arrive at the decontamination area. Here, they undergo manual cleaning to remove gross soils, followed by ultrasonic cleaning or sonic irrigation, and then they are placed in a washer/disinfector.
2. Pre-Pack Area: After decontamination, instruments are transported to the Pre-Pack area. Here, they are prepared and packaged for sterilization.
3. Sterilization: Instruments are then sterilized using various methods depending on their material and intended use. Post-sterilization, they are either sent back to a procedure room for immediate use or stored in sterile storage until needed.
4. Sterile Storage and Distribution: Once sterilized, instruments are organized in a sterile storage area, maintaining strict environmental controls to ensure they remain contaminant-free. They are then distributed to various departments or operating rooms as needed, ensuring timely and accurate delivery.

Throughout this process, SPD technicians must wear appropriate Personal Protective Equipment (PPE) to prevent exposure to potentially infectious materials.

The Decontamination Process

The decontamination process is crucial as it sets the foundation for effective sterilization. Instruments from the OR are sorted, inspected for damage, and, if necessary, disassembled before cleaning. Depending on the type of instrument, manual cleaning is followed by an automated washing process using a washer/disinfector.

Manual Cleaning:

• Instruments are first immersed in an enzymatic solution to break down soils.
• They are then cleaned in a detergent solution and manually brushed.
• Finally, instruments are rinsed with clean, treated water.

Mechanical Cleaning:

• Ultrasonic Cleaners: Utilize acoustic cavitation to clean delicate instruments by forming and imploding air bubbles on the instrument’s surface.
• Washer/Disinfectors: Combine impingement, water temperature, and detergent to clean devices, ensuring a consistent and repeatable cleaning process.

The Sterilization/High-Level Disinfection Process

Once instruments are cleaned, they proceed to the preparation and packaging area for sterilization. Sterilization methods are categorized into high-temperature and low-temperature processes, and high-level disinfection processes, each suited to different types of instruments.

High-Temperature Steam Sterilization:

• Steam Sterilization: Predominant in SPDs, using autoclaves suitable for heat and moisture-stable items. Cycle types include gravity, pre-vacuum, and Steam Flush Pressure Pulse (SFPP).
• Indicators: Biological and chemical indicators monitor the sterilization process to ensure all parameters are met.

Low-Temperature Sterilization:

• Ethylene Oxide (EtO): Involves stages like preconditioning, gas introduction, exposure, evacuation, and aeration, taking up to 36 hours.
• Vaporized Hydrogen Peroxide: Used for heat-sensitive devices, converting vapor into water and oxygen post-sterilization.
• Ozone Sterilization: Uses ozone molecules to destroy microbes, leaving no chemical residue or toxic emissions.

Using Automated Endoscope Reprocessors (AER) for Reprocessing Flexible Endoscopes, Probes, and Dilators

Automated Endoscope Reprocessors (AER) streamline the reprocessing of flexible endoscopes, probes, and dilators, ensuring thorough cleaning and disinfection. The process begins with pre-cleaning to remove gross contaminants. The instruments are then placed into the AER, where they undergo a cycle of enzymatic cleaning, high-level disinfection, and rinsing. AERs use controlled conditions to ensure consistent exposure to disinfectants, effectively eliminating microorganisms. After the cycle, the instruments are dried and inspected before storage. AERs enhance reprocessing efficiency, minimize human error, and maintain high standards of instrument sterility and patient safety.

Sterility Assurance

Ensuring sterility is vital to the reprocessing cycle. Sterility assurance involves using various test packs to confirm that sterilization parameters have been met:

• Biological Indicators (BI): Challenge the sterilization process’s lethality, indicating if the load can safely proceed to storage or use.
• Chemical Indicators (CI): Show whether the set has been fully exposed to the sterilization process, placed both externally and internally.
• Bowie-Dick Test: Required daily for steam sterilizers with a pre-vacuum cycle to check air removal and steam penetration efficiency.

The Process of SPD Sterile Storage and Distribution

In the SPD, sterile storage and distribution are critical final steps in ensuring patient safety. Once instruments are sterilized, they are carefully transferred to a sterile storage area. Here, they are organized systematically to prevent contamination and facilitate easy retrieval. Sterile storage areas maintain strict environmental controls to ensure instruments remain contaminant-free. When needed for surgeries or procedures, these instruments are then distributed to various departments or operating rooms. The distribution process involves meticulous handling and tracking to ensure timely and accurate delivery, maintaining the integrity and sterility of the instruments throughout the journey.

