The MST (Sterile Processing) GS-06, is at the full performance level for the position. The MST is responsible for receiving contaminated critical and semi-critical reusable medical equipment (RME) in the decontamination area and 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, Steris, ETO, and high level disinfecting scope reprocessors. Performs and documents daily operational checks and records for all sterilization equipment. Incumbent has a clear understanding of the importance of reprocessing RME according to manufacturer guidelines and the significant impact on the Veteran population through the risk of infectious disease. Utilizes Personal Protective Equipment (PPE) as required. Responsible for the collection, receipt, inspection, cleaning and decontamination processing of soiled instruments, equipment, and apparatus to include complex diagnostic equipment and medical apparatus. Completely and thoroughly dissembles and positions all parts of complex technical RME to ensure the removal of any debris, surgical soil and bio-burdens prior to sterilization or high level disinfection. Performs required leak tests to endoscopic equipment to determine that the water tight integrity of the scope is intact before initiating the cleaning and high level disinfection process. Performs multi-step procedures to effectively reprocess endoscopes, i.e. cystoscopes, ureteroscopes, bronchoscopes, colonoscopes, and other various endoscopic instruments. Operates decontamination equipment such as washer decontaminators, ultrasonic washers, automatic endoscope reprocessors, equipment irrigators, laparoscopic insulation tester, automatic cart wash, and tube dryers, etc. Uses, interprets and records results from quality assurance monitors, i.e. Ruhof ATP Complete ATP tester system, All-Clean washer disinfector validation system, etc. Performs and validates all cleaning of instrumentation and RME through the use of department SOPs, manufacturer's instructions for use guidelines, Medical Center Memorandums, and VA policies and directives, along with industry standards published by organizations such as, Healthcare Central Service Material Management (IAHCSMM), American National Standard/Association for the Advancement of Medical Instrumentation (ANSI/AMMI), Association of periOperative Registered Nurses (AORN), Centers for Disease Control (CDC), etc. Reads and understands Material Data Safety Sheets. Performs inspection, assembly, packaging, and terminal sterilization of all trays, sets, and packs for use throughout the medical center. Determines the criticality category of RME using the Spaulding Classification System and interprets sterilization parameters provided by the manufacturer's instructions for use guidelines to determine the proper method of sterilization. Interprets gauge readings and mechanical printouts on sterilization equipment to validate that sterilization of RME is within acceptable parameters. Interprets printout for Automatic Endoscope Processors used for high level decontamination to ensure that disinfection has met all parameters. Maintains records for all sterilization procedures that are processed including interpretation of all biological monitoring, validation of monitoring results, and quality assurance checks to ensure sterilization parameters are met. Troubleshoot complex sterilizers used in the medical center to ensure optimal operation. Performs high level disinfection using Rapicide PA, or equivalent according to manufacturer's instructions for use guidelines. Assembles major and minor complex surgical instrument tray/sets with general and intractably complex instrumentation and instrument packs used for a variety of general and specialized medical and surgical procedures. Assembles surgical case carts according to physician preference and computer generated picking lists for use in operating rooms. Interprets and assesses instrumentation and supply needs for individual cases. After sterilization, performs quality assurance activities including monitoring biological and chemical indicators, Bowie dick tests, time/temperature graphs, and ensuring appropriate RME checks are documented after sterilization (tech check tech). Follows manufacturer's written instructions when reprocessing RME. Verbal instructions alone are not adequate. Consults with Sterile Processing supervisors and Infection Control when clarification on written instructions are needed. Properly monitors temperature, humidity, air flow, and air exchanges to ensure proper environment for RME reprocessing. Rotates on-call coverage to ensure SPS coverage for the medical center 24/7 This is not an all inclusive list of duties. Work Schedule: 8 hour shifts (07-1530, 15:00-23:30) Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.