Listening to GI Nurses & Technicians: 2023 GI Report Department Ratings and How to Improve Them

The 2023 GI Nurse & Technician Report shined a light on the problems, trends, and opportunities that GI / gastroenterology reprocessing professionals are seeing. While awareness of these challenges is incredibly important, it’s what departments do with this knowledge that really matters.

In our Survey, GI nurses and technicians rated various aspects of their departments on a scale from 1-10, with one representing “poor” and ten meaning “excellent.”

Let’s explore the three lowest category ratings participants gave and how departments can go about improving them.

Ergonomics & Working Comfort – 6.2GelPro

Height-adjustable equipment is one of the first things people think of when it comes to improving ergonomics, but there’s more that departments can do in the short term.

  • Anti-fatigue mats are a great starting point. Cost effective and quick to implement, anti-fatigue mats are a great way to begin enhancing ergonomics for your team.
  • Flushing systems are replacing syringe flushing in departments across the country. Gone are the days of drawing water into a syringe and forcing it through yourSink insert 001 endoscopes. Automated flushing systems make flushing scopes much easier, while eliminating a painful repetitive motion that has the potential to lead to carpal tunnel complaints.
  • Sink inserts can remedy deep basin challenges and bring the working level at deep sinks into a more optimal range of motion. Keep your old sinks in the fight a little longer while you search for the next best solution.

 

Training & Education – 6.3

Training & education was top of mind for participants throughout the survey, and 6.3 is the second lowest rating in any category. Enhancing training and education doesn’t require an educator (although it certainly helps!)

  • Lean on vendors to get an abundance of free educational materials for your department. Some in-services may also be accredited.
  • Schedule regular training sessions based on the needs of your department to keep people up to date on IFU.
  • Get involved with local chapter activities. Find your local SGNA Regional Society, here.

 

Technology – 6.6

Technology investments are often associated with high costs, but they don’t always have to be.FlexiPump™ Independent Flushing System

  • Explore unused features of your tracking system and unlock technology or reporting you already have but aren’t utilizing.
  • Maximize what you have: reach out to vendors to see if there are upgraded versions of software, enhancements to existing technologies, or re-read IFU. There may be untapped features that aren’t in use that are in your GI department today.
  • Identify cost effective technology investments. Flushing systems are a great place to start that impact ergonomics, efficiency, effectiveness and more.

flexipump independent flushing system scope flushing

GI nurses and technicians shared what they thought about their gastroenterology departments; it’s time to listen! Deploying the strategies and methods discussed here can help departments make strides towards improving ergonomics, training, and technology implementation.

Interested in participating in the 2024 GI Nurse and Technician Survey and receiving the free report before it’s publicly published? Click here to make your voice heard!

The Power of Customization for Problem Solving

Customization is defined as “the action of modifying something to suit a particular individual or task.” In sterile processing and GI / gastroenterology departments, there is no shortage of unique tasks that need to be accomplished each day. Between varying sizes, layouts, capabilities, and instruments, there’s a tremendous amount of opportunity to solve problems through customization.

Let’s explore some of the ways departments have leaned on custom solutions to solve their unique problems and achieve their goals.

 

The Challenge: Consolidating Wrapping During Assembly

The Custom Solution: Hybrid Ergonomic WorkStations

Many sterile processing departments are re-organizing their percentage of rigid containers versus wrapped trays. Adjusting this ratio can have impacts to an assembly department’s layout, workflow, and equipment needs.A technician working at a hybrid ergonomic workstation

For one facility in Colorado, this was exactly the case. As rigid container use climbed and wrapping decreased, the need to consolidate wrapping & blue wrap storage became a priority. Only one technician was required for wrapping during a shift. All other prep and pack tables were designed for rigid containers and peel packs only.

The other need? Integrated tracking software and visual inspection technology for IFU compliance at the same wrapping station. The table that did both those things? Nonexistent.

Enter the Hybrid Ergonomic Workstation. By integrating rungs to hang and store blue wrap, and a pegboard to integrate tracking systems and task lights, the team found the best of both worlds. A blue wrap rack was replaced with a functional station, additional electrical was integrated, a built-in light inspected wrap before use, and time spent gathering materials was reduced dramatically with a single station.

 

The Challenge: Three Basins and Staging Space for an Endoscope Reprocessing Sink

The Custom Solution: Staging Panels

When a GI / endoscopy department was pressed for space but looking for a three-basin decontamination sink option that could accommodate their endoscopes, they decided that a sink with turned basins would be the best way to achieve their goals. With three full sink basins on a 78” sink, staging space became a challenge.A reprocessing sink shelf that stores staging panels

To afford more counterspace within the limited area the decontamination sink occupied, stainless steel staging panels were added, along with an integrated housing for the panels below the skirt of the sink. This allowed a sink basin to be converted into counterspace when needed, while ensuring the staging panel was out of the way when all sink basins were in use.

