SURGICAL INSTRUMENTS & ENDOSCOPES :
CENTRAL STERILE PROCESSING

Marilyn W. Shumba, M.Sc., Central Sterile Processing Technician (UPMC)

Published July 9, 2022

Who Are Central Sterile Processing Technicians?

Killing microbes to inhibit infections is the most important part of work that must before surgery can take place. I am not talking about just cleaning and disinfecting the environment, although this too needs to be done, but, what I am getting at is sterilizing the instruments that enter a patient’s body. Central Sterile Processing Technicians, are highly trained healthcare professional, that are the number one germ or microbe killers of instrument related micro-organisms & ensurers of instrument functionality before it gets in the surgeons’ hands. They DECONTAMINATE, examine, test functionality, ASSEMBLE & PACK, STERILIZE, STORE & Distribute General & Specialty Related Surgical Instruments & Advanced Technological Instruments to the O.R. surgeons and their assisting technicians, nurses and PAs. They process many instruments each day, and as a team they work all days of the week and all hours as a team, to remain prepared for surgical emergencies that could occur after work hours. When new technology comes, they have to be on it as well, because it’s their responsibility to give not just a sterilized, but functional tool to the surgeon. They must acquire knowledge to decontaminate, sterilize and test instruments from all different types of surgeries; this is great knowledge, and in addition, new C.S. techs are required to be certified, and formally educated on subjects surrounding surgery, even basic anatomy, and microbiology.

Although they are behind the scenes and barely recognized; C.S. techs, play one of the most vital roles; indirectly keeping patients alive, minimizing any chances of infections, to their greatest ability. They are trained to multitask, teach, and increase knowledge with new training programs, and years of experience. They should be well compensated - if not already, along with surgical techs. Without this team, Surgeons cannot perform surgery. The surgical team involves the physicians, C.S. Tech, Surg. Techs, Surg. Nurses, Anesthesiologists, Administratives team, Cleaners, Managers, Supervisors and such - they all have to work together for surgeries to go well in the hospital. When surgeons cannot find anything, they call the Central Sterilize Processing Techs via the Surgical technicians or Nurses; and even in an emergency, it is these techs. that rush to get the instruments prepared for the surgeons.

In summary: Central Sterilize Processing Technicians are the team of highly skilled professionals that get various sterilize surgical tools including endoscropes completely ready for patients and on time to help save patients’ lives.

IMAGES

Electronic Instruments: Endoscopes, Cameras, Batteries are sterilized using the STERRAD (according to the manufacturer’s instructions).

1) Electronic instruments are received from the O.R. and then they are decontaminated following the manufacturer’s instructions, following that they are put in a dryer to dry. Later on a CS Tech takes them out and confirms if they are completely dry. The CS tech examines the equipment to ensure that it is dry and functional before wrapping it and placing it in the STERRAD machine. A paper is not used to cover instruments that are put in the STERRAD because hydrogen peroxide could be absorbed by the paper.

 

ENDOSCOPES

Flexible Cystoscope & 1588 Camera

 
 

BASIC SURGICAL INSTRUMENTS

(Click Arrow - To See Next Images In Gallery Below)

Acknowledgements & Abundant Thanks To:

God First and Always.

Mr. Michael Loadman (Director),

Supervisers, Trainers & Teammates - UPMC Central Sterile Processing Technicians (Pittsburgh).

SOURCES:

  1. Doppler measurements with physiologic machines. Viasonix. (2021, August 8). Retrieved July 9, 2022, from https://viasonix.com/vascular-angiology/doppler-measurements/

  2. Sheps, S. G. (2019, December 31). Doppler ultrasound: What is it used for? Mayo Clinic. Retrieved July 9, 2022, from https://www.mayoclinic.org/doppler-ultrasound/expert-answers/faq-20058452

  3. Mishra, R. K. (2019, February 24). Demonstration of laparoscope - telescope used to perform laparoscopic surgery. YouTube. Retrieved July 9, 2022, from https://www.youtube.com/watch?v=ksS0Tc3opGM

  4. 1588 aim + spy fluorescence technology. Stryker. (n.d.). Retrieved July 9, 2022, from https://www.stryker.com/us/en/endoscopy/systems/aim-platform.html

  5. Stryker 1588 Camera System for Env Mode. AA Medical Store. (n.d.). Retrieved July 9, 2022, from https://aamedicalstore.com/blogs/news/stryker-1588-camera-system-for-env-mode

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Central Sterile Processing Technician (Pt. 2)