Wrapping Up

As new members of the SPD, understanding the intricate processes and the importance of each step in the decontamination and sterilization cycle is crucial. Emphasizing patient safety while balancing efficiency is a constant challenge. Welcome to the team, and let’s work together to uphold the highest standards of infection control and patient safety in our Sterile Processing Department. Again, welcome onboard!

 

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Embracing Evolution: A Rewarding Career in Sterile Processing

By Martin Li, MA, CRCST, CER, CIS, CHL

Figure 1 Photo from careerralley.com

As a Sterile Processing Department (SPD) educator, I’ve witnessed firsthand the dynamic nature of this field. Becoming a sterile processing technician (SPT) means entering a continuously evolving career. This constant change keeps the job engaging and presents opportunities for growth and improvement.

A Lifelong Career, Not Just a Stepping-Stone

Many perceive sterile processing as a stepping-stone to other healthcare careers, but it doesn’t have to be. The advancements in surgical instruments and procedures keep us continually engaged and challenge us to enhance our methods. I’ve made this my lifelong career because the innovations in our field make every day a learning experience. I can't recall who originally said it, but I live by the motto: “Never stop learning as life never stops teaching, and never stop learning as technologies never stop evolving.”

Adapting to New Surgical Techniques and Environments

The shift of many surgical cases from hospitals to outpatient surgery centers is a significant change we've had to adapt to. Surgeries are becoming more complex yet streamlined, requiring us to modify our processes and stay prepared for any situation. Our role is critical in ensuring that every instrument is sterile and safe, no matter where the surgery occurs.

Embracing Increased Regulation

The future of sterile processing is headed towards even stricter regulation. Nearly every task we perform is governed by the Food and Drug Administration (FDA), the Association for the Advancement of Medical Instrumentation (AAMI), and The Joint Commission. These regulations ensure that we follow precise steps to reprocess instruments accurately and safely.

Staying Ahead in a Changing Career

The sterile processing field is ever-changing, and staying ahead requires a commitment to continuous learning and adaptation. Increased regulation means that our attention to detail must be impeccable. We must be diligent in following protocols and updating our knowledge to meet new standards and practices.

I Never Regret This Choice

As an SPD educator, I’ve seen how sterile processing technicians must adapt to innovations and regulatory changes. This career offers me a fulfilling path with opportunities for growth and lifelong learning. I embrace the constant evolution, and you’ll find a rewarding career that plays a crucial role in patient safety and surgical success. I would never regret this choice.

 

Boost Your Career as a Sterile Processing Technician: Key Skills Q & A

 

By Martin Li, MA, CRCST, CER, CIS, CHL

Q & A 

Q: What are sterile processing technician skills?

A: Sterile processing technician skills are divided into two categories: hard skills and soft skills.

Q: What are the hard skills of a sterile processing technician?

A: Hard skills for sterile processing technicians refer to the technical expertise needed to perform their roles. These include:

1. Operating Equipment: Proficiency in using washing systems, sterilizers, and maintaining this equipment through regular inspections, cleaning, and calibration [6].
2. Aseptic (Sterilization or Disinfection) Techniques: Understanding various methods like steam, plasma, and chemical sterilization to ensure medical tools and equipment are germ-free and safe [6].
3. Industry Standards Compliance: Knowledge of standards set by organizations like the Association for the Advancement of Medical Instrumentation (AAMI) and The Joint Commission is crucial for maintaining cleanliness and infection control [4].

Q: What are the soft skills of a sterile processing technician?

A: Soft skills are personal attributes that enhance interactions and efficiency. Key soft skills include:

1. Communication: Effectively explaining processes, understanding instructions, and providing updates about sterilization procedures [2].
2. Attention to Detail: Meticulously following procedures to prevent infections or equipment failure [4].
3. Adaptability: Handling changes and unexpected events efficiently in a constantly evolving healthcare setting [2].
4. Stress Management: Managing stress effectively to provide optimal service and maintain a positive stress mindset, which involves viewing stress as a challenge rather than a hindrance [2].
5. Teamwork: Collaborating effectively with other technicians, surgical staff, and supervisors to ensure smooth workflow and patient safety [2].

Q: How can sterile processing technicians improve their skills?

A: Enhancing both soft and hard skills is vital. Steps include:

1. Training and Certification: Pursuing advanced courses and certifications to gain in-depth knowledge of sterilization technologies or specializations like endoscopy or decontamination [1].
2. Continuous Learning: Staying updated with industry trends, technologies, and regulations by joining professional organizations, attending webinars, and reading publications [1].
3. Practice: Regular practice to enhance attention to detail, stress management, equipment operation, and dexterity [5].

