CSP 101 - Central Sterile Processing Technician

		Hours
Competency	After completing this section, the student will be able to:	Class	D.Lab	P.Lab/ O.B.I.
Introduction to Central Sterile Supply		2	0	0
The Profession	Recognize Central Sterile Processing technicians as professionals.
	Explain the certification process and its importance to the profession
	Discuss the work tasks performed by Central Sterile Processing technicians.
	Discuss departmental organizational structures.
	Review career opportunities.
Basic Sciences		6	0	0
Human Anatomy and Physiology	Identify the main components of a cell.
	Describe the structure, function, activities, and role of cells in physiology.
	State the function and main components of each major body system.
	Describe how each body system helps in maintaining normal life routines.
	Identify and define basic terminology related to each body system.
Microbiology	Describe types of microorganisms.
	Define pathogen and pathogenicity.
	Discuss factors involved in disease transmission.
	Identify portals of entry and exit for pathogens.
	Describe environmental requirements for bacterial growth.
	Describe algae, fungi, and viruses.
	Discuss bioterrorism and the ability to infect a target group.
	Discuss the application of microbiology principles in Central Sterile Processing.
Infection Control and Aseptic Technique		5	6	8
Infection Control	Describe the origins of the germ theory of disease.
	List the six components in the chain of infection.
	Explain the significance of hand hygiene in the control of infections.
	Review basics of the Bloodborne Pathogens Standard.
	Define employer’s responsibilities in following Standard Precautions.
	List items to be used as personal protective equipment.
Aseptic Technique	State five principles of asepsis.
Cleaning and Decontamination	Describe methods to prevent cross contamination during transportation.
	Explain proper handling of liquids.
	Define terminology related to the decontamination process.
	Discuss the relationship of decontamination to the sterilization process.
	Describe methods for inspection of instruments and equipment.
	List levels of disinfection required for specific items.
	Discuss and demonstrate manual decontamination.
	Explain differences in chemical agents used in decontamination.
	Describe the types of equipment available for mechanical cleaning and decontamination.
Disinfection	Define the term disinfection.
	Discuss factors that impact the effectiveness and chemical action of a disinfectant.
	Define and discuss high, intermediate, and low-level disinfection and disinfectant selection for each level.
	Review recordkeeping requirements important to monitor the use of high-level disinfectants.
Endoscopic reprocessing	Discuss the history of endoscopes.
	Discuss reprocessing details specific to rigid and semi-rigid endoscopes.
	Define present regulations/guidelines applicable to endoscopic reprocessing.
	Demonstrate basic steps to cleaning/reprocessing a flexible endoscope.
Equipment Management		2	0	7
Equipment Management System	Define factors involved in the effective management of equipment.
	Define scope of service and asset management.
	Discuss the processes involved in effective manual and automated equipment management systems.
	Review planning and analysis principles required to purchase and manage technology.
	Discuss basic information about equipment and technology leasing/rental alternatives.
	Discuss advantages and disadvantages of outsourcing and insourcing an equipment management system.
	Review regulatory issues in managing equipment.
Sterilization		9	6	7
High Temperature Sterilization	Describe types of steam sterilizers.
	Explain the principles of steam sterilization.
	Identify factors that affect steam sterilization.
	Define special purpose pressure sterilizers
	Describe procedures for the maintenance of a steam sterilizer.
	Explain the principles of dry-heat sterilization.
	Discuss advantages and disadvantages of dry-heat sterilization.
	Discuss sterilization procedures for solutions.
	Demonstrate use of a steam sterilizer.
Low Temperature Sterilization	Discuss ethylene oxide, hydrogen peroxide and liquid peracetic acid sterilization.
	Discuss effectiveness, safety, monitoring, quality assurance, penetration, material compatibility, adaptability, and approval of each system.
Sterile Packaging	Describe basic pre-sterilization preparation requirements for surgical trays and surgical supplies.
	Define the purposes and requirements of packaging materials.
	Select the appropriate packaging materials for items to be processed and type of sterilization being used.
	Describe procedures for correct use of sterilization pouches and wraps.
	Demonstrate all packaging/wrapping techniques using woven, nonwoven, and peel packaging material.
	Demonstrate and describe sealing and labeling of packages.
	Explain advantages and disadvantages in the use of rigid container systems.
	Discuss packing and placement techniques for rigid containers.
	Demonstrate basic cleaning and inspection procedures applicable to rigid containers.
Storing Sterile Packages	Describe appropriate storage conditions.
	Define event-related sterility maintenance.
	Describe how sterile products can be contaminated.
Transporting and Handling Sterile Packages	Discuss transportation of sterile packages from Receiving to Central Sterile Processing.
	Discuss transportation of sterile packages from Central Sterile Processing to the site of use.
Surgical Instrumentation		4	6	8
Manufacturing of Surgical Instruments	Discuss the fundamental processes of manufacturing a surgical instrument.
	Identify basic instrument structure.
Classification of Instruments	Discuss how instruments are classified.
	Identify instrumentation from each classification.
Instrument Inspection	Discuss and demonstrate importance of instrument inspection.
Instrument Identification Methods	Explain marking techniques.
Instrument Care	Discuss instrument damage from specific solutions.
Specialty Instruments	Discuss special considerations for powered and endoscopic instruments.
Legal Issues		2	0	0
Regulatory Agencies	Identify the three major federal regulatory agencies that govern Central Sterile Processing
	Review the role and responsibilities of each regulatory agency.
	Discuss reprocessing of single-use devices and rules that govern this type of reprocessing.
Inventory Management		2	0	0
Inventory	Discuss the financial impact of inventory control on the facility and the users.
	Discuss basic pricing concerns applicable to purchasing.
	List factors that influence good inventory management.
	Define and discuss capital equipment.
Distribution	Discuss methods of distribution of supplies and equipment.
	Describe storage and space utilization issues.
	Define reorder point and par levels.
Safety		2	2	0
	Discuss common safety and occupational hazards in the Central Sterile Processing area
	Define preventative measures taken to prevent employee injuries in Central Sterile Processing.
	Define ergonomics and discuss its application to Central Sterile Processing employee.
	Discuss procedures for reporting employee accidents and injuries.
	Explain basic procedures which address fire, hazardous substances, and bloodborne pathogens.
Quality Assurance		2	0	0
	Define quality and its importance to Central Sterile Processing.
	Explain basic quality models.
	Review three categories of quality control indicators used in Central Service—administrative, customer satisfaction, technical.
Professional Development		2	0	0
	Recognize the importance of education for Central Sterile Processing Technicians.
	Discuss the importance of certification and current requirements for certification.
Healthcare Trends		2	0	0
	Discuss managed care and its impact on the Central Sterile Processing.
	Discuss new trends in sterilization, infection control, education, and outsourcing.
	Relate knowledge and skill requirements needed by Central Sterile Processing personnel as new trends develop.