The Challenge: Separating Clean and Dirty Solutions

The Custom Solution: In-basin solution tank

One facility, planning for a new endoscope reprocessing department, had an opportunity to enhance their processes and practices to better align with the (then) new ANSI/AAMI ST91: 2021 standards.

The department was putting particular emphasis on reducing any potential recontamination, even during the cleaning process. This would comply with the recommendation found in ANSI/AAMI ST91: 2021: 7.6-J “a fresh cleaning solution should be used” when addressing the use of automated flushing during the manual cleaning process.

The goal: flush fresh cleaning solution and rinse water through the endoscope without drawing from the decontamination sink where the scope was submerged. Prior to this project, the facility was using disposable basins that posed a splash risk and required some workarounds withinA stainless steel solution tank placed in a basin of a reprocessing sink. their set up to ensure compliance.

The solution is an in-basin reservoir! This customized reservoir allowed for reprocessing techs to fulfill the recommendation in AAMI ST91 without twisting, bending, maneuvering, or balancing to fill and use the reservoir to flush fresh cleaning solutions and final rinse water through the endoscope channels. Ergonomically, it reduced twist and pinch points for the staff. Functionally, it kept the manual cleaning process confined to the appropriate basin.

Plus it achieved even more! The same concept was applied to their rinse sink, achieving the same goals.

 

The Challenge: Accessibility for Sinks in Tight Installs

The Custom Solution: Hinged Pegboard

GI departments have many uses for pegboards. Just like their sterile processing counterparts, having tools and materials within arms reach is not only convenient, but it also streamlines workflows and promotes optimal ergonomics. One notable challenge faced in GI regarding pegboards, however, was an inability to clean behind them.A sterile processing technician bringing down a hinged pegboard on a reprocessing sink.

In many instances, sinks are placed in tight spaces, making it difficult to access the space behind them. Further, if sinks are hard-plumbed, moving them from their position requires a notable amount of effort to make happen. Enter: the hinged pegboard.

Hinged pegboards deliver the organizational and ergonomic benefits of standard pegboards, with the added capability to simply fold the pegboard forward to access the area behind it for cleaning. Another benefit derived from this design is the ability to change the accessories and equipment attached to the pegboard more easily. This allows departments to evolve the capabilities of the sink as the department’s needs change.

 

Conclusion

Reprocessing departments come across unique challenges while trying to achieve the same goals: adhere to standards, guidelines and IFUs, and keep patients safe. However, no two departments are the same, and it can be difficult to solve problems with “standard” equipment designed for facilities that may not resemble theirs.

Customization offers departments the ability to make their equipment work in the space they have available and meet their unique needs. SPD & GI departments come in all shapes and sizes. With customization, their equipment can, too.

Looking to solve some unique problems in your department? Let’s design your custom solution together!

Customization: The Practical Solution to Tough Problems

Customization is often viewed as a luxury; something deemed expensive, unnecessary or frivolous. But in reprocessing departments, nothing could be further from the truth. No two departments are exactly alike, and they’re often shoe-horned into a space not originally meant for an instrument or scope reprocessing department, at least not for the demand of a modern OR. These departments, however, are all required to do the same job, to the same high standards.

Equipment customization isn’t an unnecessary luxury, it’s a practical way for departments to solve their unique problems and meet their unique needs.

In 2023, SPD and GI professionals from across the country participated in two surveys: the 2023 SPD State of the Industry Survey and the 2023 GI Nurse & Technician Survey. Through these surveys, and the subsequent reports created from the results, many problems were identified from the frontlines of reprocessing.

How can equipment customization address some of these problems?

 

Ergonomics & Technician Comfort

In the 2023 SPD State of the Industry Survey, participants rated Ergonomics & Technician Comfort in their departments a collective 6.3/10, leaving considerable room for improvement. Further, 39.62% of participants in the 2023 GI Nurse & Technician Survey pointed to working conditions, such as stress, ergonomics, and burnout as the top reason people leave GI/Endoscopy departments.

Ergonomics can be closely related to customization, and a 2020 study on the types of ergonomics and efficiency can be tied back to employee wellness. (Kata, Anilambic , July 2020) With a focus on cognitive and physical ergonomics, customization allows for the consideration of the employees and their unique interactions with their job and the standards & regulations that are imparted on them to adhere to.

Approaching ergonomic challenges through the lens of equipment customization is an excellent way to zero-in on specific problems address them directly. For instance, designing a decontamination sink or prep and pack table to include height-adjustable lifters rather than fixed-height legs, or with other micro-ergonomic features like monitor tilts and foldaway keyboards, the employee as the ability to make the adjustments to maintain comfortable working conditions.

Similarly, designing workflows and processes at decontamination sinks and workstations in an intuitive, accessible way helps keep technicians from straining themselves, overexerting, or putting themselves in precarious positions trying to reach for necessary tools. For example, the location of equipment such as leak testers, enzymatic dosing pumps and other reprocessing supplies can impact workflows and the employee’s ability to complete the job consistently and without strain.

