Veterans Affairs, Veterans Health Administration MEDICAL SUPPLY TECH (Sterile Processing) Advanced in Philadelphia, Pennsylvania
Summary This is an Advanced Level position as a Medical Supply Technician (Sterile Processing) in Sterile Processing Service. The incumbent is expected to perform the full scope of sterilization duties and responsibilities independently to provide sterilization, preparation, supply items, and decontamination support for the medical center. Responsibilities Incumbent will have knowledge of the processes for Reusable Medical Equipment (RME) as required by this position and will be required to maintain current knowledge of the Standard Operating Procedures (SOPs) which document the processes and procedures for cleaning, disinfection, sterilization and preparation of RME appropriate to this position. Must demonstrate their ability to utilize an acceptable proficiency in the use of RME appropriate to this position. The term "supply item" as used in this functional statement refers to reusable items for patient care including instrumentation (scissors, forceps, retractors, etc.), surgical trays and sets and various other items that could be processed or assembled through the Preparation and Decontamination areas of Sterile Processing Service. Specific functions of the position include but are not limited to: - Conduct daily assessment of assigned area Retrieve soil reusable medical equipment (RME) from operating rooms and outpatient surgical clinics to include Dental. Remove soil, blood, tissue fragments, body fluids, and other containments by wiping, soaking, rinsing, brushing and scrubbing. Completion Level 1 Training modules in TMS within 90 days of employment and obtain Level 2 certification within the year. Completion service specific orientation and staff in-service program of Sterile processing. Achieve competency in all areas of sterile processing (Decontamination, Prep and Assembly, Operating room and Endoscopy). Inspect packages for indications of proper sterilization. Assemble basic sets and trays used throughout the medical center including those used in the operating room. Prepare, load, and operate sterilizers such as steam, Sterrad. Knowledgeable in high level disinfecting(HLD) scope reprocessor such as the Medivator and Trophon. Prepare operating room case carts daily pull sheets and utilizing surgery schedule. MSTs receive guidance from more experienced staff members for more complex tasks and require direct supervision on new assignments. Inventory instrument trays in Censitrac for accountability of all instruments. Ensure instrument cleanliness and completeness as appropriate and deemed ready for sterilization. Monitor instrument sets through the sterilization process using CensiTrac and QA monitors. Deliver reprocessed instrument trays to clinics and Operating Room Core in a timely manner. Work as part of team of technicians to improve the throughput of surgical instruments through SPS. Receives contaminated critical and semi-critical RME in the decontamination area and reprocess using standard operation procedures (SOP) and manufacture information for use(IFU). Note: may receive noncritical equipment in the decontamination area as well. Disassembles the RME and determines the correct cleaning method, such as but not limited to ultrasonic cleaners, mechanical washers, cart washers and chemical cleaning/decontamination agents, as determined by manufacturer instructions. Inspects, assembles and determines the correct method and packaging for sterilization such as but not limited to steam, STERRAD, Steam, and/or high level disinfecting scope reprocessors such as the Medivator. Performs and documents daily and weekly QA operational checks and records documentation for all sterilization and HLD equipment and processes. Assembles highly complex instrument sets including, but not limited to, open heart, major orthopedic total joint, cardiovascular, craniotomy and complex endoscopic instrumentation. Processes all complex endoscopic instrumentation to include those medical devices used in the gastroenterology laboratory, bronchoscopy laboratory, urology and operating room. Reviews manufacturer guidelines to ensure the correct methods and parameters are followed when cleaning, decontaminating and sterilizing RME. Troubleshoots and analyzes mechanical failures and makes necessary adjustments to complex decontamination and sterilization equipment, as well as interprets alarm conditions which may occur while operating the equipment. Informs management and healthcare staff when cleaning and processing standard operating procedures (SOPs) or instruction for use have been changed or updated to assure the changes have been validated to meet all guidelines. - Additional Duties As assigned. Work Schedule: Monday - Friday 6:30am to 3pm or 2:30pm to 11pm Rotating weekends and Holidays Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications Basic Requirements: Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Handbook 5005, Part II, Chapter 3, Section A, paragraph 3g.) Experience and/or Education (1) Experience. Six months of experience that demonstrates the applicant's ability to perform the work or provides an understanding of the work; or (2) Education. One year above high school that included at least 6 semester hours in health care related courses such as sterile processing, nursing assistant, hospital corpsman, and operating room and surgical technician courses or other courses related to the position; or (3) Experience/Education Combination. Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable. Certification. None. Physical Requirements. This work is performed in various settings: decontamination, preparation, clean sterile supply (preparation) and in other services and departments throughout the medical facility/campus. The incumbent may be required to work in areas that are hot, cold, drafty and poorly lighted. The employee is subject to the possibility of falls, scrapes, cuts, bruises, Needle Sticks, and other injuries from handling equipment. The work requires standing and walking during the entire workday and frequent bending and lifting of sterile products and packages (occasionally weighing as much as 50 pounds). The work requires dexterity and visual acuity for manipulating, disassembly and assembly of instrumentation. On a regular and recurring basis, the employee alternates between a contaminated environment and a carefully controlled clean environment. The employee wears special clothing, hair covers, personal protective equipment and shoe covers that can be uncomfortably warm. The employee uses insulated gloves to remove carts from sterilizers. The employee is subject to burns from accidentally touching hot items. The hazards of working around minute quantities of sterilizing gasses are unknown. The employee often works around body fluids, mucous, excretions and bits of tissue, some of which may be foul smelling. Strong, unpleasant odors are encountered while decontaminating bloody or grossly contaminated instrumentation or reusable medical equipment. The work area is noisy due to the clatter of metal instruments, rumbling of carts and operation of pre-sterilizing equipment. English Language Proficiency. MSTs must be proficient in spoken and written English in accordance with chapter 3, section A, paragraph 3j, this part. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). GRADE REQUIREMENTS Grade Determinations. The following criteria must be met when determining the grade of candidates. GS-07 (Advanced Level) (a) Experience. One year of experience equivalent to the next lower grade level. Knowledge of surgical instruments used in operating rooms and clinic settings. Knowledge of universal precautions for safety and prevention of cross contamination. Working knowledge of medical terminology, anatomy and physiology, microbiology, medical conditions and procedures. Knowledge of sterility principles in regards to instrumentation. Ability to read and interpret written instructions and procedures. (b) Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Detailed knowledge of complex surgical instruments used in operating rooms and clinic settings. 2. Ability to assemble specialty operating room and clinic instrument sets. 3. In-depth knowledge of sterilization and cleaning equipment. 4. Ability to communicate both orally and in writing in order to convey information and thoughts to others. Assignment. The Advanced MST assembles highly complex instrument sets including, but not limited to, open heart, major orthopedic total joint, cardiovascular, craniotomy and complex endoscopic instrumentation. Processes all complex endoscopic instrumentation to include those medical devices used in the gastroenterology laboratory, bronchoscopy laboratory, urology and operating room. Reviews manufacturer guidelines to ensure the correct methods and parameters are followed when cleaning, decontaminating and sterilizing RME. Troubleshoots and analyzes mechanical failures and makes necessary adjustments to complex decontamination and sterilization equipment, as well as interprets alarm conditions which may occur while operating the equipment. Informs management and healthcare staff when cleaning and processing standard operating procedures (SOPs) or instruction for use have been changed or updated to assure the changes have been validated to meet all guidelines. Preferred Experience: 4+ years experience in a sterile processing service environment IAHCSMM or equivalent advanced certification Advanced knowledge of flexible endoscopy References: VA Handbook 5005/76 Part II Appendix G47 Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. If you are unable to apply online view the following link for information regarding an Alternate Application.