References

1. https://www.indeed.com/career-advice/resumes-cover-letters/sterile-processing-technician-skills

2. https://moabhealthcare.com/5-key-soft-skills-sterilization-techs-should-have/

3. https://www.livecareer.com/resume-examples/sterile-processing-technician

4. Lieber, K (2024). 6 Personal Qualities You Need to Be Successful in Sterile Processing (mccollege.edu)

5. https://www.zippia.com/sterile-processing-technician-jobs/resume/

6. fortis.edu - 7 Essential Sterile Processing Technician Skills https://www.zippia.com/sterile-processing-technician-jobs/resume/

 

Third-Party Sterile Reprocessing: Balancing Efficiency and Patient Safety in Surgical Instrument Reuse

By Martin Li, MA, CRCST, CER, CIS, CHL

 

Figure 1 Sterile Processing Department workflow

 

Introduction

In the high-stakes environment of healthcare, the sterilization and reprocessing of surgical instruments are critical to ensuring patient safety and preventing infections. However, many Sterile Processing Departments (SPDs) are understaffed and under immense pressure to maintain high levels of efficiency. This challenging scenario has led some hospital leaders to seek assistance from third-party reprocessing companies. While this approach can alleviate some of the burdens on overworked SPDs, it also presents a complex trade-off between maintaining patient safety and achieving operational efficiency.

The Challenges Facing Sterile Processing Departments

Sterile Processing Departments are responsible for the decontamination, inspection, sterilization, and distribution of surgical instruments. These tasks must be performed with meticulous attention to detail to ensure that every instrument is safe for use. However, many SPDs are grappling with significant challenges, including:

1. Understaffing: Chronic understaffing in SPDs leads to increased workloads for existing staff, resulting in burnout and higher chances of errors.
2. High Volume of Instruments: The need to process hundreds of instruments daily puts immense pressure on SPD staff to work quickly and efficiently.
3. Complexity of Procedures: Modern surgical instruments are increasingly sophisticated, requiring intricate cleaning and sterilization processes that are time-consuming and labor-intensive.
4. Limited Resources: Smaller sterile processing centers often lack the space, capacity, and staffing to handle large volumes of instruments, especially loaner trays for complex surgeries like total joint replacements or spine cases.

Given these challenges, the temptation to cut corners can be strong. Procedures may be rushed, sterilization parameters may be adjusted to process more instruments in fewer loads, and the tracking of instrument usage may be overlooked. Despite the commitment and professionalism of SPD staff, the pressure to be efficient can sometimes overshadow the imperative of patient safety.

The Role of Third-Party Reprocessors

To address these issues, some hospital executives are turning to third-party reprocessing companies. These companies specialize in the reprocessing of surgical instruments, offering services that adhere to rigorous standards and procedures to ensure both patient safety and operational quality. The involvement of third-party reprocessors can provide several benefits:

1. Expertise and Specialization: Third-party reprocessors possess specialized knowledge and experience in the sterilization of delicate and high-risk devices. They are equipped with advanced technologies and adhere to stringent regulatory standards.
2. Operational Efficiency: By outsourcing reprocessing tasks to third parties, hospitals can alleviate the burden on their in-house SPDs, allowing them to focus on core responsibilities and improve overall efficiency.
3. Scalability: Third-party reprocessors have the capacity to handle large volumes of instruments, making them an ideal solution for smaller facilities or those experiencing high surgical demand.
4. Compliance and Quality Assurance: Reprocessing companies are typically subject to rigorous inspections and certifications, ensuring that they meet high standards of cleanliness and sterility.

Case Study: The Impact of Third-Party Reprocessing on Patient Safety and Efficiency

Consider a mid-sized hospital that was facing severe staffing shortages and high demand for sterilized instruments. The SPD staff were overwhelmed, and despite their best efforts, errors were becoming more frequent. Recognizing the potential risk to patient safety, the hospital administration decided to partner with a third-party reprocessor.

The third-party company took over the reprocessing of delicate and high-risk devices, such as endoscopes and orthopedic instruments. The results were significant:

1. Improved Patient Safety: With the third-party reprocessor handling complex devices, the hospital saw a marked reduction in infection rates and surgical complications.
2. Enhanced Efficiency: The SPD was able to focus on reprocessing standard instruments, significantly improving their turnaround times and reducing staff burnout.
3. Cost Savings: While there were initial costs associated with outsourcing, the long-term savings from reduced infections, fewer reprocessed instrument failures, and improved staff efficiency outweighed the expenses.