Customized pegboards, pegboard layouts, and accessories can help keep everything a technician needs within reach.

 

Lack of Space

Nearly 57% of participants in the 2023 SPD State of the Industry Survey cited space concerns as being among the most common problems seen in sterile processing departments. A lack of space is often the source of many other problems, such as IFU compliance, poor workflow, and inefficiencies.

Equipment customization shines here as well. The ability to design a decontamination sink or prep & pack table from the ground up with your department’s needs and spatial limitation in mind means that the space you do have can be maximized in a way that cookie cutter equipment can’t achieve. Some standard equipment sizes may be too large for the area you have available, while others may be too small, leaving precious space entirely unused and unable to be repurposed.

A foot of empty space next to your sink isn’t good for much, but an extra foot of counter built into your sink is exceptionally useful!

 

Upcoming Challenges

Workarounds and modified compliance can give way to gaps and inconsistencies in reprocessing in both sterile processing and gastroenterology spaces. Standards and regulations are bringing more awareness to the ramifications of poor or hindered practices, and with it, new rationales and guidance that can aid in preventing the cost of discrepancies.

38.68% of 2023 GI Nurse & Technician Survey respondents pointed to compliance, guidelines, and IFU requirements as the top concern looking to the future. Participants of the 2023 SPD State of the Industry Survey were on the same page, with 64.18% considering it to be a growing challenge moving forward.

It’s clear that reprocessing professionals across the country, and across disciplines, view compliance as a daunting task to continually achieve. IFU’s are unique and require workflow adaptability to provide a pathway for compliance.

Tailored equipment has a role to play here as well. Whether it be required basin count to configure workflows properly (ANSI/AAMI ST91 4.3.2 & ANSI/AAMI ST79 3.3.6.1) , basin width to guarantee lengthy instruments can be fully submerged per their IFU, or integrated lighting to ensure light levels are suitable enough for accurate visual inspection (ANSI/AAMI ST79 3.3.5.6 & ANSI/AAMI ST91 4.3.8), custom equipment allows departments to achieve compliance based on the nature of devices being reprocessed within them. Customization also plays a key role in organization and should be utilized in such a way that processes become streamlined and speak to the expectation of the job being accomplished at that station.

 

Conclusion

Don’t be fooled about the importance of customization. While adding a mini fridge and video game system to the trunk of a car might be unnecessary, customizing equipment for sterile processing and GI/endoscopy departments is quite the opposite. Equipment customizations enable reprocessing departments to better achieve their goals with the resources and space they have at their disposal.

Whether it be enhancing ergonomics, maximizing space usage, or achieving compliance with industry standards and IFUs, custom equipment design has a critical role to play in improving the effectiveness of SPD and GI departments.

 

Interested in finding out how you can solve some of your department’s ongoing challenges through tailor-made equipment? We’d love to help!

Perspectives: The Traveling SPD Manager

When Ivy Magruder chose to leave her HR career, she wasn’t sure what was next—but she knew she needed a change. After interviewing at a nearby hospital, earning a promotion to SPD manager within a year, navigating department changes, and starting a new company, Magruder has become a successful traveling SPD manager. Magruder’s love for problem solving has allowed her to help a myriad of departments since her career change.

Ivy Magruder, Traveling SPD Manager

Years of experience across various sterile processing departments have given Magruder valuable insights and a unique perspective on the sterile processing industry.

Magruder brings a unique perspective as a traveling SPD manager, sharing insightful experiences from the challenges she has witnessed and solved while leading departments across the country for six months at a time.

 

Bringing in a traveling manager

Magruder explained that while there are many reasons a hospital might bring in a traveling SPD manager, she generally experiences one of three scenarios when she signs a contract:

  1. A sterile processing department is without a manager, and they’re struggling to get applicants. The significant staffing shortages in recent years, along with the facility’s location, have increasingly caused low applicant rates.
  2. Similarly, when a department is stretched thin and can’t fill a manager role internally, it brings in travelers to serve as a stopgap, keeping the department operating efficiently while finding a permanent replacement.
  3. Departments can also hire traveling managers when they lack adequate management and need persistent problems solved until they find a full-time manager.

 

Common trends across sterile processing departments

After managing so many departments, Magruder identified some commonalities among them all, both positive and negative. Some common areas for improvement are usually:

  • Lack of training: Magruder has often found that many departments she comes into lack the training necessary to operate efficiently. Training becomes a top priority in her plans to improve these departments.
  • Breaking habits: There’s no replacement for experience, but Magruder has found that the most experienced techs have the toughest time breaking old habits in favor of new.
  • Quality concerns: Quality programs are not always as robust as they should, including regular audits and taking corrective action when a problem persists.
  • Policy problems: As Magruder explained: “What you do becomes your policy, regardless of what you’ve got written down.” Many departments have written policies that outline how processes should be done, but they are often not followed consistently enough to make a difference. Lack of enforcement can be a pervasive problem, and addressing it is critical to achieve compliance.

