SPD TOUR
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- čas přidán 7. 10. 2017
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I'm a SPD tech and there is sooooo much more to it, but I appreciate being acknowledged at all. For all you new SPD techs.......there is a million details to this job!! This is a quick walk through, not a specific video. Be ready to have your brain full of information that you have to remember. Without SPD no one in surgery can do their job. In order to understand the inner workings of SPD, you would need at least a year. With that said once again thank you for the acknowledgment. It is an under paid thankless job, but extremely important!!
what city and how much do you make?
As a sterile processing tech, I appreciate that someone who works in the OR is acknowledging SPD and everything they do!
Do you enjoy the job? What are typical hours, pay? Deciding between this and scrub tech.
G.S Vlogs I enjoy the job very much!! At my hospital, we have 3 shifts. Day shift 7am-3:30pm. Evening shift 3-11:30pm. Night shift 11-7:30 am. Pay usually starts anywhere from 12$-15$ an hour. A lot of hospitals pay shift differential if you work evening or night shift. A lot of departments are understaffed so there is possibilities for overtime as well. I believe that sterile processing is a good career or could be used as a stepping stone into the scrub tech position. I think it would be good to start in sterile processing and work your way up. If you can find a hospital that does tuition reimbursement, that’s even better!
Sarah Alexis Very true and thanks for the reply!
April Taylor thank you!!!
Same! Glad Spd is getting some attention here! A great starting point in any hospital!
I was a SPD Tech...great job. Moved on to another Hospital job, thanks to the experience achieved in the SPD. Congratulations to all those people that work in this underpaid and thankless job. Ultimately, you are working to save a patient's life. God bless you all.
Today both my wife and I just received our admission letters into the SPD program, I only have one more semester to complete the program whereas she has to complete two semesters, but we'll be graduating together from the program.
Thanks so much for your videos!! I just started clinicals and this is giving me a heads up on each department I haven’t worked in yet. Decontamination was my first..
Mike letting you in decon with no PPE on 😂
Great tour! im thinking of applying to a cst tech program. very informative videos, thanks!
I Been doing sterial processing at my hospital for six months now. It is a really neat job
Brandon Gautreau hello! Quick question, so did you do the surgical tech program or did you do a certificate for sterile processing?
Lisa Marie the hospital I work at let's me work at least a year befor I can get my certification for sterial processing.
What’s the hours and pay like? Do you feel it’s a good step towards ST?
@@gageshaw7077 40 hour weeks and the occasional call on weekends maybe once every couple months. Anywhere from $14-$17 an hour depending on where you are at. Great step towards CST considering you are gaining an extreme amount of knowledge on instruments
@DieselPatches IsHomo im going to start school and the next couple months. In California the paid is really good. Right now I’m Housekeping. Company paid for my school almost 100 %😁 good luck
I always wondered how all the instruments were cleaned and sterilized. Thank you for sharing!
Anyone who knows sterile processing knows that was a terrible way to decontaminate that set. I’m sure it was clean for demonstration purposes, but simply spraying it is not good. Instruments need to be soaked in a sink filled with detergent and water, and then inspected/brushed/flushed and put through the sonic if necessary.
yeah I was kinda shocked when I saw that too
Yes, absolutely
it comes to you in a bowl already soaked then rinsed they must have skipped that part
They had to of skipped that I’m a lead tech at a hospital and we do soak them in decontamination but I was thinking the same thing
Terrible? It might not of been near perfect but protocols often do differ I opin and it is so much more helpful to give clarity and contribute rather than find fault.. I do beg your pardon..
I ran instrument processing at two hospitals. One of the biggest problems we had was getting administration to understand that they had to pay enough to attract and keep good help. They seemed to think that it was like old women washing dishes. And BTW, the initial spray wash used high-pressure water. That aerosolizes the bioburden, creating a hazard. The washing should be done with high flow, not high pressure.
This particular explanation was well given with good detail of the few areas covered..
