Endoscope Processing Tech. II

Overview

Under the general guidance and direction of the CSPS Endoscopy Processing Manager, the Central Sterile Endoscope Processing Technician 2 independently performs all core job responsibilities in the Endoscope Sterile Processing Department. Core Sterile Processing functions include receiving, sorting and decontamination of flexible and rigid endoscopes as well as other reusable medical devices; inspection and packaging; identification of appropriate sterilization or high level disinfection method, cycle selection including completing appropriate documentation for all processes. The Central Sterile Endoscope Processing Technician 2 is responsible for obtaining and maintaining current CRCST or CBSPD certifications.

Must be able to perform all duties in accordance with the MGH Policies and Procedures. International Association of Healthcare Central Service Materiel Management (IAHCSMM) and/or the Certification Board for Sterile Processing and Distribution, Inc. (CBSPD) standards and procedures should be understood and followed. Responsible for obtaining and maintaining CRCST or CBSPD at all times during employment.

Decontamination and Cleaning of Reusable Medical Devices

• Utilizes approved PPE as appropriate.
• Receives soiled, used, and/or contaminated equipment, surgical instruments, scopes, and supplies from Operating Rooms, patient care units, and specialized areas; documents arrival and cleaning process utilizing SPM.
• Disassembles items as needed before choosing appropriate cleaning method.
• Identifies items in need of repair upon receipt and ensures information is maintained during cleaning process.
• Selects and utilizes appropriate manual cleaning tools to achieve instrument decontamination, including but not limited to instrument brushes, enzymatic detergent, flushing devices, ultrasonic bath, leak tested
• Selects and utilizes appropriate automated cleaning tools to achieve instrument decontamination; this includes loading and selecting appropriate cycles on automated washers.
• Cleans work area by wiping area with antibacterial agent upon work completion or as needed.
• Other duties as assigned

Assembly and Packaging of Reusable Medical Devices

• Documents all work performed utilizing instrument tracking software SPM.
• Inspects and assembles all equipment, instruments, scopes, and instrument sets following product recipe, verifies items are functional, free of debris and required per instrument recipe.
• Documents items missing from instrument set, escalating set to CSPS Clinical Operations Supervisor or Designee for further guidance.
• Identifies and places appropriate internal indicator as required.
• Selects appropriate packaging method, including any sterilization accessories (corner protectors ect); ensures all external indicators and/or labels are securely affixed to item.
• Transports items to sterilization as needed.
• Maintains clean and organized work area, ensuring workspace is functional for peer use upon work completion or as needed.
• Other duties as assigned.

Sterilization and High Level Disinfection of Reusable Medical Devices

• Interprets package labeling to select appropriate sterilization method and approved cycle, options include Steam, STERRAD, or other as required.
• Inspects packages to ensure all external indicators, filters, and/or labels are securely affixed to items, returns non satisfactory products to instrument room.
• Loads sterilizer as appropriate to ensure cycle completion; includes biological testing as appropriate.
• Performs routine sterilizer testing including biological monitoring, leak test, and bowie dick test as appropriate.
• Following established policies interprets and appropriately documents results of sterilizer testing. Escalates positive results as appropriate for intervention.
• Removes and inspects items from sterilizer utilizing approved methods to preserve package integrity.
• Following established procedures selects appropriate High Level Disinfection method, automatic (AER), for heat sensitive instruments, equipment or flexible endoscopes.
• AER options include STERIS System 1 E, Medivator, Custom UltraSonic, or Trophon.
• Performs ATP testing on endoscopes as required.
• Utilizes approved PPE as appropriate.
• Performs daily AER maintenance in accordance with established policies and procedures, documents appropriately.
• Other duties as assigned.

Inventory Management

• Inspects items during the pick process to ensure package integrity remains intact, package is within expiration date, and substitutions are appropriate.
• Communicates unmet surgical supply requests to leadership for resolution assistance.
• Returns supplies not used after surgical procedures to their proper stock location.
• Other duties as assigned.