 

The sterile processing personality

While no group of people are universally the same, Magruder has found that people working in sterile processing often share some terrific traits:

  • Passion: Most people care about doing the right thing in their department. Whether it’s meticulously following an IFU, or instilling this passion in their teammates, SPD teams fully understand how their actions impact patient safety.
  • Problem solvers: When mistakes are made, Magruder has found that most people in sterile processing are interested in solving them together, asking questions like, “how was it missed?”, and “how can we avoid this problem in the future?”

 

Magruder had this to say about working in SPD:

“If you do not get warm fuzzy feelings when you work in SPD, then this is not the job for you. There’s no glory in SPD, no neon lights.”

Entering new departments

Many departments are similar, but no two departments are ever the same. Nonetheless, Magruder has certain steps she takes when she takes the helm of a new department:

  • Identify training gaps: With many departments exhibiting the need for additional training, Magruder looks to identify where training is needed accomplish this quality for compliance.
  • Assess tracking systems: If the department is using an instrument tracking system, she finds out everyone that has access to it and pares that number down to strictly necessary personnel. With too many people able to access the backend of a tracking system, problems are almost inevitable. Whether it’s misconfiguring a setting or duplicating instruments, unnecessary problems lead to unnecessary work resolving them.
  • Explain the plan: “Respect is earned, not demanded.” When Magruder enters a department, she explains what the game plan is going to be and lets the team know that it is a team effort.

“I’m here to get this department in compliance. Some changes will happen gradually over the course of six months. Other, more immediate changes are doing to be made tomorrow. We’re all in this together to make sure we’re keeping the patient safe.”

  • Understand productivity: Magruder assesses the department’s throughput and productivity levels. Establishing these data points help to determine where time, effort, and money needs to be applied for improvement. It also allows the department to see their improvement over time.
  • Analyze staff hours: Analyze how scheduling is currently handled and whether adequate staffing levels are being met for every shift. If you can’t get the right number of people working every shift, departments will start falling behind.
  • Make instrument purchases: Magruder investigates the most commonly used instruments and ensures that they have enough of them. Increasing instrument inventory gives SPD some breathing room on in-demand sets, allowing the OR to get what they need without demanding or perpetually creating rush requests.

 

Being a traveler

Magruder explained that it’s common for the presence of travelers to have a negative impact on morale when they enter a department. “Travelers make good money,” Magruder said, “they need to be earning it.”

The key to making a positive impact as a traveler in a new department according to Magruder is demonstrating you’re bringing value to the department and the team. “Travelers need to step up and show integrity at every level of sterile processing.”

Travelers need to be on top of standards, guidelines, and IFU requirements. This need is amplified because, in Magruder’s experience, many departments turning to travelers lack a dedicated educator, meaning travelers can bring valuable knowledge to departments that can’t commit additional resources to training and education.

 

Conclusion

Traveling SPD Managers are vital for departments that are struggling to fill these roles. They bring valuable insights, approaches, and problem-solving skills that help departments reach their goals and sustainably achieve compliance long after the traveler’s contract has expired.

Jumping from department to department, while not always easy, provides traveling SPD managers the ability to continually refine approaches to common problems and deliver better and better results for the departments they serve. Through on-going self-education, meticulous attention to detail, an ability to rally departments towards common goals, and sheer passion for the industry they serve, traveling SPD managers go the extra mile to keep patients safe all across the country.

 

Interested in other perspectives from SPD? Check out these other blog posts:

SPD Director

Educator

About: Perspectives

Perspectives is a series of articles written to present a deeper look into the unique profiles, experiences, and backgrounds in the sterile processing community. By evaluating our industry through the unique lenses of its people, we can better understand our impact on each other, our patients, and our communities. Thank you to those who offered their time to write these articles with us. We appreciate your time, and your commitment to your patients and staff!

Perspectives: The SPD Director

From the sterile processing technician on the front lines, the manager keeping the workflows running, the educator making sure everyone is trained, to the director advocating for resources and guiding departments across campuses, every level of sterile processing has a unique and important impact on patient outcomes.

One SPD Director, Kenneth Campbell at Berkshire Medical Center in Pittsfield, MA, offered to share his perspective on his role in sterile processing services. Campbell has an extensive history in central sterile. Beginning at the age of 17 he enlisted in the armed services as a surgical tech, and grew into his role today as Director of SPD, member of the HSPA Board of Directors, author of Time to Talk… What They Didn’t Tell Me, and host of the Time to Talk podcast. His passion for the sterile processing industry is self-evident, and contagious.

As Director, Campbell shared his many insights and perspectives in his role.

 

The Importance of SPD

Campbell expressed great emphasis on the importance of sterile processing departments, and with good reason. Without sterile processing departments doing their job, doctors and nurses are unable to adequately do their role, with the patient suffering most.