Well I learned something new today. Totally thought the instruments would be in the open on a tray or something inside the autoclave for sterilization. Not wrapped or in metal cases.
Hi, the more I watch about this kind of job, the more I like it. It's a cool job, you'll never get bored, always moving, and focusing 😇
I enjoyed this video. I am currently a Sterile Processing Tech and this is a very important job. If we mess up, it can have a domino effect, that can make it hard on the physician, nurses, surgical techs, and most importantly, the patient. Fortunately, at our hospital, we have some very compitant SPD's. I am hopefully going into the surgical tech program thru my hospital, in May of 2018, and I believe my experience as SPD will help me out greatly. Thanks for posting.
wow, I was wondering if hospitals offered surg tech training and you just answered my question but I guess it depends on where you live. Not sure if that's offered in GA.
@@michellefreeman5943Sorry this is years later. I am certain most hospitals in Georgia do not offer surgical tech training. Hope you found a college or program!!!
How are you becky
Wow I definitely interested I started classes an am so great full to the person that introduced me
How are you
I love all the info...thanks for doing this video...you guys freaking sterilized rock...
I'm looking into a new job, I'm tired of warehouse work.
If it weren't for your dedication of what you all do...many of us wouldn't be alive today.
Thanks for everything...seriously.
God bless you all 💕
this kind of job should be encouraged to everyone. Hassle free, not as toxic as your are handling patients like being a nurse.
Wow this is an awesome video! I would've never thought of how much work is put in those instruments!!
And this is just the basics
Hey I'm currently in first semester of the Surgical Technology program & was wondering if you could please please please do a crash course on tips & tricks on calculation dosage on how you found it so easy to do because I absolutely suck at math & I can't help it because of the condition I have (Turners Syndrome) & that's one of the cons from the syndrome (having trouble in math) thanks in advance !!!!
You’re awesome 👏. Thank you
Looking forward to work in your hospital as an OR/CSSD staff.
I am very concerned that the manager of this SPD, does not properly demonstrate manually cleaning before placing these instruments into the washer. I agree with opening the box locks of all instruments but manual cleaning is a must! Please use a three basin sink and look into proper decontamination methods.
Absolutley, I thought the same thing. Soil must be removed by manually cleaning. Impingment alone is not enough.
very informative. Thank you
As a manager and a consultant for sterile processing your methods of washing instruments isn't recommended by any agency I know. Also, remove all jewelry when working in CSP 🤦♂️🤷♂️
I enjoyed this. Thanks
These are really cool videos. I’m not in the health care field, but find it fascinating to get a glimpse of how things work. Thanks for sharing these and taking your own time to create them. It’s great how much you enjoy your career, and that you genuinely care about your patients. 👍🏻
They didn't follow basic requirements. If Joint Commission walks through their department they could get fined, or close them down.
I’m not in the healthcare field, as I stated, so the high level view is very interesting to me. I’m not looking to find reasons to pick apart someone’s personal efforts. I do hope you can find the resources that meet your needs more appropriately, and I trust that it would not be on CZcams for your high level expectations and criteria. All the best.
Your editing style is is awesome! “A few moments later”… made me LOL!!! Question: could I use dedicated pressure canner as an autoclave? Any advise on best practice for that?
I appreciate what this guy is doing my wife is studying to become a surgeon
Eric AKA Blue Big papi long barrel wish her goodluck bro
Thank You for doing this tour. I am a Certified Instrument Tech. I have been in this field for 13 yrs. I have my own surgeon (Mohs Surgeon) . i started in our Main Hospital but left to work with this surgeon. Alot of ppl don't realize how much work we do in SPD. Im thinking of going for surgical tech in January. I love SPD and i get paid good $$$ and benefits. Thank You Again.☺☺☺☺
@@deborahgarland5618 What are you talking about who is/was being negative. I don't see nor did i say anything negative. Reread my responses ma'am. smdh ppl. And if you are replying to others don't under comment on my post. comment in general, I think that's what you were trying to do.
Thank you for another great video! I enjoy seeing the process come full circle.
