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TECHNICIAN, CENTRAL SERVICE

Description

Job Summary:

The Technician, Central Service performs a wide array of duties to provide sterile instrumentation and trays to the Department of Surgery and other hospital departments. Works under the direction of the Sr. Technician for Central Services or Operating Room Management.

Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela’s missions, vision and values.

TECHNICAL STANDARDS

Essential Functions: Defined as duties specific to the job, that, if removed, would change the entire purpose of the job; to include the Essential Physical Demands and Essential Working Conditions of this position.

+ Core Essential Functions:

+ Regular, consistent, on-site, and timely attendance.

+ Decontaminates and inspects surgical instruments

+ Wears Protective Attire (PPE)- Standard Precautions

+ Transports Equipment and Supplies as needed between departments

+ Maintains equipment as per manufactures instructions ( eq. Checks detergent level per shift)

+ Visually inspects instruments and trays to determine if pre-soaking is indicated

+ Uses tongs or forceps to remove instruments from basins

+ Inserts proper sized brush to clean channels of cannulated instrumentation

+ Chooses proper decontamination equipment per manufactures or OneSouce Documents instructions

+ Arranges instruments, trays, and basins to facilitate proper cleaning

+ Selects proper cycle per manufactures or OneSouce Documents instructions

+ Cleans and decontaminates reusable patient equipment

+ Cleans all surfaces with approved solution

+ Inspects electrical cords for fraying or other safety hazards

+ Ensures component parts are returned with equipment

+ Removes any damaged equipment requiring safety checks for use

+ Reassembles equipment and places in proper storage area

+ Assembles instrument trays

+ Visually examines instruments for remaining debris

+ Visually examines instruments for functionality

+ Arranges instruments to allow sterilant penetration

+ Ensures instrument tray in complete

+ Order instruments as needed

+ Tape instruments

+ Wraps instrument tray or places instruments in proper sterilization container

+ Uses proper size and type of sterilization wrap

+ Inserts chemical indicator/integrator in tray

+ Performs proper wrapping and taping technique

+ Records pertinent information on autoclavable tape/form

+ Places paper filter properly in sterilization container

+ Affixes load sticker to wrapped tray or container

+ Prepares all rerun instruments for day

+ Operates sterilizers per department procedure

+ Loads sterilizer rack in manner to allow sterilant penetration and moisture removal

+ Records load contents on sterilizer card/form

+ Places biological indicator in required sterilizer loads

+ Selects proper cycle per manufactures or OneSouce Documents instructions

+ Examines sterilizer printout to ensure mechanical parameters of sterilization are met

+ Signs full name to sterilizer printout

+ Allows adequate time for proper cooling of sterilizer contents prior to removal from chamber

+ Unloads sterilizer contents and places in proper storage area

+ Performs biological monitoring and recordkeeping of sterilization cycles (steam, eto, sterrad)

+ Interprets and logs biological results in a timely manner

+ If applicable, records information on Implantable Load Form and returns form to Department of Surgery

+ Organizes all paperwork daily for end of month or other regulatory reporting

+ Manually cleans case carts after use

+ Places cart on hydraulic lift (where applicable by location)

+ Cleans interior and exterior sections of cart with approved solution

+ Transports clean carts and instruments as needed between departments

+ Specialty Essential Functions:

+ Maintains re-usable linen inventory in departments.

+ Assures adequate stock is maintained

+ Places increase/decrease orders to linen room staff.

+ Puts line away

+ Stocks warmer

+ Conducts soiled pick-up rounds throughout the hospital as appropriate.

+ Retrieves soiled/used equipment and instruments per established schedule [Minimum 3 times daily]

+ Conducts Steris System IE biological testing for SPD on a daily basis

+ Tests unit in SPD

+ Completes and maintains records

+ Prepares loan/consign instruments.

+ Receives/documents items.

+ Inspects/decontaminated instruments.

+ Assembles appropriate instrumentation.

+ Sterilizes/delivers to OR for use.

+ Delivers additional trays and supplies to O.R.

+ Performs housekeeping functions - keeps area neat and organized.

+ Retrieves soiled carts/instruments following the procedures from both the OR and Labor and Delivery

+ Uses proper etiquette when answering phones

+ Cleans sterilizer chambers and carts on weekends as set forth in policy

+ Cases

+ Pick cases including add ons

+ Fill all needs on carts

+ Organize case supplies and equipment for use by the OR Circulator and Technician

+ Scopes

+ Reprocess and store all assigned scopes as per manufactures instructions

+ These will include but may not be limited to gastroscopes, colonoscopies, bronchoscopes & other flexible or ridge scopes used within the Hospital.

