BWH Central Processing Tech 4 at Brigham & Women's Hospital(BWH)

Posted in Other 7 days ago.

Location: Boston, Massachusetts

Job Description:

Positions are available for day, evening, and night

Under the general guidance and direction of the Operations Supervisor the Central Sterile Processing Technician 4 independently performs all core job responsibilities in the Sterile Processing Department. Core Sterile Processing functions include receiving, sorting and decontamination of surgical/clinic items and instrumentation; inspection and packaging of single instruments and instrument kits; identification of appropriate sterilization method and cycle selection, appropriate documentation for all sterile processes; and accurate inventory assignment relating to the case cart build process. The Central Sterile Processing Technician 4 acts as a resource to leadership and junior technicians by actively participating in training activities and completing special assignments. The Central Sterile Processing Technician 4 is expected to specialize and display subject matter expert for a service, process, or assignment participating in meeting or group activities as appropriate. The Central Sterile Processing Technician 4 is responsible for obtaining and maintaining all required certifications.


Must be able to perform all duties in accordance with the MGH Policies and Procedures. International Association of Healthcare Central Service Materiel Management (IAHCSMM) and/or the Certification Board for Sterile Processing and Distribution, Inc. (CBSPD) standards and procedures should be understood and followed. Responsible for obtaining and maintaining CRCST or CBSPD always during employment.

Expected to specialize and display subject matter expert for all operating room services, must understand all processes of Instruments, Scopes and High Level Disinfection, and case cart assembly, must have certification and be able to speak to all processes.

Collaborative Functions

Precepts and verifies competency and skill development of staff as appropriate providing meaningful feedback to Training and Staff Development Coordinator and Clinical Operations Supervisor.

Functions as resource for junior technicians in interpreting instrument processing policies and procedures.

Develops and maintains expert knowledge of surgical service, sterile process, or instrument classification.

Coordinates work flow and prioritizes work activities to meet department needs in an efficient manner.

Participates in cross functional work groups to develop and implement quality improvement projects.

Decontamination and Cleaning of Reusable Medical Devices

Utilizes approved PPE as appropriate.

Receives soiled, used, and/or contaminated equipment, surgical instruments, scopes, and supplies from Operating Rooms, patient care units, and specialized areas; documents arrival and cleaning process utilizing SPM.

Disassembles items as needed before choosing appropriate cleaning method.

Identifies items in need of repair upon receipt and ensures information is maintained during cleaning process.

Decontamination and Cleaning of Reusable Medical Devices (continue)

Selects and utilizes appropriate manual cleaning tools to achieve instrument decontamination, including but not limited to instrument brushes, enzymatic detergent, flushing devices, ultrasonic bath, leak tested

Selects and utilizes appropriate automated cleaning tools to achieve instrument decontamination; this includes loading and selecting appropriate cycles on automated washers.

Cleans work area by wiping area with antibacterial agent upon work completion or as needed.

Other duties as assigned

Assembly and Packaging of Reusable Medical Devices

Documents all work performed utilizing instrument tracking software SPM.

Inspects and assembles all equipment, instruments, scopes, and instrument sets following product recipe, verifies items are functional, free of debris and required per instrument recipe.

Documents items missing from instrument set, escalating set to CPD Clinical Operations Supervisor or Designee for further guidance.

Identifies and places appropriate internal indicator as required.

Selects appropriate packaging method, including any sterilization accessories (corner protectors etc.) ensures all external indicators and/or labels are securely affixed to item.

Transports items to sterilization as needed.

Maintains clean and organized work area, ensuring workspace is functional for peer use upon work completion or as needed.

Other duties as assigned.

Sterilization and High Level Disinfection of Reusable Medical Devices

Interprets package labeling to select appropriate sterilization method and approved cycle, options include Steam, STERRAD, or other as required.

Inspects packages to ensure all external indicators, filters, and/or labels are securely affixed to items, returns non-satisfactory products to instrument room.

Loads sterilizer as appropriate to ensure cycle completion; includes biological testing as appropriate.

Performs routine sterilizer testing including biological monitoring, leak test, and bowie dick test as appropriate.

Following established policies interprets and appropriately documents results of sterilizer testing. Escalates positive results as appropriate for intervention.

Removes and inspects items from sterilizer utilizing approved methods to preserve package integrity.

Utilizes approved PPE as appropriate.

Other duties as assigned.

Inventory Management and Case Cart Build

Utilizes patient specific pick lists to accurately gather surgical instruments and disposable supplies requested by attending surgeon or another Peri-Operative representative.

Documents case cart build process in SPM, continuously updating the record as items are fulfilled to maintain integrity of needs list.

Inspects items during the pick process to ensure package integrity remains intact, package is within expiration date, and substitutions are appropriate.

Communicates unmet surgical supply requests to leadership for resolution assistance.

Returns supplies not used after surgical procedures to their proper stock location.

Modifies picking order as directed by CPD Clinical Operations Supervisor based on changing OR Surgical Schedule.

Other duties as assigned.

Addendum: Clinic/Ambulatory Assignments

Being on the Clinic Team will involve travelling to the Clinic/ambulatory sites when coverage is needed.

Oversee employee productivity, breaks, and training

Supervise an assigned area of department, and in charge on weekends

Responsible for distribution of instruments processed and/or disposable supplies to patient care areas

Perform spot checks of paperwork, labeling, and biological reads

Performs quality control checks

Respond to OR requests

Participate in OR huddles


Required: Certified Registered Central Service Technical Certificate from IAHCSMM or CBSPD

Required: High School diploma or GED, Preferred: Some college or Associate's degree

Minimum 4 years of applicable experience required.


Excellent organization, operations, people management, and problem solving skills are essential.

Must be able to speak, read, write and understand medical terminology to follow written instructions and complete various forms and records regarding equipment processing and preparation of equipment.

Must have working knowledge of computer programs; proficiency in Microsoft Word, Excel, Outlook, and exposure to instrument tracking software. Existing knowledge of EPIC and SPM are preferred.

Ability to multi-task is critical.


Must be able to perform all Sterile Processing functions.

Position requires rotating weekend and on-call requirements.

Involves large amounts of time walking and standing.

Exposure to the Operating Room environment is a requirement.

A strict dress code and professional appearing including wearing surgical scrubs is required.

Must be able to frequently lift to 25 lbs. stoop, bend, pull, and place and retrieve material.

There is a high level of noise, heat, and humidity due to the sterilization process.

EEO Statement

Brigham and Women's Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.