Sterile Processing Technician - NY (On-Call) - #242420
Calloway & Associates, Inc.-Senior FOIA Analyst (F
Date: 05/04/2021 19:00 PM
City: Manhattan, New York
Contract type: Contractor
Work schedule: Full Day
Position: Sterile Processing Technician - NY (On Call)
Location: VA New York Harbor Healthcare System (VA NYHHS)
Status: (On-Call) - Contractual
Duration: One base year with 1 year option
Hours: Various Shifts
The primary purpose of the Sterile Processing Service (SPS) is to provide the operating room (OR), various medical and surgical clinics, dental service procedure areas, inpatient units, departments, CBOCs, etc. with sterilized and/or high-level disinfected (HLD) critical and semi-critical reusable medical equipment (RME) such as surgical instruments, instrument trays and flexible endoscopes. The contract sterile processing technician reprocesses (disassembles, cleans, decontaminates, assembles, high-level disinfects or sterilizes) critical and semi-critical RMEs in accordance with manufacturer?s instructions for use, The Joint Commission (TJC) standards, VA directives (e.g., VHA Directive 1116), VA handbooks, American National Standards Institute (ANSI)/Association for the Advancement of Medical Instrumentation (AAMI) ST79 standards, International Association of Healthcare Central Service Material Management (IAHCSMM) standards, Association of Peri-Operative Registered Nurses (AORN) guidelines, Center for Disease Control (CDC) guidelines, OSHA regulations, and local VA SPS and Infection Control policies and procedures. The Sterile Processing Services at VA NYHHS are ISO 9001 certified and must meet all requirements accordingly.
The contract technician requires extensive knowledge of the complete range of surgical instrumentation, surgical tray assemblies, manufacturer?s maintenance requirements, disposable and reusable medical supplies and equipment, and patient care equipment. Operates sophisticated decontamination and sterilization equipment, as well as computers, scanners, software (e.g., RTLS), websites (e.g., JPSR for incident reporting), sharepoints (e.g., eQMS), etc. necessary to perform needed duties. The contract technician will not have access to patient health information (PHI) as part of his/her assigned duties, but will need access to VA NYHHS? computer system, share points, etc. to document his/her work.
Contracted Sterile Processing Technicians shall perform duties as noted under the following areas:
1. Decontamination Area:
a. Operate all decontamination equipment in special area receiving ?soiled? and contaminated material. Identify, decontaminate, and systematically segregate reusable items for preparation, reprocessing and redistribution. Identify and receive contaminated surgical instruments, trays, endoscopes, powered drills and saws, from all areas in the medical center while prioritizing among instruments required for surgical procedures in the OR.
b. Select proper methods, based on manufacturer?s instructions for use (MIFU), for cleaning and disinfecting all RMEs. These include using a variety of brushes, applicators, pipe cleaners, cavitation in an ultrasonic washer, scrubbing in a detergent solution, and/or processing in a washer-disinfector, scope washer, or other such decontaminating unit.
c. Disassemble and inspect items for damage or missing components and ensure removal of bioburden for cleanliness; operate equipment and instruments to ensure proper functioning prior to sterilization or redistribution.
d. For flexible endoscopes, perform leak tests; initiate cleaning according to manufacturer's instructions.
e. Responsible for the inspection, disassembly, cleaning, and routine maintenance of sophisticated surgical devices such as bronchoscopes, sigmoidoscopes, cystoscopes, laparoscopic cameras, drills, saws, reamers and a wide variety of lumen devices.
f. Is aware of and adheres to the IAHCSMM and ANSI/AAMI ST79 standards, AORN standards, Infection Control and CDC guidelines. Follows the VHA Directive 1116 once SPS VANYHHS education training completed. Must be aware of proper work, air and people flow.
g. Personnel engaged in the collection or removal of soiled/contaminated supplies and equipment, as well as those individuals working in the decontamination will wear personal protective equipment (PPE). PPE is defined as, head/hair covers, face shields, face masks, impervious gown, long cuffed rubber/vinyl gloves and impervious shoe covers.
h. Read, understand and follow all manufacturers? instructions on cleaning RME.
i. Use department Hight Risk Protocols (HRPs) or Standard Operating Procedures (SOPs) and manufacturer's guidelines.
j. Read and understand Material Safety Data Sheets.
k. Perform and document quality assurance checks.
