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Sterile Processing Technician–Donna Reich

Sterile Processing Technician–Donna Reich

Hi my name is Donna. I’m a sterile processing technician here at Southwest Washington Medical Center. I began working here about 3 months ago. So I’m still technically in training. I really like it here. There’s something different every day. Sterile processing is the main part of the hospital. Without sterile processing, the hospital would cease to exist. This is a very important part of the overall picture. There are so many different aspects to sterile processing. I might be putting up instrument pans one day, the next day I might be sterilizing, I might be working in decontamination. Each day is different. So it doesn’t get boring. This is my fashion statement. I have blue boots. This is called PPE – personal protective equipment. This is to prevent any fluids from passing through – any bio-hazard splashes. This is in decontamination. Where the instruments come down from surgery. My job is to wash, rinse and clean everything, to make sure there’s no hidden debris in the instruments that can harm the patient. And they go through the washer. This is actually the most important step, because if there’s any material that’s left on the instruments, sterilizing is really not as effective. There are items with blood. So if anyone is squeamish, this is another consideration for anyone thinking going into this. You’re dealing a lot with bodily fluid, blood, bone, tissue, any bio-hazard material. This is the disinfectant for some of the items that can’t go through the washer. I’m putting these up so they’ll go through the washer this way. When they go through the washer, the water will wash…. This looks pretty clean, but we still have to check everything. This is with one particular case. The doctor might have 15 pans of instruments. When they come through here and through the washer, they may get separated. So we try to keep all of the cases together. So I’m putting these numbers in each basket, so the person on the other side will know if they’re missing a particular instrument, it might be in one of these other pans. There’s nothing worse than searching for and instrument and have it missing. This case cart is empty. I’m checking everything to make sure there are no instruments left. This is ready to go into the cart washer. This is where the instruments come out of the washer from the dirty side. They come through the washer and they’re clean. I’m waiting for these instruments to cool off before bringing them over there. It’s hot. Today I’m scheduled to put up instruments. These are the instruments that come out of the washer. The technician upstairs, assisting will do his instrument count. And put everything back into the tray. Once it comes through the washer, I’ll bring it over here and reassemble the instruments to go back into the tray. And then into the pans to be sterilized. This is the count sheet for the particular pan. And what I’m doing is matching the count sheet and putting the instruments into the particular pan. And when I’m finished I’ll click my count sheet off in the computer – print a sheet. And then these we’ll put up in the pan to be sterilized to go upstairs to surgery. Some may only have a little as two instruments. Some may have as many as 50 or 60 instruments. The people who have been have been here for a long time, can put this set-up just from memory and click off everything. I’m not quite there yet. This is used for stapling. I’m going to make sure there are no small staples left in here. So I check each instrument before putting it into the container. Sometimes there might be some tissue left in there and it has to go back to “decontam” to get clean again. If I don’t have a particular instrument to put in my pan and I need something that’s missing, I’ll look over on this wall. It’s nice for me being new, everything is labeled. That helps a lot, if not familiar with a particular instrument, I can look up here. There are also instruments in the drawers. That was the most challenging thing here -getting to know the instruments. And I’m still learning. OK, I’ve finished my pan. I’m going to print a sheet. These go in here. Again I’m taking the chemical indicator, so they can tell this was sterilized. If I forgot you put this in here, they would have to take the whole pan apart and send it back down here. It would not be eligible for surgery. Now my search – I’m going to look for a mini lab pin 5 over here and match this with the genesis pan. I’m happy, it’s right on top. These are filters. This is steam heat and these filters are in place because of the steam and the moisture. We wouldn’t want any micro-organisms to wick in, so it’s just another way of