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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.

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Chapter 1 introduction to central service

  • 2. 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.
  • 3.  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.
  • 4.  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.
  • 7.  Soiled instruments and equipment is received.  Reusable items are cleaned and decontaminated using manual and mechanical processes.
  • 8.  Decontaminated items are inspected, assembled into sets, packaged, and labeled.  Items are prepared for sterilization and use in this work area.
  • 9.  Single instruments and sets of instruments are packaged in special materials that will provide a bacterial barrier after sterilization.
  • 10.  Several different sterilization methods can be used to completely destroy the microorganisms on items and make them safe for patient use.
  • 11.  Sterile items are placed in carefully controlled storage areas until they are needed.
  • 13.  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.
  • 14.  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.
  • 15.  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.
  • 16.  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.
  • 17.  Listen attentively to verbal instructions, requests, and other information.  Understand various career options and the preparation required for them.
  • 18.  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.
  • 19.  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.
  • 20.  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.
  • 21.  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.
  • 22.  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.
  • 23.  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.
  • 24.  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.
  • 25.  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.
  • 26.  Control costs and reduce waste.  Provide quality service.  Practice time management skills.  Identify and solve potential problems and anticipate customers’ needs.
  • 27.  Know and use inventory appropriately.  Practice recycling and waste management skills.
  • 28.  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.
  • 29.  Practice techniques to prevent nosocomial (hospital-acquired) infections.  Maintain departmental work areas in good repair.  Keep the work environment clean and organized.
  • 30.  A sample Central Service Technician Job Description is provided on pages 18-19 of the text.
  • 31.
  • 32.
  • 33.
  • 34.  A Professional is a person working in a profession which requires extensive knowledge and skills.
  • 35. 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.
  • 36.  A plan projecting progressively more responsible positions that serves as a foundation for designing a professional development program.
  • 37.  Pages 21 – 23 in the text provide sample Technician Progress Charts and a sample Career Path.
  • 38.  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.
  • 39.  Page 24 in the text provide sample organizational charts for a small facility and a large facility.