2. Preparation and Assembly Area:
a. Receive from decontamination area all RME requiring assembly into packs, instrument sets, and a wide variety of other components for surgery and other treatment areas. The contract employee assembles instruments, complex instrument sets, and other surgical items and trays and arranges them in the correct manner to ensure appropriate sterilization. Assembles complex instrument sets containing as many as two hundred varied instruments which must be inspected for damage such as pitting, rust, cracks, bends, sharpness, proper locking ability, jaw alignment, residual blood and tissue, etc.
b. Has the ability to process even the most complicated procedural sets containing unusual and minutely varied instrumentation such as the Vascular tray, Casper, Orthopedic Specialty, Cataract, Lap Cholecystectomy and other such sets containing very specific and complex instrumentation.
c. Aware of aseptic technique and proper wrapping methods to allow the user to open the product in an aseptic manner. Produces a compact, logically arranged package which is within the proper weight limits appropriate for assured sterilization. Inspects and selects the appropriate wrapping materials and sterilization packaging. Uses external and internal chemical indicators, labels all packages correctly with a felt tip marker, initials all products as is required by VHA Directive 1116.
d. Inspect instruments for proper functioning, scissors for sharpness, box locks for tightness, towel clamps and hemostats for proper functioning jaws, rough edges on ring handles, jaws, ratchets, and shanks (burrs or nicks). Inspect for cleanliness and corrosion. After appropriate investigation, notifies supervisor of missing or damaged instruments.
e. Must wear appropriate PPE, e.g., scrubs, bouffant cap and warm-up jacket, at all times. Washes hands frequently and enforces proper work, people, and airflow.
f. Properly and safely load, operate and troubleshoot a variety of sterilizers including but not limited to: steam, hydrogen peroxide plasma (VPro, STERRAD) and ethylene oxide (EtO). Additionally, perform all quality assurance testing and documentation required for each sterilizer.
3. High Level Disinfection Area (HLD):
a. Wear proper protective apparel and equipment at all times.
b. Properly transport all items for HLD process before and after processing.
c. Inspect items for HLD process, and process following all Manufacturer?s Instructions for Use (IFUs)for reprocessing.
d. Perform all functions of the HLD process including documentation and quality assurance procedures.
e. Properly and safely load and operate the automated endoscope reprocessors and other HLD equipment (e.g., TD 100, Trophon) as needed.
a. Efficiently schedule operation of sterilizers to permit cooling or aeration of sterilized items prior to use by clinics or the operating room. Select the correct sterilizing method (steam, ethylene oxide and hydrogen peroxide) according to the materials being processed. Prepare test packs and runs biological indicators in accordance with the VHA Directive 1116 and manufacturer?s instruction for use.
b. Label all sterilized items with the sterilization date, machine number and load number. Inspect chemical indicators on each package for a positive indication of exposure to the sterilant. Inspect all products for package integrity and residual moisture.
c. Review and sign all sterilizer print-out to verify the proper sterilization time, temperature, pressure, humidity and sterilant exposure. Record all items sterilized; maintains records, for three years, on all sterilizer loads; maintains additional records on all implants sterilized. Quarantine all implants for three (3) hours before release in accordance with the VHA Directive 1116. Store RME without compromising the sterility of the package.
d. Assemble and load clinic and operating room supplies on shelves or carts according to schedules. Fill special emergency requests for sterile RME. Monitor performance of sterilizers and aerators with prescribed tests. Notify supervisor of sterilizer malfunctions and low sterilant supplies.
e. Record biological spore results, and, in the event of a positive culture, initiate the recall of RME while also notifying the appropriate individuals in the medical center according to policy.
5. Case Cart Area:
a. Follow facility protocol on OR case cart process and sterile storage area regulations.
b. Responsible for setting up OR Case Carts with instruments/trays required for surgical cases scheduled in the Operating Room on a daily basis in accordance with the OR Schedule and Procedure List
c. Maintain appropriate sets in sterile/clean area.
d. Rotate stock as needed.
a. Use, clean, and maintain a wide variety of equipment. Clean loading carts, delivery carts, specialty carts, work areas, storage shelves, using chemical solutions and detergents, according to written procedure, or as needed, to prevent cross-contamination.
b. Receive periodic training in such areas as the use and functioning of medical supplies, instruments, and equipment. Train in new and improved sterilization practices and developments in the microbiology, bacteriology and therapeutic practices as they affect the sterile supply operation.
C. SUPERVISORY CONTROLS/QUALITY ASSURANCE MONITORING:
1. The technician is under the general supervision of the Supervisor, Assistant Chief SPS and/or the Chief SPS.
2. Daily assignments are made orally or in writing by the Chief, SPS, Assistant Chief, SPS, Supervisor, Lead MST, or designee at the beginning of the shift. Routine work is performed independently following set policies and procedures. Deviations from routine are referred to the immediate supervisor. The contract employee?s work is reviewed by the Chief, SPS, Assistant Chief, SPS, Supervisor, or Lead MST.
3. The contract technician is expected to perform day-to-day work independently, adjusting schedule requirements as needed.
4. Communicates to supervisor and other team members changes in daily work conditions that prevent accomplishing responsibilities.
5. Complies with all safety and procedural regulations to prevent injury and cross contamination.
6. Is knowledgeable about hazardous materials and proper procedures to follow to minimize exposures.
7. Maintains, and continuously applies, training methods in aseptic technique, handling of contaminated equipment and supplies, decontamination and sterilization procedures to prevent the spread of disease and cross infection.
8. Complies with Standard Precautions, ensures proper disposal of hazardous waste, reports all malfunctioning equipment, uses proper equipment for the required tasks, follows recommended or established directions for use of decontamination and sterilization materials and equipment.