Conveying the importance of sterile processing is easier said than done. In many facilities, members of the C-Suite view the SPD as nothing more than a department on paper; they have never visited a sterile processing department, aren’t necessarily sure of its role, and don’t have an understanding of what it takes to enable a sterile processing department to operate at its finest.

At Campbell’s facility, however, this is not the case. As Director of SPD, he consistently advocates for members of different teams, including the C-Suite and OR, to come visit his department and get an understanding of the SPD’s functions.

The effort has paid off tremendously. With heightened awareness of SPD’s role, Campbell has been able to not only make improvements within SPD but create a career ladder for members of his team to work their way up to some of the highest SPD pay in the industry.

 

Evolution of Sterile Processing

I remember getting deployed and you had you had to literally pour the water in the back of the sterilizer just to do a load versus now, just walking up to it and pushing a button. Yeah, evolution is great.”

During his time in SPD, Campbell has seen wide-ranging changes come to the sterile processing profession. From reservoir-fed sterilizers, to biologicals going from three hours to twenty minutes, many improvements have been realized in the space.

Equipment isn’t the only aspect of SPD that’s evolved; best practices have evolved significantly over the years as well. Campbell points to standardization being the most substantial influence on that evolution, and recalled the way it used to be:

“I’ve taken over facilities where it was common practice in the OR if something went down or dropped or whatever it was, somebody went to a common sink and ran it, rinsed it off, and threw it inside of a flash pan and went back to the OR with it. That is not the best practice by far, but back when that was the norm, nobody said anything. Infection rates weren’t a thing that people kept an eye on.”

Standardization has given educators, managers, and directors the tools necessary to help ensure their team contributes to an environment of patient safety at every level, but that doesn’t necessarily mean the standards have been universally adopted the way they’re meant to be.

 

Current Challenges

“[Standardization] is still a challenge to this day. I can sit here and say all day long that we trained to the standard, right? You train somebody to the standard. They know all of the steps, but you could walk into any decon, any prep & pack area in America, and you’re going to find somebody doing something different, even though we know what the book says. Getting people to all follow the same thing. It’s probably our biggest challenge.”

While Campbell praises the guidelines and standards that have contributed to enormous boosts in patient safety and central sterile processes, the ability of departments to keep up with and adhere to them is something he considers to be a growing problem.

“I had to buy new sinks because the standard says we should be using the three-sink method. But based on how some facilities were built way, way, way before that standard, they can only fit two sinks. How can we hold somebody to a standard that doesn’t or can’t exist in their facility?”

A significant limiting factor for many departments is the cost associated with equipment that meets recommendations and requirements; many SPDs don’t have large budgets to begin with, and the problem is amplified if those setting the budgets don’t have an appreciation or understanding of what sterile processing is tasked with accomplishing.

“If people don’t see the importance of what sterile processing does, not everyone is going to be willing to give up those budget dollars.”

 

Advice to Future SPD Directors

If you’re interested in SPD leadership and being a Director of SPD, Campbell offered one piece of advice: Never stop being a tech.

“If you lose touch of that inner tech and then you become corporate, you will lose your staff. You will lose the confidence of your people. And then there’s nothing you can do to get that back.”

Campbell also offered advice related to developing the leadership qualities needed to be a successful Director of SPD, including:

  • Listening: always listen to what’s being said in your department and learning from it.
  • Never stop improving: take steps using what you learn to find ways to continually improve yourself.
  • Bring people with you: leadership requires elevating other people and helping them achieve their goals. Be the person in your department that wants to see everyone succeed.
  • Mentor: share what you’ve learned with others and help them navigate sterile processing with the knowledge you’ve gained during your time.

Campbell also put emphasis on the fact that career progression does not happen overnight. A lot of work needs to be done to gain the technical, managerial, and leadership skills necessary for success.

Further, professionalism is important to keep in mind from the get-go. If your goal is to achieve a leadership position within your department, the way that you act and treat people will play a significant role in your ability to lead later in your career. When your peers become your direct reports, the nature of your relationship changes, and it’s difficult for the former “class clown” to begin having difficult conversations and keeping the department on the right track.

 

Conclusion

SPD Directors fill many roles. They’re the advocates for their department internally and externally. They make sure the right people are in the right position. They develop employees and form the next generation of leaders. Most importantly, they work tirelessly to ensure their departments are doing everything possible to deliver the safest conditions for patients.

It’s clear that Kenneth Campbell’s passion for the industry runs deep, which is exactly what you want to see from a Director of SPD.

Interested in other perspectives from SPD? Check out these other blog posts:

Traveling SPD Manager

Educator

About: Perspectives

Perspectives is a series of articles written to present a deeper look into the unique profiles, experiences, and backgrounds in the sterile processing community. By evaluating our industry through the unique lenses of its people, we can better understand our impact on each other, our patients, and our communities. Thank you to those who offered their time to write these articles with us. We appreciate your time, and your commitment to your patients and staff!

