School for sterilization School for sterilization operatoroperator

The Swiss experienceThe Swiss experience

Frédy CavinFrédy CavinCSSD Manager in CHUV – LausanneCSSD Manager in CHUV – Lausanne

President of the Swiss Society for sterilization SupplyPresident of the Swiss Society for sterilization Supply

IntroductionIntroduction

In the pastIn the past Who worked in sterilization ?Who worked in sterilization ?

Persons who could not work any more in the other Persons who could not work any more in the other services of the hospitalservices of the hospital

Persons without or little basic trainingPersons without or little basic training What work?What work?

Mass production as Mass production as compresses compresses

Simple classic instrumentsSimple classic instruments

IntroductionIntroduction

TodayToday What work ?What work ?

More and more complex instrumentsMore and more complex instruments

EducationEducation

In collaboration with H+In collaboration with H+ Assistant technical in sterilization Assistant technical in sterilization

Level 1 – 2 – 3Level 1 – 2 – 3

German part : German part : 19961996 French part : French part : 19991999 Italian part : Italian part : 20072007 Majority of the staff working in sterilization Majority of the staff working in sterilization

made the training level 1made the training level 1

Contents of the programContents of the program Methodology of learning (2 x 2 hours)Methodology of learning (2 x 2 hours) Bases of microbiology Bases of microbiology Ways of transmissions and epidemiology Ways of transmissions and epidemiology Legal bases and reference documentsLegal bases and reference documents Circuits of the materialCircuits of the material Knowledge of the medical devicesKnowledge of the medical devices All the steps of decontamination : All the steps of decontamination :

Wash, packaging, steam sterilisation, the other Wash, packaging, steam sterilisation, the other methods of sterilisation (EO, FO, VHmethods of sterilisation (EO, FO, VH22OO22, etc.), , etc.), controls in sterilisationcontrols in sterilisation

Contents of the programContents of the program

Theory Theory 10 days of training distributed over 3 months10 days of training distributed over 3 months

PractisesPractises But the persons have to work in a CSSD for 6 But the persons have to work in a CSSD for 6

monthsmonths ExaminationsExaminations

Writes : questionnaire with multiple choice Writes : questionnaire with multiple choice Oral : 3 questionsOral : 3 questions

Use of new techniquesUse of new techniques Examples Examples

Dosage of the rests Dosage of the rests of proteins on of proteins on instrumentsinstruments

Use of new techniquesUse of new techniques

Controls of the resistances of packagingsControls of the resistances of packagings

Use of new techniquesUse of new techniques Use of microscope for the control of Use of microscope for the control of

instrumentsinstruments

Use of new techniquesUse of new techniques

Control of laparoscopic instruments

Use of new techniquesUse of new techniques Use of embarked probes and computing Use of embarked probes and computing

tools for the controls of the washers-tools for the controls of the washers-disinfectors and the sterilizersdisinfectors and the sterilizers

Why to do more?Why to do more?

Recognize the realized workRecognize the realized work Increase the level of competenceIncrease the level of competence SafetySafety

ExampleExample Repair of a car = garage mechanicRepair of a car = garage mechanic Surgical material = staff without basic training!!!Surgical material = staff without basic training!!!

Schéma du système suisse de formation 

What ways to choose? What ways to choose? Formation in 3 years with FCC (federal certificate of Formation in 3 years with FCC (federal certificate of

capacity)capacity) At a CSSD (practical training)At a CSSD (practical training)

3 - 4 days a week3 - 4 days a week Lessons in a specialized school (theory)Lessons in a specialized school (theory)

1 - 2 days a week 1 - 2 days a week General knowledgeGeneral knowledge

Language of the region, the mathematics, the physics, the Language of the region, the mathematics, the physics, the chemistry, the office automation, etc.chemistry, the office automation, etc.

Specific knowledge Specific knowledge All the steps of the reprocessing All the steps of the reprocessing Instruments Instruments Etc.Etc.

What to make ?What to make ?

Acceptation of the SSSS Acceptation of the SSSS Prospecting in the other domains Prospecting in the other domains

Pharmaceutical Industry, laboratories, etc.Pharmaceutical Industry, laboratories, etc. Preparation of the legal document of Preparation of the legal document of

agent's initial training of sterilizationagent's initial training of sterilization

Contained by this legal document (1)Contained by this legal document (1)

Name and profile of the profession Name and profile of the profession Duration of the training (3 years ?)Duration of the training (3 years ?) Social, methodological and professional Social, methodological and professional

skills skills Safety in the work Safety in the work Parts assumed by the various places of Parts assumed by the various places of

trainingtraining

Contained by this legal documentContained by this legal document (2 (2))

Plan of trainingPlan of training Requirements put to the persons and to Requirements put to the persons and to

the schools giving the trainingthe schools giving the training Procedure of qualification and success Procedure of qualification and success Certificate and title Certificate and title Which oversees the training ?Which oversees the training ?

Plan of trainingPlan of training Level of the specific knowledge in reprocessing : Level of the specific knowledge in reprocessing :

minimum level 2 minimum level 2 Helps of a specialist to realize the plan of Helps of a specialist to realize the plan of

trainingtraining Financial investment of the SSSSFinancial investment of the SSSS

Schools Schools One in Swiss FrenchOne in Swiss French One in Swiss Italian One in Swiss Italian One or two in Swiss German One or two in Swiss German

ObjectiveObjective 20 students by schools and a year 20 students by schools and a year

Of what is it again necessary to think ?Of what is it again necessary to think ?

How to do with the persons who work at How to do with the persons who work at present in sterilization?present in sterilization? Recognitions of the experiences Recognitions of the experiences Specific courts of preparation for the Specific courts of preparation for the

examinations examinations Collaboration with H +?Collaboration with H +? And for the managers in sterilization?And for the managers in sterilization?

Management trainingManagement training Superior training in sterilization ?Superior training in sterilization ?

FutureFuture

Training which allows outlets for the competent Training which allows outlets for the competent personspersons NurseNurse Technician of operating theatherTechnician of operating theather UniversityUniversity

The work in sterilization does not have to be a The work in sterilization does not have to be a dead enddead end

Where we are ?Where we are ?

First contact with authoritiesFirst contact with authorities Obvious interestObvious interest Ask to make an analysis of the situation of the Ask to make an analysis of the situation of the

sterilizations in Switzerlandsterilizations in Switzerland QuestionnaireQuestionnaire

55 questions55 questions To send to all health care centers with CSSDTo send to all health care centers with CSSD AnalysisAnalysis

ConclusionConclusion

The implementation of a training with The implementation of a training with agent's FCC of sterilization becomes a agent's FCC of sterilization becomes a necessity necessity

The road to arrive is there still long The road to arrive is there still long There are many points to be clarifiedThere are many points to be clarified