Chapter 1 introduction to central service
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Chapter 1 introduction to central service






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Chapter 1 introduction to central service Chapter 1 introduction to central service Presentation Transcript

  • Chapter 1
  • As a result of successfully completing Chapter 1, the student will be able to:  Explain the importance of the Central Service Department with an emphasis on the service provided, and its role in quality patient care.  Review the work flow process in an effectively organized Central Service Department.  Identify basic knowledge and skills required for effective Central Service Technicians.  Define job responsibilities of Central Service Technicians.  Discuss basic concerns of Central Service personnel: Career growth and professional development. Department organization. Compensation.
  •  Central Services are centralized. Reprocessing activities are carried out in one department under one system and set of standards.  Service – Central Service provides assistance with patient care by providing Central Service customers with instruments, equipment, supplies, and utensils.
  •  Central Processing  Central Sterile Supply  Sterile Processing and Distribution  Surgical Supply Processing  …and more.  The scope of service varies between departments, but they all follow the same regulations and guidelines.
  •  Infection Control  Material Support
  • Decontamination Preparation Packaging Sterilization Sterile Storage
  •  Soiled instruments and equipment is received.  Reusable items are cleaned and decontaminated using manual and mechanical processes.
  •  Decontaminated items are inspected, assembled into sets, packaged, and labeled.  Items are prepared for sterilization and use in this work area.
  •  Single instruments and sets of instruments are packaged in special materials that will provide a bacterial barrier after sterilization.
  •  Several different sterilization methods can be used to completely destroy the microorganisms on items and make them safe for patient use.
  •  Sterile items are placed in carefully controlled storage areas until they are needed.
  • The Processing Cycle Identify Clean Assemble Package Sterilize Store Deliver Use Return Inspect Inspect Inspect Inspect Inspect Inspect Inspect
  •  Assess the ability of other people to understand what is being communicated.  Adapt communication tactics to individual needs.  Apply active listening skills using reflection, re-statement, and clarification techniques.  Interact appropriately and respectfully with diverse ethnic, age, cultural, religious, and economic groups.  Communicate in a straightforward, understandable, accurate and timely manner.  Use facility-specific guidelines and methods to send and receive information  Access and use electronically-produced information.
  •  Be aware of the wide range of services offered to customers.  Prevent unnecessary waste and duplication.  Participate in quality improvement activities.  Use resources including other staff members, manuals, and training opportunities.
  •  Maintain appropriate personal skills such as attendance, time management, and assuming responsibility for one’s own actions.  Attain professional conduct standards.  Use analytical skills to solve problems and make decisions.  Formulate solutions to problems using critical thinking skills.
  •  Adapt to changing situations.  Practice personal integrity and honesty.  Engage in continuous self-assessment and goal modification for personal and professional improvement.  Exhibit respectful and empathetic behavior in interactions with peers, superiors, subordinates, and customers.
  •  Listen attentively to verbal instructions, requests, and other information.  Understand various career options and the preparation required for them.
  •  Solve problems relating to legal dilemmas or issues.  Comply with established risk management factors and procedures.  Determine when an incident must be reported.  Maintain confidentiality.
  •  Operate within the required scope of practice.  Follow mandated standards for workplace safety.  Apply mandated standards for harassment, labor, and other employment laws.  Comply with legal requirements for documentation.
  •  Respect patients rights.  Promote justice and equal treatment for all persons.  Recognize the importance of patients’ needs over other considerations.  Exhibit loyalty to fellow workers and the healthcare facility.
  •  Report any activity that adversely affects the health, safety, or welfare of patients, visitors and other workers.  Comply with pertinent regulatory guidelines, including OSHA standards.  Respect interdisciplinary difference among team members.  Differentiate between ethical and legal issues.  Demonstrate professionalism at all times.
  •  Practice infection control procedures.  Use Standard Precautions to control the spread of infection.  Practice appropriate cleaning, disinfecting, and sterilizing processes.  Apply principles of body mechanics, including proper lifting techniques.  Prevent fire and electrical hazards.
  •  Use instruments and equipment as directed.  Manage hazardous materials.  Use Material Safety Data Sheets (MSDS).  Follow emergency procedures and protocols.  Comply with pertinent regulatory requirements, including OSHA guidelines.
  •  Practice team skills such as cooperation, leadership, and anticipation of co-workers’ needs.  Respect cultural and religious differences of team members.  Interact with others in a manner consistent with the healthcare team’s structure and lines of authority.
  •  Manage conflict within the workplace by considering the points of view of others.  Respect and value the expertise and contributions of all team members.  Accept compromise as necessary to ensure the best outcomes.
  •  Control costs and reduce waste.  Provide quality service.  Practice time management skills.  Identify and solve potential problems and anticipate customers’ needs.
  •  Know and use inventory appropriately.  Practice recycling and waste management skills.
  •  Assist in the selection of materials, supplies and equipment necessary to provide services.  Follow manufacturers’ warnings and instructions, ask for clarification as needed.  Continuously evaluate results and procedures.
  •  Practice techniques to prevent nosocomial (hospital-acquired) infections.  Maintain departmental work areas in good repair.  Keep the work environment clean and organized.
  •  A sample Central Service Technician Job Description is provided on pages 18-19 of the text.
  •  A Professional is a person working in a profession which requires extensive knowledge and skills.
  • Association and industry recognition given to individuals with educational and/or work experience requirements who successfully complete an examination process that demonstrates their knowledge of subject matter to be mastered for success in the position.
  •  A plan projecting progressively more responsible positions that serves as a foundation for designing a professional development program.
  •  Pages 21 – 23 in the text provide sample Technician Progress Charts and a sample Career Path.
  •  The basic job functions are similar, but hours of operation, department staffing structure, and specific scope of responsibility differ by facility.  Departments are designed to meet the specific healthcare facility’s needs.
  •  Page 24 in the text provide sample organizational charts for a small facility and a large facility.