+ Transportation

+ Transport patients

+ Obtain blood as needed

+ Transportation of needed items across the hospital

+ These will include but may not be limited to specimens to main lab, frozen section lab, radiology, medications from pharmacy or other case sensitive items as needed.

+ Follow chain of care for communication of issues

+ Marginal Functions: Defined as duties that are not essential in nature and do not take a considerable amount of time to complete (less than 10%).

+ Performs other duties as required

+ Required Skills and Knowledge: Minimum level of education, skills and abilities necessary in performing the job.

Education:

+ HS Diploma, GED or equivalent knowledge

Certification / Licensure / Regulation:

+ As of September 1, 2017 any new or transferred employee must currently hold or obtain within 18 months of employment one of the following certifications: Certification Board for Sterile Processing and Distribution (CBSPD) or International Association for HealthCare Central Service Materials Management (IAHCSMM).

+ Act 34-PA Criminal Record Check from the PA State Police system

+ Act 81 Compliance

Prior Experience:

+ none

Other Skills and Abilities:

+ Ability to communicate with all members of the health care team

+ Ability to multi-task and prioritize assignments

+ Basic working knowledge of computers and office equipment

+ Good visual acuity,

Preferred Factor:

These are job related enhancements that are preferred or would benefit the performance outcome of the job but are not essential or required for the job to exist.

+ 1-3 years of Central Service Experience

+ CRCST and/or a Surgical Technician background

The above job descriptive information is intended to describe the general nature and level of work being performed by individuals assigned to this job. This is not intended to be an exhaustive list of all duties and responsibilities, as an employee may be assigned other duties other than described in this document.

Met

Not met

N/A

Explanatory Statement

House Bill 81 of 2019 The Central Service Technician and Surgical Technologist Regulation Act

Enacted 10/29/2020 – Effective 12/29/2020 (See attached HB for definitions for Central service technician

and Surgical technologist)

Section 301: Certification Central Service Technician (CST) hired after 12/29/2020 must:

Pass a nationally accredited central service exam for CST AND maintain one of the following: Certified registered central service technician credential OR Certified sterile processing and distribution technician credential

Exemption: Law does not apply to an individual who has been employed or otherwise contracted for services as a central service technician by a health care facility on or before December 29, 2020. Exemption Requirement: the facility shall maintain documentation of the CST’s date of employment or the contract period when the central service technician provided services to the facility to verify that the CST meets the exemption requirements.

Section 302: Employment and continuing education

(a) New employees - CST has 18 months from date of hire to pass a nationally accredited central service exam for CST and obtain one of the two credentials noted above.

(b) Continuing education - Annually complete 10 hours of continuing education. (NOTE: The continuing education required under this subsection shall be in areas related to the functions of a central service technician.)

(c) Facility responsibility - Facility must maintain documentation the CST meets the certification requirements

Section 501:

Surgical Technologist (ST) must meet at least one of the following:-

Successful completion of a Surgical Technologist program sponsored by an entity holding nationally recognized institutional or programmatic accreditation and hold and maintains a ST certification from an accredited certification program. [501(1)(i)] *

OR

-Successful completion of appropriate training program for surgical technology in the United States Army, Navy, or Air Force.

OR

-Provides evidence of an ST certification from an accredited certification program.

OR

-Was employed to practice surgical technology by the health care facility on or before December 29, 2020.

OR

-Was employed to practice surgical technology as the individual's primary function in another health care facility at any time during the two years immediately preceding December 29, 2020.

Section 502: Continuing education:

(a) An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall:

(1) with the continuing education requirements specified by the credentialing organization as necessary to keep the certification current and (2) provide proof of compliance with the continuing education requirements to the facility.

(b) Additional Requirement - An ST employed or contracted with the facility and not certified under section 501(1)(i) or has let the individual's certification lapse shall:

(1) complete 30 hours of relevant continuing education every two years in order to remain eligible to practice surgical technology; and (2) be responsible for proving, to the satisfaction of the health care facility, that the individual complies with this subsection.

(c) Verification-- A facility that employs or contracts with an ST shall verify the ST meets the continuing education requirements.

Section 503. Exception. A facility may employ or contract an ST who does not meet the requirements of section 501 to practice surgical technology if:

(1) after a diligent and thorough effort has been made, the facility is unable to employ or contract with a sufficient number of qualified STs who meet the requirements of section 501; and (2) the health care facility makes a written record of its efforts under (1) and retains the record at the facility.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)