Nice video thanks for the tour and the tutorial
What solution was that before washing?
Was it just sprayed or mixed for soaking? How long?
Wow that decontamination area is small compared to the one I work in.
the autoclave is like a big oven that has steam
I'd love to see Mike wrapping Christmas presents he'd probably be great at it and you can compete with each other.... Maybe a toy give away to the pediatric unit?
that is a good idea my hs jrotc class does stuff where we spead the day at different middle schools
Informative video! Always been interested in the flow of the CPT.
So he just rinsed and put it in the washer. No scrubbing?
shaking my head....
Possibly wasn't bloody. I thought that too, because I usually let them soak.
@@loui30 most surg techs will put what they used during surgery (bloody) on top separated with a blue towel and sprayed with enzymatic solution, that way when it gets sent down the sterile processing techs will know to give the top instruments a more thorough cleaning vs the instruments that haven't been used (bottom layer)
@@xno-rc7lo Yeah, that is true. Although where I work, some Scrub techs won't even spray the trays sometimes. So I'll be handling bloody instruments with only gloves on and make my gloves feel sticky. I'm an S.T. graduate and this is stuff you learn early on. I have no idea how these techs forget the most obvious things.🤦♂️
At our hospital it's L&D that's guilty of not spraying. And they need to the most. People don't realize that blood/fluids corrodes the instruments.
Good Break down
The black container with small instruments used as an example has no holes to allow the steam inside. Does it have another structures to allow the steam inside the box?
You can sterilize with dry heat as well as wet heat.
Thank you for this informative video! Current SPD student right here.
I am close to being hired to the Hospital where I was born in, as a Sterile Processor, so this video really helped me understand more of the process.
Did you get the job?
@@Ms88Chick yeah I actually did. As of today it's been 2 years and 3 months. Thanks for asking.😃
@@loui30 did you get hired with or without certification?
@@maravatiodelencinal Without. For my hospital, it wasn't mandatory. Although, I know some facilities do require it.
@@loui30 Thanks!
Thnx for this
No enzymatic soap, no mechanical cleaning, just rinse and put in washer?
I agree, I am alarmed watching this.
He mentioned a pre-soak. Also, some washers add the soap for you. I found it weird that there's no ultrasonic cleaner portion, but I'm not familiar with the washer they use. Also, those instruments would have most likely been scrubbed before being sent through the elevator. They may have skipped a couple steps if the instruments weren't contaminated, or to avoid showing blood/graphic content, and forgotten to mention it. Lastly, they didn't mention the actual packing of instruments, or inspection, but I would assume, again, that they simply didn't think to mention it. I would conclude that this is a brief outline of the process for people who aren't familiar and not a video intended for training. TBH, watching this video was like seeing a dream SPD, I work in veterinary medicine and we rarely get access to this level of facility.
@@sarahalaniz7837 It doesn't matter if he " pre-soaks". Manuel cleaning is needed to get rid of bio burden, but especially biofilm. Please attend conferences for more information, and get certified.
@@rayisrayrayisray896 wow, please don't be condescending. clearly you didn't read all of my comment.
Rayisray Rayisray I was wondering the same thing? We open and soak our instruments in enzymatic solution, scrub them under water. No splashing is allowed. Then the instruments are drained and put into the washers.
SPD manager missed many steps when he was cleaning that tray, it didn't get soaked or cleaned with any enzymes water and never got put the tray into sonic machine before putting into the actual washer. Basically just sprayed it down with water and put into the washer
Hi..i'd a question on how they wash other micro surgical instrument like ophthalmology's stuff thank you
Brand new OR RN that's always been just a little confused on what exactly happens in SPD - thank you so much for this! I understand now actually seeing the process from dirty to sterile instead of just talking about it!
You all should try a tracking system.
That spd its so small. My unit in Dallas its 45k sq ft.
The first step in the washbasin is to rinse with cold water. Why was your water hot and steaming? And why didn't you do manual cleaning and rinsing?