The Three E’s of Injury Prevention in Instrument Reprocessing

The 2023 SPD State of the Industry Report revealed that more than 47% of participants reported having been injured while on the job. Beyond the scope of sticks and strains, there are additional studies that show musculoskeletal disorders (MSD) can occur due to long-term, repetitive movements and strains that go uncorrected.

There are preventative measures that can be taken to reduce workplace injuries and increase health awareness in the workplace.

 

Evaluations: Review your workflow and audit practices routinely.

Routine evaluations provide accountability for both the process and the practice. It is important to audit equipment and workflows on a routine basis to ensure sterile processing departments (SPD) and Endoscopy departments are operating efficiently and safely. Workflows, equipment, and processes that worked in the past may no longer be suitable for safe work now. Evaluations may be needed for new equipment, renovations, and in response to an increase in reported injuries.

When running an evaluation, the Centers for Disease Control (CDC) recommends identifying the following risk factors: “awkward postures, repetition, force, mechanical compression, vibration, temperature extremes, inadequate lighting and duration of exposure.”

Some practical evaluation exercises include:

  • Workflow mapping
  • Data analytics (productivity measurements, staff accident reporting, equipment down-time, quality reports)
  • Team interviews
  • Observation
  • Participation

 

Ergonomics: Know the impact of the labor requirements on GI or SPD technicians.

The Occupational Safety and Health Administration (OSHA) states that a good ergonomics program lessens muscle fatigue, increases productivity and reduces the number and severity of work-related MSDs.”

Ergonomics programs should be focused on fitting the job to the person. This can be applied when considering personal protective equipment (PPE), new reprocessing equipment, layout planning for construction projects, IT requirements, workstations, and ease of transportation of surgical instruments and endoscopes through decontamination to storage.

Providing ergonomic solutions may take a work group to assess, consider and execute. Consider including your infection prevention, safety, and facilities teams in project planning to ensure all perspectives are factored in to deliver ergonomically optimal solutions for your team.

 

Education: Know the benefits of ergonomics and wellness.

Knowledge is power when it comes to ergonomics and health awareness. To reap the full benefits of the ergonomics program established, the team needs to understand how to utilize it to its fullest extent. Topics of ergonomic wellness should include equipment operations, ergonomic features, appropriate body posture and muscle engagement (I.e., range of motion, stretching etc.). Education platforms can include demonstrations, in-services, and updated standard operating procedures, also called standard work.

When we make ergonomics part of the everyday discussion, we inform, enlighten, and bring awareness to our team’s well being.

 

Looking for solutions to remedy common ergonomics challenges, such as eye strain, muscle strain and other hazardous pain points? Our representatives can make recommendations for any department!

 

 

The SPD State of the Industry Survey is an annual, free, anonymous survey asking real sterile processing professionals across the country about their experiences, backgrounds, and challenges they face in their departments. We hope by providing access to free industry research and data, instrument reprocessing professionals can better grow, develop and improve their own departments through the experience of their peers. We are grateful for all the professionals who participate each year, and the contributions to their patients and facilities: thank you for all you do!

 

References:

https://www.cdc.gov/workplacehealthpromotion/health-strategies/musculoskeletal-disorders/index.html

https://www.osha.gov/ergonomics

A High-Level Approach to Staffing & Retention Problems

Staffing & retention is a problem most sterile processing leaders are familiar with, and there’s no silver bullet to resolving it. In fact, approaching staffing & retention concerns from a single angle isn’t likely to deliver a lasting remedy. So how can SPD leaders deliver lasting, meaningful changes to address staffing concerns? Listen to what sterile processing is saying about those challenges.

The 2023 SPD State of the Industry Report delivered many insights into what sterile processing professionals are saying, thinking, and experiencing, as well as what concerns they have about the industry. While you won’t find a staffing & retention silver bullet, insights from throughout the report provide valuable windows into where to look to keep great people for your department.

 

Where to look

Determining how people are finding their way into sterile processing jobs is a good first step to hyper-focusing your hiring efforts.

  • 43.27% found an open position without prior knowledge of SPD.
  • 28.65% were referred by a friend or colleague.
  • 14.62% moved from another department in the hospital/facility.
  • 13.45% pursued education at a university/college with the intent of starting a career in SPD.

So, what should be done with this information to help you find new teammates?

  • Get your open positions in front of people outside of the healthcare industry. Nearly half of the survey participants didn’t know anything about SPD before applying.
  • Spread the word! With more than a quarter of participants coming to SPD via referral, you and your team’s network might be the key to filling open roles with great people.
  • Leverage your relationships in the hospital. Almost 15% of participants came from a different department in the same hospital they were already employed. Your next teammate may already be in the building.
  • Conduct outreach to local high schools to raise awareness about careers in SPD. Couple this with visits to universities and colleges in the area with related programs and certifications to create a well-rounded approach to tapping the labor market in your area.