keeping bad germs out. Every step along the way, I’m logged into this particular computer, so they know who put the pan up. If there’s an error, they know where to come. I’m also putting my initials on here. They know the pan has been put up by me. This is an arrow to lock it. Again, if there isn’t an arrow on here, they can’t use it in surgery. OK, I’ll check my arrow, check my name-tag on this side – check everything over here. This particular paperwork goes with the pan. Now I’m taking this over to the sterilizer. Now I’m going to peal-pack a single item. There are two ways of processing instruments. There are the instrument trays and then the peal-pack. This is real slick. So let’s see, I’ll do a knife handle. This is actually and extra instrument. One particular doctor may want extra instrument. So you never know what you’re going to get when the sets come down. They want it pretty. Actually it’s so they can grasp the outside. Put on my knife handle label. Again sign my initials. Everything that we do here has to be signed, so they know who did this. And that’s ready. I was putting the instruments together, yesterday, inside the Genesis pans to be sterilized. The instruments were ready to go. They were clean, but they were not sterile. Now we’re at the next step. This is one of my favorite stations. These are the sterilizers that the instruments go into. Sterilizing is technically the absence of all forms of any microbial organisms – any spores and viruses. In order for the instruments to be sterilized, the instruments must have steam under pressure for a certain time at a particular temperature. And when the parameters are met, the steam is removed, the items removed, cooled completely before handling. Documentation is the most important part of sterilizing, because records can be subpoenaed in court. Every single item that goes into the sterilizer has a particular number on it, so it can be traced if it needs to be recalled. It has the date as well as the particular load – the sterilizer that it’s going into. These are wrapped items. These are the genesis pans. The wrapped items and any lighter items need to be on the top shelf, because the heavier items have more moisture. So the genesis pans cannot be over the wrapped items. So it’s very important to load it properly. So they can be sterilized properly. It’s important that the items aren’t touching, because the steam has to… inside the sterilizer has to saturate everything. And it can’t get to all of the surfaces, if it’s touching. Next I’ll do the peal-pack items. I call this my Taco Bell holder. These are some of the items that are put up in the peal-pack. These have to go on top. I’m going to sign my initials on each pan to make sure that I can certify that it’s locked – that is has it’s locker on it. The person who put this pan up has signed their initials. Otherwise, it wouldn’t be suitable for surgery. This particular pan has implantable items in it. That means the items are going to go actually inside the patient. So I need a biological indicator package. That has a little vial in it with the live spores. So it has to be going into the sterilizer. And when the spores are killed we know that the sterilizer has done its job properly and it’s met all of the parameters. This is a biological indicator that just went through the sterilizer. It’s a little vial. It contains live spores – it did contain live spores. Hopefully the sterilizer killed them. I documented that I put it into the incubator. it takes 3 hours for it to be incubated – to know if the spores have all died. I’m going to take my scanner and I’m going to scan this load into the second sterilizer. This way the computer knows where all the instruments are in this hospital. These particular instruments are going to go into the sterilizer. Then when they come out I’ll scan them into the storage. And from storage, they will be scanned upstairs when they go into surgery. The other part of my job is putting away the instruments that have cooled. Once they’ve cooled off I can touch them. If I try to handle them when they’re too warm, moisture wicks in. Another aspect of the job is you get a lot of exercise – walking. There’s variety every single day. There’s a lot of interaction too with the other employees. Everyone tries to make the time go by fast. There’s a lot of joking around. And I have great co-workers. And actually, I like this hospital. I would consider it one of the highest standards. And at the end of the day I feel good. It’s a nice feeling to be able to be helping people. I enjoy being here and putting the instruments up to be used in surgery. And everyone has an important job all the way from the doctors all the way down to processing. And so I really feel good about what I do.

