Surgical instruments require consistent care from use, through processing and storage, and back to the procedural area. This care saves healthcare systems money and, more importantly, assures that practitioners have the tools that they need, when they need them, to improve patient outcomes. We know from manufacturers’ instructions for use (IFU) and peer-reviewed research that the care of surgical instruments, both simple and complex, begins at the point of use (POU). But how can Sterile Processing professionals communicate effectively with our procedural partners about POU treatment of instruments?

In episode 129, host Casey Czarnowski talks with Tami Heacock, System Director of Sterile Processing at Lee Health, about POU treatment (not cleaning!) and its importance to our work in patient care. She discusses guidelines and standards that are available for encouraging POU treatment and strategies for talking with procedural partners about its importance.

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Following manufacturers’ instructions for use (IFU) is among the most important responsibilities of the Sterile Processing (SP) team, and every item in our departments has an IFU—surgical instruments, processing equipment, detergents, disinfectants, and cleaning tools. Although critical for device care and patient safety, IFU do not have a standardized format or common layout. Each document looks different, which can make the process of trying to follow IFU feel Intense, Frustrating and Unclear.

In episode 128, host Jon Wood speaks with Randalyn Harreld of SteelcoBelimed about decoding IFU. Harreld describes most IFU as having “endless amounts of information.” In addition to the cleaning and sterilization sections, she identifies key components of IFU, including contraindications, preparation for use, and handling and storage. Harreld explains the term “compatibility matrix” and the differences between verification and validation. She also emphasizes the importance of looking for and following all cautions and warnings. Finally, Harreld offers strategies for housing and managing access to IFU. Listen in to learn how to better understand—and properly use—your IFU.

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Our skin is not just a thing of beauty. It is our largest organ. It prevents water loss and protects us from infection, allergens and ultraviolet light. Although proper hand hygiene is essential to the work of Sterile Processing professionals and the safety of our patients, breaks in the skin barrier can occur due to over washing and exposure to hot water, harsh chemicals and PPE. Our skin health, however, parallels our body health, so it is essential that we take care of it.

In episode 127, host Casey Czarnowski speaks with dermatologist, author and consumer advocate Fayne L. Frey, MD, about the importance of protecting our skin. Dr. Frey reviews the anatomy and functionality of the skin and shares habits to keep your skin safe, especially outside of work hours. She discusses skin ailments, provides tips for listeners with sensitive skin, and decodes the buzzwords on skincare product labels. Tune it to learn how to maintain healthy skin and select safe, effective, affordable products sold at your local drugstore.

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Data drives improvement in business, and healthcare is no exception. With the effective use of a quality management system (QMS), Sterile Processing (SP) professionals can use data they already collect, including sterilizer printouts and biological monitoring, to improve processes and make their work more efficient and accurate.

In episode 126, host Casey Czarnowski speaks with Hannah Schroeder of Pure Processing about QMS in the Sterile Processing department (SPD). Schroeder provides a high-level introduction to the QMS process. She discusses its key components, ways to incorporate a QMS in various areas of the SPD, relevant standards and guidelines, and diverse strategies for measuring QMS effectiveness. Listen to learn how a QMS can reveal trends and help SP leaders advocate for resources, such as additional staff, equipment or space.

Hannah Schroeder, Clinical Education Specialist, Pure Processing
In her current role, Hannah Schroeder brings her passion and experience in sterile processing to the forefront. Schroeder began as a technician in 2017 and became an education coordinator after progressing through various, advancing roles. Her expertise covers areas such as process improvement, recruitment, education and construction project management. She strives to raise awareness and advocate for the needs and education of professionals in the instrument reprocessing profession.

Sponsored by Pure Processing
Pure Processing is an innovator and manufacturer of sterile processing and endoscope reprocessing technologies. The company focuses on ergonomic solutions that support SPD and GI teams in their effort to keep patients safe. By collaborating with customers and maintaining a deep understanding of industry standards and guidelines, Pure Processing develops solutions truly designed to meet the unique needs that come with instrument and endoscope reprocessing.

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The chemicals used in Sterile Processing departments (SPDs) pose serious risks, and Alex Hilliker of ChemDAQ, Inc. believes that chemical safety is not discussed enough. In episode 125, host Jon Wood speaks with Hilliker, who explains the usage progression from ethylene oxide to hydrogen peroxide and glutaraldehyde to peracetic acid. Hilliker discusses the health hazards of working with these chemicals and the regulations and guidelines designed to protect workers from exposure. He reviews exact permissible exposure limits (PELs), methods of environmental and personnel monitoring, and the critical importance of chemical safety training.

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In episode 124, host Jon Wood speaks with AORN Senior Perioperative Practice Specialist Amber Wood about how AORN Guidelines address numerous pertinent topics related to Sterile Processing, including challenges associated with 3D-printed instruments, short-cycle sterilization, overcrowded sets, and more. This podcast answers many questions you may not have even known to ask.