Thank you for showing us every detail but does it have alot of paperwork and to memories things or you will just match thrm to their numbers?
i went from being a surgical tech to working spd less stressful.
love these videos. I'm in the surgical tech program but ì wnt to go for Sterile Processing as well. thanks
How are you bille
I am a surgical tech (14 years) that tried three times to work in SPD (at different hospitals) to help out the dept and earn some extra cash and ended up leaving because for some reason most of the employees there were bitter and angry as hell, and they complained about just about everything. I thought we were all on the same team. No thanks, I’ll stay in the OR.
Lmao ok? That’s just YOUR experience, not every place is like that
@@KC-py5vq of course its MY experience and MY reason for posting. LMAO
Would you recommend starting off as a sterile tech (due to the small amount of schooling it takes) when working towards becoming a surgical tech?
Up to you really, personally I would just try to go the route of surgical tech and try to land an SPD job while in school.
Surgical Tech Tips thanks for the tip. If my work won't adjust my schedule then I will go this route.
Kyle Vargo
do it you'll luv it I'm going into my second and last semester, afterward I plan on going into either nursing or surgical tech
What hospital is this? I'm SPD tech with V.A. and ya'll would fail before you get to the washer. V.A. is really strict.
Lol😅
Will those vendor trays be assembled by the vendor for a specific ortho or neuro case that is scheduled?
I love this hospital, and Im glad to see mike is still there. Hes a great guy!
william H he didn’t wash the instruments correctly and the bio wasn’t positioned correctly on the sterilizer rack. If you know him, tell him to study up on his standards.
Thank you for your insight Sir. I also wanted to let you know I passed my back table check off last week and will be starting clinical next week. I feel you have been a big help.
+Gina Nugent great news.
Very nice
Greta vid! I went to school for ST and graduated but not certified. I went back to school to do SPD and I am certified for that. And I recent,y just got hired for SPD! 😃 Cannot wait to start and one day nearby continue my path for ST! I'm sure it will help me
Hi, I’m wanting to become a ST also and was thinking of starting here. Have you started working in SPD?
how is it going im looking to go into it?
Reece KB I recently started in Spd. It’s a great starting point. You can always move up
G.S Vlogs I did! I really liked it but now currently back in school again for a refresher for ST! Hopefully I can do both, I like varying haha
How are you ashle
I am hoping to be hired soon for this position. Is there any recommendations on what book to buy for studying? I am hoping the place will offer schooling but to do better for myself, I'd like to get a jump start if possible!
Did you get hired?
If no moisture will get through this wrap, how the hell do the instruments get autoclaved?
I'm wondering as well
what about sharp instruments and your hands to prevent cuts
I’ve been thinking of becoming a certified sterilization technician someday
The college I’ll go to has only 4 classes for SPT it’s Oakton community college 😊
Awesome video, thanks for making it!
Can surgical techs have arm tattoos? I plan on starting school within the next year, but I have a partial sleeve.
Yup
Oh yes. Everyone at my job has tats.
Why not?
You do great vídeos!
How are you
If the instruments are inside of a pack or those boxes, how do they get sterile???
Thank you!
What about the linens? How are they sterilized?
During the sterilization in autoclave everything will be sterilized I think
The book says no jewelry as it harbors microorganisms/germs. However he was wearing rings, bracelets, watch🤔
We are being taught to check for water and hair in our instrument sets before placing on our back table. Is it common to have to switch out instrument sets? SPD seems thorough, and Mike was awesome!
You should always do this no matter what hospital you are working at.
How do the instruments get sterilized if they are packaged in the blue bag?
I would like somebody to mention the con and pros of the job for beginners?
I'm passionately studying and hoping to achieve my best grades this year. This month is full of my final exams. I want to be in any kind of medical career, and thinking about a future where I'm a surgeon or a nurse or something like that makes me go to bed excited to wake up in the morning and work hard. Wish me luck for the exams plz, haha.
How would instruments used for neurosurgery be handled because you don't know if the patient has a dormant prion disease.
toss em out....there seems to be no guidance on processing them....