Addressing the Trade-Offs

While third-party reprocessing offers numerous benefits, it also involves trade-offs that must be carefully managed. Key considerations include:

1. Maintaining Oversight and Accountability: Hospitals must ensure that third-party reprocessors adhere to the same high standards as in-house SPDs. This involves regular audits, inspections, and stringent contractual agreements.
2. Communication and Coordination: Effective communication between the hospital and the third-party reprocessor is crucial. This includes timely updates on surgical schedules, preference card changes, and immediate reporting of any issues or deviations from standard procedures.
3. Data Integration and Tracking: Implementing integrated tracking systems that allow for seamless data exchange between the hospital and the reprocessor can ensure that instruments are tracked accurately, and usage is monitored to prevent overuse or damage.

The Future of Sterile Reprocessing

As the demand for surgical procedures continues to grow, the role of third-party reprocessors is likely to expand. Technological advancements, such as automated cleaning and sterilization systems, artificial intelligence for quality control, and advanced tracking software, will further enhance the capabilities of both in-house SPDs and third-party providers.

A study by Smith et al. (2021) highlights the potential of automated systems to improve the consistency and reliability of reprocessing procedures, reducing the risk of human error and ensuring higher standards of sterility (Smith, 2021). Similarly, advances in data analytics can provide valuable insights into instrument usage patterns, helping hospitals optimize their reprocessing workflows and reduce costs.

Conclusion

The decision to outsource sterile reprocessing to third-party providers is not without its challenges, but it can offer a viable solution for hospitals struggling with understaffed and overburdened SPDs. By carefully managing the trade-offs and ensuring rigorous oversight, hospitals can leverage the expertise and capacity of third-party reprocessors to enhance patient safety and operational efficiency.

In an environment where the stakes are high, and the margins for error are slim, the collaboration between hospitals and third-party reprocessors represents a promising strategy for maintaining the highest standards of sterilization and infection control. As an SPD educator, I advocate for continuous education, rigorous adherence to best practices, and the strategic use of technology to support the critical work of reprocessing surgical instruments.

References

1.Adams, T., Smith, J., & Johnson, L. (2020). Overcoming communication barriers in offsite reprocessing centers. Journal of Hospital Administration, 7(4), 112-118. https://doi.org/10.5430/jha.v7n4p112

2.Brown, K., Nguyen, P., & Williams, D. (2020). The role of leadership in enhancing communication between operating rooms and sterile processing departments. Healthcare Management Review, 45(3), 201-209. https://doi.org/10.1097/HMR.0000000000000285

3.Johnson, M., Patel, S., & Kim, H. (2019). Real-time updates to physician preference cards: Enhancing OR efficiency. American Journal of Surgery, 217(5), 878-884. https://doi.org/10.1016/j.amjsurg.2019.02.003

4.Miller, R., Jones, A., & Garcia, T. (2021). The impact of cut-off times for add-on cases on sterile processing efficiency. Journal of Surgical Research, 261, 45-50. https://doi.org/10.1016/j.jss.2021.01.005

5.Smith, T., Nguyen, P., & Brown, K. (2018). Standardization of instrument tracking systems and naming conventions. Journal of Healthcare Engineering, 2018. https://doi.org/10.1155/2018/1234567

6.Smith, T., Nguyen, P., & Brown, K. (2021). Automation in sterile reprocessing: Enhancing efficiency and safety. Journal of Medical Systems, 45(3), 45-50. https://doi.org/10.1007/s10916-021-01689-0

 

Mastering Sterile Processing: Crafting Competency Checklists for Excellence

By Martin Li, M.A., CRCST, CER, CIS, CHL

 

Photo from stockvault.net

Introduction

ANSI/AAMI ST79, Section 4.2.2, states that “the responsibility of sterile processing should be assigned to qualified individuals who have demonstrated competence in all aspects of sterile processing.” Creating competency checklists for Sterile Processing Department (SPD) technicians is crucial for ensuring compliance with high standards in healthcare facilities. Competency checklists are tools that help in assessing and verifying the skills and knowledge required for various roles within the SPD. This article, from the perspective of an SPD educator, will guide you through the process of creating such a checklist based on Standard Operating Procedures (SOPs), standard works, and best practices. Additionally, it will emphasize the importance of understanding department workflows and the specific competencies required for sterile processing technicians at each stage of these workflows. The article will also review the concept of "competency" and how it is measured against quality expectations, as well as the responsibility of sterile processing technicians in assessing departmental processes and proficiencies.