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In episode 123, host Jon Wood speaks with Dr. Leo Gordon on the topic of excessive instruments found in Sterile Processing trays. As a physician, Gordon shares his unique viewpoint regarding the large quantity of instruments found on the Operating Room back table before, during and after a surgical procedure. He discusses how surgeons have influenced this issue and can potentially help rectify such an excessive waste of time and money.

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In episode 122, host Jon Wood speaks with members of the KiiP team about sterile barrier wrap, more commonly known as “blue wrap.” Karina Engels from Owens & Minor/Halyard, Amanda Benedict from AAMI, Tanya Magana of Ecolab, Jennifer Zeck from Solventum, and Sterile Processing technician Tiffany Reece discuss the importance of consistent standards for wrap. They review what to do when encountering multilayer or potentially compromised wrap and explain how KiiP works to investigate concerns and connect users, experts and manufacturers to identify solutions.

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In episode 121, host Jon Wood speaks with Hannah Schroeder about one of the most important tools in Sterile Processing (SP): workstations. Schroeder discusses the primary functions, evolution and future potential of the SP workstation. She elaborates on the need for a proper workstation to support surgical device inspection, quality assurance and preparation and packaging.

 

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In episode 120, host Jon Wood speaks with Frederick Westermeyer about his journey in rediscovering Sterile Processing (SP) after surviving a traumatic medical issue and the resulting infection that lead to an amputation. As an SP clinical educator, Westermeyer has a unique perspective surrounding his healing and adjustment to the new challenges in his life. He also elaborates on the difficulties of recapturing his spark of energy, curiosity and enthusiasm for the SP profession and how he was ultimately able to be successful.

 

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In episode 119, host Jon Wood speaks with Sterile Processing (SP) Consultant and Clinical Educator Casey Czarnowski about sharps injuries. Czarnowski explains the dangers of bloodborne pathogens contracted by seemingly minor scrapes, cuts and pokes. These injuries can occur during Operating Room setup and teardown and in the Sterile Processing department (SPD), both in decontamination and on the clean side. To limit the potential dangers, Czarnowski offers considerations for proper sharps education as well as best practices for sharps disposal.

 

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In episode 118, host Jon Wood speaks with HSPA’s Director of Education Natalie Lind about bullying in Sterile Processing (SP). Lind discusses how the prevalence of bullying in Sterile Processing departments not only breaks down morale but also has direct and negative effects on the quality of patient care. The conversation explores the potential causes of bullying as well as how to recognize that bullying is present in your area and steps to take to resolve it.

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In episode 117, host Jon Wood speaks with Jan Prudent about cultivating confidence among the Sterile Processing (SP) team and helping staff members overcome self-doubt. Prudent discusses strategies for being mindful of team members in order to build a positive work environment. Her suggestions include rounding on team members, periodic check ins, providing genuine encouragement, and taking opportunities to publicly acknowledge individuals for their hard work or extra effort.

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In episode 116, host Jon Wood speaks with Tami Heacock, System Director of Sterile Processing with Lee Health, about instructions for use (IFU) and the daily challenges faced in the Sterile Processing department (SPD). Heacock discusses the wide range of detail levels found in IFU, from the simple to the intricate, and the pitfalls that either version can create, especially when left to individual interpretation.

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In episode 115, host Jon Wood speaks with Jeremy Thompson and Gary Wright, Sterile Processing Educators at the University of Kansas Health System, about the hiring challenges in Sterile Processing and modifying the culture to make employment more attractive. The conversation delves into the focus of the importance of educational opportunities and utilizing a career ladder to incentivize and support all employees.

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In episode 114, host Jon Wood speaks with Barry Pickrem about the contrast between the Canadian Standards Association for Sterile Processing and the standards found in the United States, particularly ANSI/AAMI ST79:2017/(R)2022 Comprehensive guide to steam sterilization and sterility assurance in health care facilities. Pickrem also discusses the work of stakeholders on the technical committees setting the Canadian standards.

 

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In episode 113, host Jon Wood speaks with Elizabeth Casey about cultures in Sterile Processing (SP) and the importance of keeping a positive outlook despite the many negative aspects encountered in the field. Casey discusses how approaching SP as part of the surgical team and changing our attitudes about how we care for one another and our patients can improve our outlook and create a more positive environment.

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In episode 112, host Jon Wood speaks with Michele McKinley about the unique possibilities for partnership between the Biomedical and Sterile Processing departments. McKinley addresses how to build this relationship, the opportunities and challenges of collaboration, and how critical this interaction is when considering the best interests and protection of patients.

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In episode 111, host Jon Wood speaks with Preston Rosales about the differences between bosses and true leaders in Sterile Processing (SP). Rosales explains that leaders are often bosses, but bosses are not always leaders, and offers scenarios that define reactions of the two. Their conversation includes development strategies for leaders, such as characteristics that may make one successful, and some approaches that can advance one into a leadership position.

 

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In episode 110, host Jon Wood speaks with Jennifer Behlmann about mentoring in Sterile Processing. Behlman discusses the importance of passing on knowledge and experience to others through a deliberate process of "intentional mentorship." She also shares details about her own mentorship journey both inside and outside the Sterile Processing department, and identifies what it takes to become an effective, successful supporter for mentees.

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