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:
- Earn a
high school diploma or the equivalent.
- Complete
a sterile processing technician educational program.
- 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