Suggested Resources

Texts:

American Society for Healthcare Central Services Professionals (ASHCSP). (2005). Training manual for health care central service technicians. 5^th ed. New York: Jossey-Bass.

Engelkirk, P.G. & Burton, G.R.W. (2007). Burton’s microbiology for the health sciences. New York: Williams & Wilkins.

Fuller, J.T. (2005). Surgical technology: Principles and practice. 4^th ed, New York: Saunders.

International Association of Healthcare Central Service Materiel Management (IAHCSMM). (2007). Central service technical manual. 7^th ed. IAHCSMM.

Rothrock, J.C. & Tighe, S.M. (2007). Alexander’s care of the patient in surgery. 13^th ed. New York: Elsevier.

Audiovisual Materials:

“Basic Sterilization Principles”-- 3-M Healthcare

“Basic Surgical Instruments, Equipment, and Supplies”-- AST

“Hospital Operations: Event Related Shelf Life”-- Primedia Healthcare

“Instrument Care Video”-- Miltex

“Regulated Medical Waste Management”--AORN

“The Steam Sterilization Process: Old Faithful”-- AORN

Supplies:

Goggles

Surgical Caps

Masks

Gloves

Gowns/aprons

Peel packs—assorted sizes

CSR wrap—woven and nonwoven

Indicator tape

Dust covers

Heat sealer

Steam sterilizer

Biological monitors

Chemical monitoring strips

Basin set

Rigid container system

Instrumentation—minor set/D&C set

Power instruments

Gastroscope

Posted: 06/12/08

Prerequisite:	Program admission
Co requisite:	AHS 109; SCT 100; EMP 100

Competency Areas	Hours
Introduction to Central Sterile Supply	Class	4
Basic Sciences	D. Lab	2
Infection Control and Aseptic Technique	P. Lab/O.B.I.	3
Equipment Management	Credit	6
Sterilization
Surgical Instrumentation
Legal Issues
Inventory Management
Safety
Quality Assurance
Professional Development
Healthcare Trends

D.Lab

0

0

6