9. Cleans all equipment and work areas after use.
10. All items must be properly cleaned, packaged, loaded, sterilized, and stored according to a rigid set of guidelines which must be complied with to the letter. All processes must be documented and inspected. Work is subject to inspection by TJC, OSHA, state, and local investigators. Accurate records must be maintained for a minimum of three years.
11. All staff assigned by the contractor will abide by all policies and procedures of VA NYHHS including but not limited to the wearing of an ID that clearly states their name & status; and knowledge of information security and privacy awareness (verified by signed documents or completed mandatories).
a. All contractor employees and subcontractors under this contract or order are required to complete the VA's on-line ?VA Privacy and Information Security Awareness and Rules of Behavior Training? - TMS Code ?10176?
b. Contractors must provide signed certifications of completion to the COR during each year of the contract. This requirement is in addition to any other training that may be required of the contractor and subcontractor(s).?
12. Supervisory assistance may not be available for team members on off-shifts. Incumbent is responsible for solving problems that may arise. Incumbent's contacts include all members of the medical center community and may work in consultation with other medical center staff in problem solving.
13. The supervisor reviews work through observation of the work areas, discussion with the employee, and by means of feedback from the medical center staff who use the employee's services.
D. PERSONNEL REQUIREMENTS:
1. Personnel assigned by the Contractor to perform the services covered by this contract shall meet the following minimum requirements:
Contractor Personnel Requirements:
a. Contractor Personnel shall have a minimum of three (3) years recent Sterile Processing technician experience
b. Minimum Qualifications Standards
Contractor Education/Experience: Possess a high school education or equivalency and have three (3) years of experience demonstrating the ability to perform sterile processing techniques and services in an acute care facility with general surgery, orthopedic, cardio-thoracic, vascular, neuro/spine, eye, ENT, laparoscopic and robotic surgical services, as well as services using flexible endoscopes.
Contractor Personnel shall possess a valid IAHCSMM certification or Certification Board for Sterile Processing and Distribution (CBSPD). Level II certification – Veterans Affairs Certification, preferred. Certification shall be provided to points of contacts as requested.
c. Contractor Personnel shall have knowledge of aseptic principles and techniques, including characteristics of various types of detergents, cleaning techniques, sterilizing mediums; and tests to determine effectiveness of sterilization.
d. Contractor Personnel shall have knowledge of the use, operation, maintenance, assembly, and disassembly of complex surgical instruments, and reusable medical equipment and the specific cleaning, sterilizing and storage requirements of each in order to ensure RME is sterilized and stored according to manufacturer's specifications.
e. Contractor Personnel shall have the ability to interpret written material, technical material, regulations, instructions and reports.
f. Contractor Personnel shall have the ability to communicate orally and in writing.
The qualifications of such personnel shall be subjected to review by VA NYHHS’ Resource Manager for Patient Services and approval by the Chief, SPS.
3. The contractor shall provide the following information for all available candidates:
a. Current resume or Curriculum Vitae (CV) for each proposed candidate.
b. A list of the experience of each proposed candidate.
c. Competency checklist for each proposed candidate.
d. A copy of the proposed candidate’s IAHCSMM certification.
e. Minimum of 3 references regarding related work with points of contact for each proposed candidate.
F. PHYSICAL FITNESS REQUIREMENTS:
1. Physical Requirements: The work requires standing and walking during the entire workday, and frequent bending and lifting of supply packages, instrument trays, etc. (weighing as much as 25 pounds). The contracted employee regularly pushes loaded carts weighing several hundred pounds, in sometimes crowded quarters, and works them over slight rises such as door sills.
2. Work Environment: On a regular and recurring basis, the contracted employee alternates between a contaminated environment and a carefully controlled clean environment. The contracted employee wears special clothing, hair covers, beard covers and shoe covers which can be uncomfortably warm. Although most work areas are climate controlled, sterilization temperatures are 270 degrees and room temperatures can rise in excess of 100 degrees. The contracted employee uses insulated gloves to remove carts from sterilizers. The contracted employee is subject to burns from accidentally touching hot items. The hazards of working around minute quantities of sterilizing gases are unknown. All known precautions are taken to decrease the potential of these hazards. The contracted employee often works around body fluids, mucus, excretions, and bits of tissue, some of which may be foul smelling. The work area is noisy due to the clatter of metal instruments, rumbling of carts, and operation of pre-sterilizing equipment. Use of ultrasonic equipment may require use of ear protectors.
3. All employees shall be literate and able to communicate (speak) with clients in English to the extent of reading and understanding printed regulations, detailed written orders, training instructions and material, and shall be able to compose reports which convey complete information. The Contractor is to certify the ability of all employees designated to provide service for this contract.
G. PLACE OF PERFORMANCE:
The contract technician may be assigned to work at either of these two sites within VA NYHHS:
1. SPS Manhattan Campus, VA NYHHS
423 East 23rd Street
New York, NY 10010
2. SPS Brooklyn Campus, VA NYHHS
800 Poly Place
Brooklyn, NY 11209