Understanding Department Workflow

Before delving into the creation of the competency checklists, it is essential to understand the workflow within the SPD. The department workflow typically includes the following areas:

1. Decontamination: The initial phase where used instruments and equipment are cleaned.
2. Assembly and Packaging: Clean instruments are inspected, assembled into sets, and packaged.
3. Sterilization: Packaged instruments are sterilized using various methods such as steam, ethylene oxide, or low-temperature sterilization.
4. Storage and Distribution: Sterilized instruments are stored and later distributed to the necessary departments.

Each area of the workflow requires specific competencies from SPD technicians. Understanding the intricacies of these areas helps in identifying the skills and knowledge that need to be assessed and developed. [1],[2].

The Concept of Competency

Competency refers to the combination of skills, knowledge, and behaviors that enable an individual to perform tasks to a defined standard. In the context of SPD, competency involves technical skills in instrument handling, knowledge of sterilization processes, adherence to SOPs, and the ability to troubleshoot issues [1].

Competency is measured against quality expectations through performance evaluations, proficiency testing, and continuous education. Quality expectations are often defined by regulatory bodies and professional organizations such as the Association for the Advancement of Medical Instrumentation (AAMI) and the Healthcare Sterile Processing Association (formerly IAHCSMM) [3].

Creating a Competencies Checklist

1. Identify Core Competencies

Begin by identifying the core competencies required for each area of the SPD workflow. These competencies should align with the SOPs, standard works, and best practices in the field. Core competencies may include:

• Knowledge of decontamination principles and procedures [1].
• Proficiency in assembling and packaging instruments.
• Understanding of sterilization methods and protocols.
• Skills in storage and distribution of sterile instruments.

2. Develop SOP-Based Competencies

Each SOP in the SPD should be translated into specific competencies. For example, an SOP on steam sterilization might include competencies such as:

• Ability to operate and maintain steam sterilizers.
• Understanding the parameters for effective steam sterilization (time, temperature, pressure) [3].
• Knowledge of troubleshooting common issues with steam sterilization.

3. Incorporate Standard Works

Standard works provide the foundational knowledge required for SPD technicians. These may include guidelines from professional organizations, regulatory standards, and industry best practices. Incorporate these into the competencies checklist by including competencies such as:

• Familiarity with AAMI standards for sterilization [1].
• Understanding of OSHA regulations for workplace safety.
• Knowledge of infection control guidelines from the CDC.

4. Integrate Best Practices

Best practices represent the most efficient and effective methods in the field. These practices evolve based on new research and technological advancements. Ensure that the competencies checklist reflects the latest best practices by including competencies such as:

• Ability to implement new sterilization technologies.
• Knowledge of best practices in instrument tracking and inventory management.
• Skills in continuous quality improvement and process optimization.

5. Assessment and Validation

Competencies should be regularly assessed and validated to ensure that SPD technicians meet the required standards. Methods of assessment may include:

• Performance Evaluations: Regular assessments of technicians’ performance in their day-to-day tasks [1].
• Proficiency Testing: Periodic testing of specific skills and knowledge.
• Continuing Education: Ongoing training and education to keep technicians updated with the latest standards and practices [3].

Importance of Understanding Department Workflow

Understanding the department workflow is critical for several reasons:

• Quality Assurance: Ensures that all processes are performed to the highest standards, minimizing the risk of contamination and infection [1].
• Efficiency: Helps in identifying bottlenecks and areas for improvement, leading to more efficient workflows.
• Training and Development: Provides a clear framework for training new technicians and developing the skills of existing staff [3].

Responsibilities of Sterile Processing Technicians

Sterile processing technicians have a crucial role in maintaining the quality and efficiency of department processes. Their responsibilities include:

• Adherence to SOPs: Ensuring that all procedures are followed accurately.
• Continuous Improvement: Identifying areas for improvement and implementing best practices [3].
• Proficiency Assessment: Regularly assessing their skills and knowledge to ensure they meet the required standards [1].
• Documentation and Reporting: Keeping accurate records of all processes and reporting any issues promptly.

Conclusion

Creating a competencies checklist for SPD technicians is essential for maintaining high standards in healthcare facilities. By basing the checklist on SOPs, standard works, and best practices, and understanding the department workflow, you can ensure that all technicians are competent in their roles. Regular assessment and validation of competencies, along with continuous education, are key to maintaining these standards.

References

1. Thurmond, T. (2020). Power of Competency Checklists for Sterile Processing | Healthcare Purchasing News (hpnonline.com)
2. Noorani, S. (2024). https://www.healthtechacademy.org/sterile-processing/sterile-processing-technician-skills/
3. Indeed Editorial Team, (2024). https://www.indeed.com/career-advice/resumes-cover-letters/sterile-processing-technician-skills