100 thoughts on “Sterile Processing Technician–Donna Reich

  1. i work at this exact hospital in this department but obviously its an old video. but yea you learn a lot in 3 months. but also I've bee, there for 7 months a,d I've learned a ton! learn something new everyday no lie. but love the job

  2. I'm a surgical tech and you don't have to wear gloves if you're just touching things coming out of the washer it's after they've been sterilized to the temperature of 2 30 degrees and their impacts in your opening them you have to have gloves on

  3. she was sorting out the instruments..she said she had to tag the instruments to indicate they were sterilised. why wasnt she wearing gloves or mask? its already contaminated…pls explain. i am considering this job

  4. I swear all the people that work at fast food restaurants should look into doing this…it looks easier and it pays a lot better, all you do is clean fucking tools all day? Really? Wtf

  5. Why aren't you covering your nose with the mask which is made to do that?  It offers you more protection.  Very impressive work

  6. Im a CBSPD certified tech with 2 years of experience.
    I live in long island NY and got 24.55 at the hospital
    The pay range varies by location.
    In NY you can make from 20sih to 30 am hour
    In low cost states like Texas or Florida you will get around 13 bucks

  7. Anyone recommends where to find good crcst practice questions online? so far i know of just one very good one.

  8. I can believe she did learn this in a couple semesters. She only needed a healthy understsnding of Microbioloy and the ability to detailed oriented. I know I'm a geek and I want to be be a Rn but I love and appreciate all parts of the process that help us stay safe from harmful pathogens when and if we do have to have a surgery. Thanks so much for this video.💖💖💖

  9. I just got written in to a 15 week course at a local hospital in the hopes of being a SPT. I work in computers now and just needed a change where I felt my job mattered more and something that got me moving. Happy to know I will be moving!
    I'm a bit nervous about the change of fields, but this is a nice intro to see where I'm hopefully headed.

  10. "Many Thanks" (Donna), for a wonderful presentation indeed!" … "It's amazing, you're performing like a: "PRO" already!" … (smile) … "Keep up the great detailed work, and blessings & best wishes to you, in your new future endeavors!" … "Sincerely, your YouTube Watcher, Ms. Deborah J. Steele – 5/04/18

  11. Hi Donna
    Thank you for the info you shared. It really helpfull. When you put PPE on, should the fresh gloves be worn at last? (not prior mask, face sheild).

  12. If I need experience for this job what would 1 consider?? I got told "a more experienced person was hired before you" even thou she didn't have to tell me that.

  13. Great video. The technician is a mature woman with a wealth of prior work experience (technical anything or just a love of details) at her disposal which she brings to this new position. She is patient, interested in the work, and wants to do a through job. I did this job 30 years ago and yes Rudy Figueroa is not wrong 😉

  14. Wonderfully done video. I'm a CST for 3 years. There are days that I forget how long it takes to sterilize just one instrument. Sterile processing is the heart of the hospital.

  15. Hi,ms. Donna PLease tell me about Decontamination principles and sterlie processing technique casue iam a final student of CHRST could you help me to get practice test links question answers for board certified certification?

  16. I used to be an o.r. nurse and I loved working in sterile when I was between cases. We talked shit about all the bitch nurses the whole time. It's great money and it's easy to learn. I keep telling people to go do this but, no one has listened to me!

  17. Amazing ! you guys are the behind the seen worriers. Thank you for doing this and making sure the patient will be safe.

  18. I’m 23.. growing up I was always a sick child, endured many many surgeries. Then When I turned 18 I was diagnosed with cancer and had several surgeries as part of my treatment plan… never did I consider the people who did the sterilization for the surgical equipment.. this video was an eye opener for sure and I have a newfound appreciation for all they do. This video was amazing to watch. Thank you

  19. It's interesting rewatching this as a now experienced tech.

    I originally watched this video to get an idea of what SP techs did before I started. Its already been more than a year and it's really cool to come back and know everything shes doing, and compare their SPDs process/Setups.

  20. Wow thanks! I was looking into this job but damn not anymore gosh, hope you continue to do well in this job it is no joke

  21. You are awesome! I’m an OR nurse and I have such high respect for people who work in central sterile department. It’s a lot of work and doing the same thing monotonously everyday can get boring sometimes, but you guys do an awesome job regardless! Kudos!

  22. I used to do this job – it was so much fun & I felt very important 💜 I’d love to do this again someday!

  23. Thank you very much Donna for teaching us. Yesterday Ive had an interview about Sterile Services Department at St. George's Hospital in London. I did not know anything about. I will go through this video to learn.

  24. Where can I find a on the job training for this position in the Urbana Ohio area? It is a small town not much here if you come across anything please let me know thanks. I'd like to do this to gain experience while in school

  25. I was working in dietary and applied for this position and got hired with no experience i was super nervous because its alot to remember..alot of instruments look alot alike but are called different things…i been working in this department for almost 3 years and its a great experience! Now im ready to move on to be a scrub tech all thanks to spd lol

  26. This was really great for information and getting a sense of what I am hoping to be hired for, fingers crossed!

  27. What a great video! Thanks for sharing this. I just applied for a job like this…..fingers crossed and GOD BLESS!

  28. Lady why are you touching metal with no gloves.You are contaminating it with your own hands and body oil.

  29. It's a great job,vif you don't particularly like working intimately with people…under that kind of stress …but…it pays " just above poverty"…and I won't argue with this that don't agree. No one can live on $14-18/hour. Cheers.