Tip: Many participants entered sterile processing from their time in the armed services. From military-dental careers, scrub techs, surgical technologists, and more in the both the US Army and Navy, veterans are finding their way to SPD. Use this information to narrow and tailor your search for new teammates. Websites specifically focused on recruiting members from the armed services are also available.

 

How to keep great teammates

Once you’ve brought great people into your team, it’s even more important to make sure they want to stick around. Here are some of the problems participants considered to be the most important to solve, and the positive impacts to retention:

*Pay and benefits has been omitted; it doesn’t take a report to know that competitive pay & benefits improve retention.

  • Update equipment: Antiquated equipment isn’t just inefficient; it can cause ergonomic challenges, create bottlenecks, and generally make sterile processing’s job more difficult, expediting burnout. Modern, updated equipment can make all the difference.
  • Focus on culture: Culture was a top concern that showed up many times throughout the survey. Having a great culture not only helps technicians grow but demonstrates appreciation, holds teammates accountable, and creates a healthy workplace. Request a free pad of Citations for Being Awesome to show your team appreciation!
  • Provide training & education: Give teammates the opportunity to grow and improve themselves through training and educational opportunities. This can range from training courses, to paid time to study for certifications, to getting them to local and national industry events, such as the HSPA Conference. Local conferences are another great, cheaper alternative to education and networking.

 

Recognize their value

Participants freely shared what they enjoy most about working in sterile processing. Putting an emphasis on and reinforcing these ideas can help your team feel fulfilled in their work:

  • Patient Safety/Care: Participants viewed their role in keeping patients safe as the most rewarding aspect of working in sterile processing. Despite not interacting with patients face-to-face, SPD technicians play a critical role in their safety and recovery during and after surgery.
  • Variety of work: There’s no shortage of things to do in a sterile processing department. Rotating teammates throughout the department not only helps develop a well-rounded team but keeps the work interesting on day-to-day basis.
  • Team: A strong sense of team and camaraderie was a rewarding part of many participants’ job. Taking time for team building and helping the team meld can fuel synergy and foster a supportive atmosphere that fuels accountability.
  • Learning: Participants indicated that a source of fulfillment in SPD is the opportunity to expand their knowledge of the job and continue learning. Affording opportunities to continue education and interact with various areas of the department will bolster enthusiasm.

 

Conclusion

There’s a lot to consider when taking on a staffing & retention challenge. From marketing opportunities, identifying candidates, improving the department, and keeping the team fulfilled, it’s not something that can be easily done overnight. Slowly implementing these factors over the months and years your department continues to grow can help them take root organically and create a department people want to be a part of.

 

Interested in digging into the full 2023 SPD State of the Industry Report? Download it for free!

 

Looking to get more information on some of the topics in this post? Check these out to get the ball rolling:

Sterile Processing Training and Education Best Practices

Identifying Educational Needs for Your Department

Solutions for the Top Ergonomic Issues in Reprocessing Departments

Appreciation – The Key to Retention

Establishing & Maintaining a Great Culture in Sterile Processing

Does Ergonomics Drive Employee Satisfaction in Instrument Processing?

 

The SPD State of the Industry Survey is an annual, free, anonymous survey asking real sterile processing professionals across the country about their experiences, backgrounds, and challenges they face in their departments. We hope by providing access to free industry research and data, instrument reprocessing professionals can better grow, develop and improve their own departments through the experience of their peers. We are grateful for all the professionals who participate each year, and the contributions to their patients and facilities: thank you for all you do!

Key Influences on Training & Education in SPD

The 2023 SPD State of the Industry Report revealed that many people in sterile processing departments can have an influence on the outcomes of training & education efforts. These responses demonstrated that training & education can be influenced by people throughout, and outside of, a sterile processing department, and demonstrate the true potential for these programs.

 

Educators

39.84% of participants in the 2023 SPD State of the Industry Report pointed to their educator as having the most influence on training & education in their department. This comes as no surprise, as SPD educators are dedicated staff tasked with not only keeping up with industry trends, standards, and guidelines, but ensuring that the right information reaches the right people on their team; they need to wield considerable influence over training & education and are well-suited to do so.

 

Managers

Managers were the second most influential role related to training and education, with 28.13% of participants pointing to them. Training and education initiatives are often taken up by managers when a department doesn’t have a dedicated educator. However, it isn’t solely the lack of an educator that can lead to a manager’s influence on training and education; managers can use their position to advocate for more educational resources and help implement plans that educators have put together.

 

Supervisors

22.66% of participants cited their supervisors as having the biggest influence on training & education. Supervisors are in a unique position of working alongside their teams in the day-to-day operations. This allows supervisors to keep their finger on the pulse of the team and individuals alike, enabling them to readily identify training and education needs in the department, as well as provide hands-on training during a shift.

 

Directors

Directors were reported as having the most influence on training and education by 9.38% of participants. This comes as no surprise, as directors manage a broad range of responsibilities and activities to ensure the department has what it needs. While directors are unlikely to get into the weeds on training and education, they are in a unique position that allows them to help departments realize initiatives put forth by a manager or educator, giving them the ability to be incredibly influential regarding training and education.