No beard covers required? Wearing a t-shirt under your scrubs? No brushing/flushing instruments?
I thought the same thing. That is not proper decontam practice.
I agree. Where is Joint Commission? Lol
they also have rings and watches on
Separate, scrub, soak, rinse, sonic, washer.
This manager doesn’t know what he’s doing.
Under shirts are very common, though
No rings and clocks please!
I'm fixing to start training in our hospitals SPD in about a week from now, this video gives great insight.
How are you
Looking for a career change. Is it cold in there where you work?
How often the elevator is sterilized I don't think that's safe???
Dirty and clean must be different elevators.
That looked like 30 second's.. 👀 I stand corrected 30 minutes is 💯
Wait... thats all they do in their decon? they didn't even use enzymatic o.o
Did they skip a step ?
Connie Blackford yep
Several
5:25 Why does he wrap a tray in two layers at once? Shouldn't he be wrapping it in one layer and then another? That's how it's done where I work.
Why is that blue colour is preferred?
It's eases the patient's mentality. It's a calming color, for lack of better words.
And surgeons will take all the credits? Got it!
Why isn't Mike wearing a beard cover??
My thoughts as well.
Because it's at a very short length, he can get away with that.
As a SPD manager technically if it’s a short enough in length it’s not required
how to clean plastic tool's like for example otoscope tool's and
I don't think you clean them but just buy a new one. I'm am not in the field though.
Plastic equipment can either be hand washed or wiped with sani-wipes
acjkkkkkk. dont scrub the biofilm off?? arrggggggg..
I hope their not sending cameras and light cords through the washers!!
Why? (Forgive my ignorance)
@@charadremur333 Cameras and light cords are manually cleaned and then low-temp sterilized.
Wait an hour at 270* for an hour , so I could sterilize metal stuff in my oven?
No, wont work. Oven has no steam.
Dry heat at 320°F for two hours will sterilize. 270°F for one hour with moist heat. Heat is the easiest way, though you can also use ethyline oxide, nitrogen dioxide, ozone or hydrogen peroxide as the video did.
You can also use radiation but this typically isnt used outside a factory setting.
Sterilization is merely making it impossible for spores to survive. Most bacteria and pathogens die at 60°C but the spores are much harder to kill
so in my oven at 320 for two hours and it would be sterilized
Yes. That is correct
It's common to clean and package surgical tools in plain envelopes and then bake them at 320 for 2 hours in places that are less equipped than this.
I do sterile processing in a clinical setting. This is cool, getting to see sterile processing in the big leagues.
Is it better working in a smaller setting I ask because I am just started my cst course last week
@@coreycoley72 better? I really can’t say, as I have only done smaller/clinical scale. The larger the facility, however, the larger your budget is likely to be, so the better the equipment is likely to be.
How' are you anna
Do surgical techs typically do sterile processing? Or do you have your own sterile processing techs?
Paige Pierson usually there is processing techs at the hospitals. If you are working at a surgery center, you may be the one doing the sterile processing as a surgical tech.
K Tray , you are absolutely correct. At the hospital I work at, we have surgical techs who, after a case is finished, will bring dirty instruments down to our Sterile processing dept and the Sterile processing tech will take it from there. Instruments will be cleaned, rebuilt and sterilized, and once again, ready for the next surgeon who needs it. 😀
Hairnet on beard? ????Require? ???
No Bar code Yet?
Like Censitrack?
Congrats on 5000 subscribers!
+Kaitlyn B Crazy right!?
Amazing
How are you
Omgosh!! The bio in the sterilizer was positioned all wrong 😲
Who is this guy??
Lol. I noticed the BI too, but didn't think it was positioned "wrong", but I thought different. I must ask, why it's wrong to place it like that.
I’m a sterile processing technician and I WISH decontam was this easy 😂
Haha. Same! 😅 it was probably just for demonstration. Then again, the decon area looked tiny, so maybe they don't receive loads of trays.
Yes, this is way too sketchy
Lol is true
How are you britt