  30. I come from working the field of Dental Assisting. And some of this is kinda similar to what she's doing. Now, my question is, after they come out of the washer, those instruments are not ALL THE way FULLY sterile! Am I wrong?? Because there is NO way that I would handle that tray and instruments without gloves on. I don't care if they are going into an autoclave. We, in dentistry still have to have on gloves after they come either out of a washer or ultra sonic cleaner. It doesn't seem like they have an ultrasonic machine, but still this lady needed to have on gloves. Because if you hear her, she said that the instruments just came out on the DIRTY SIDE!!! If you were working in dentistry and lets just say you prick your finger from taking out the instruments from the ultrasonic, you're still at risk for infection of some sort… Possibly! And if that happens you will have to go have blood test(s) done. So she was wrong to NOT have on gloves!!! ESPECIALLY IF YOU'RE TRYING TO TELL SOMEONE of how this job operates!! I'm sure they taught you this in school. If not shame on them! Because that's disgusting! I was always taught, PROTECT YOURSELF!!! Even if you see others doing it wrong because they feel like, oh, I've been doing this for soo long, I should have on gloves before bagging the dirty instruments etc. NO, you do what you were taught to protect you darn self! Because you have to think as if YOU were the patient. Do you want someone's hands to touch instruments that maybe used on your body during surgery? Heck no! Think about that! You're welcome America!

  31. SEE LISTEN TO HER AT TIME CODE: 7:40– She say's, that the instruments were clean but not sterile!! That means that you still have look to make sure that no debri was left, and this woman had on NO FREAKIN GLOVES!!!! sigh. I hate when people do this and then go over into the sterile/clean area to get something extra that they need w/o washing there hands!!! Because bascially, you've just contaminated the draw handle and the instrument(s) you touch after touching the pan that came out of the dan washer! Wash your hands before and after handling instruments! This is pissing me off! sigh.

  32. Kindly Advise us Sir which Medical Test is should done by the operator? If a operator is long term using or operating a EO sterilisation mechine

  33. I am cssd technician india I am work private hospital my experience 5 yrs +
    I need job your place please help member

  34. Can I do this? I mean Im a RDA I sterilize stuff everyday how much more education do I really need like cm-on

  35. What's the point of going through all that steralization if it goes back into a room where someone can cough or sneeze, pick their noses or teeth, scratch there bums then handle all freshly sterilized items with no gloves, once again. Remember she is working with no gloves, touching computer, pens, answering the phone, basically a non sterile room. There should be a reciever room on the other side, with technicians wearing gloves and masks in my opinion so all those freshly specialized instruments get checked and go right into a serile vault type room, in my opinion. Interesting job something I would have considered yrs. ago. This job is great for people who love to work on their own but with others.

  36. Can’t wait to go to school to do this..it’s all based on memory and putting your mind to something you know you are going to love & just come to work to collect a paycheck..

  37. How does something get sterilized, if they are wrapped up or in cases? Then it come out of sterilizer, and you touch wrapped items, and items in cases?

  38. Interesting to see other spd setups. Cringing a little bit about their procedure a little bit, but i'm sure that was acceptable in 2011. Lot of things change every year.

  39. That was a damn good fold on that pack. I’m still molding my craft on the folding aspect of my job. I work in a small hospital so we do everything between three techs. There has been so much to learn on this journey and it’s been crazy.

  40. I think all hospitals throughout need to start paying more for these position not only is hard work but realistically even if your at $13 hr who can live off of that. Without SPT docs can't operate patients which tells me that the salary that SPT make is way below what it should be. Surgical Techs are also on the low end if you ask me $45,000 yr in some states. All the hard work yet easy for docs to come in and make a good $100 hr or more. I think these positions need to be reevaluated by Human resources and the CEO of each hospital because something has to give. You have medical assistants getting paid $16 hr. While SPT are getting paid $10-14. And the workload is alot lighter for MA checking patients in and out. REEVALUATION on salary is what needs to be done.

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