 

Other influences on training and education in SPD

Participants of the 2023 SPD State of the Industry Report also identified other positions influencing training and education in a free response section. These included lead technicians, dedicated trainers, shift leads, materials supervisors, teammates/technicians, and nurses with SPD backgrounds. The variety of roles demonstrates that when members of a sterile processing team see a need for additional training and education, they step in fill the gaps.

 

Vendors

Participants noted the increasing role vendors are playing in training and education. Vendors not only provide updated, thorough information and resources regarding their products, they many also provide free educational tools such as videos, webinars, presentations, and more. The accessibility of vendors and their resources make them an appealing route for enhancing training and education.

 

Conclusion

Training and education is top-of-mind in departments, and sterile processing professionals at all levels are helping to influence it’s direction based on the unique needs of their departments. Meanwhile, vendors are providing valuable resources to help those SPD advocates achieve their goals and, ultimately, help keep patients safe.

 

Interested in digging into the full 2023 SPD State of the Industry Report? Download it for free!

Want to explore free CE programs? View all our free, CE programs, here!

 

The SPD State of the Industry Survey is an annual, free, anonymous survey asking real sterile processing professionals across the country about their experiences, backgrounds, and challenges they face in their departments. We hope by providing access to free industry research and data, instrument reprocessing professionals can better grow, develop and improve their own departments through the experience of their peers. We are grateful for all the professionals who participate each year, and the contributions to their patients and facilities: thank you for all you do!

The Future Challenges in SPD: Identified Trends from the 2023 SPD State of the Industry Report

The 2023 SPD State of the Industry Report provided more than just a window into the current state of the industry, it also provided SPD professionals the opportunity to share the challenges they anticipate escalating in the near future. While many departments already relate to these challenges, others demonstrate that unique ones may be on the horizon.

Staffing & Retention

Staffing is an on-going challenge for departments and many respondents don’t anticipate that changing anytime soon. 74.63% indicated that they anticipate staffing & retention challenges to grow.

Compliance, Guidelines, and IFUs

Throughout the survey, participants noted that compliance issues are becoming increasingly difficult to tackle. 64.18% believe that compliance, guidelines, and IFUs will be among the challenges the face in the coming months.

Instrument Complexity

Compliance concerns likely stem from increasingly complex instrumentation design. 33.58% of participants believe that increased instrument complexity will come to the forefront of problems they’ll need to address.

Volume

32.84% believe that surgical volume will soon increase or continue to increase. This may be fueled by the increased implementation and expansion of robotic surgical programs which brings volume and complexity to reprocessing departments.

Technology

Many participants noted outdated equipment and tools and the negative consequences associated with antiquated infrastructure, with 25.37% of participants noting it as a growing concern.

Robotics Program Expansion

Robotic programs give hospitals and surgeons new tools for minimally invasive care, but SPD is often overlooked as this expansion occurs. 23.13% of participants cited the expansion of existing robotics programs as an upcoming challenge that they’ll need to solve.

 

Is your department already having trouble keeping up with robotic cases? A representative can help identify and remedy pinch points in your robotics workflow!

 

Other challenges

Other challenges were noted in free responses, highlighting some of the underlying concerns sterile processing professionals foresee becoming bigger issues moving forward.

  • Reliance on travelers: Unable to resolve staffing & retention issues, departments have begun leaning on the use of travelers more consistently.
  • Industry veterans leaving: As “lifers” exit the industry, so too does the knowledge they’ve acquired throughout their career in sterile processing. This knowledge gap can be difficult for understaffed departments to recoup.
  • Lack of experience among new technicians: As experienced people leave the industry, many are concerned about the experience level of those being hired to replace them.
  • Inability to modernize processes: Without updated tools and equipment, many processes within a sterile processing department can be stunted and sub-optimal.

 

Conclusion

There’s no shortage of evolving challenges sterile processing departments will be facing in the coming months and years. From staffing & retention generally, to concerns about industry veterans leaving and the experience level of those being hired to replace them, it’s clear that the people in SPD are the most critical assets in any department.

 

Interested in digging into the full 2023 SPD State of the Industry Report? Download it for free!

 

Want to explore one of these challenges more in-depth? Check out the following blog posts:

Staffing & Retention’s Impact on Productivity

The Impact of Changing Compliance Standards

The Recent Evolution of Surgical Devices

Top 5 Ways to Improve Sterile Processing Productivity

Departmental Problem Solving with Data

Robotics Implementation: Tips For Success From An SPD Educator

 

The SPD State of the Industry Survey is an annual, free, anonymous survey asking real sterile processing professionals across the country about their experiences, backgrounds, and challenges they face in their departments. We hope by providing access to free industry research and data, instrument reprocessing professionals can better grow, develop and improve their own departments through the experience of their peers. We are grateful for all the professionals who participate each year, and the contributions to their patients and facilities: thank you for all you do!