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Job Summary
Responsible for direction and oversight of the operations and leadership of the sterilization and distribution of surgical instruments and equipment ensuring compliance with industry standards and regulations.Qualifications
Education: Bachelors Degree Nursing preferred
Can this role accept experience in lieu of a degree No
Licenses and Credentials
Experience: Surgical Nursing Experience 8-10 years required; and Supervisory Experience 5-7 years required
Additional Job Details (if applicable)
Principal Duties & Responsibilities
Develop and implement sterilization processes and protocols to ensure the safe and effective decontamination sterilization and storage of surgical instruments.
Develops and implements offsite sterile processing workflows standards policies and procedures for MGH Waltham MGH Danvers BWFH and Foxboro ASC.
Establishes training resources competency expectations and departmental policies to support consistent instrument and endoscope reprocessing.
Ensures offsite teams adhere to contemporary practices related to decontamination inspection high-level disinfection sterilization storage and instrument readiness.
Oversees standardization of offsite reprocessing protocols to align with AMC CSPS standard work.
Manage the procurement maintenance and repair of sterilization equipment ensuring compliance with manufacturer recommendations and regulatory requirements.
Ensures processing equipment across offsite locations is adequately maintained including washers sterilizers AERs borescopes and inspection tools.
Coordinates equipment repairs preventative maintenance and validation activities at Waltham Danvers BWFH and Foxboro ASC.
Partners with hospital facilities and vendors to ensure equipment reliability and compliance with IFUs and regulatory expectations.
Supports capital planning for new or replacement equipment incorporating workload growth projections and safety requirements.
Ensure compliance with regulatory agencies such as the Occupational Safety and Health Administration (OSHA) the Centers for Disease Control and Prevention (CDC) and relevant accreditation bodies (e.g. The Joint Commission).
Ensures offsite departments maintain compliance with TJC DPH AAMI OSHA and CDC standards.
Maintains proper documentation per regulatory and departmental protocols including sterilization load records maintenance logs and HLD documentation.
Acts appropriately on results of biological indicators load recalls and positive spore tests.
Develops and updates department policies and standard work to reflect industry standards and regulatory changes.
Ensures offsite teams are prepared for internal audits and external regulatory surveys.
Oversee the daily operations of the Central Sterile department including staffing scheduling and resource allocation.
Provides daily operational oversight for CSPS at MGH Waltham MGH Danvers BWFH and Foxboro ASC.
Exercise full managerial authority for hiring performance evaluations coaching corrective action and supported termination decisions for leadership roles. Reviews and approves payroll time-off requests scheduling and attendance across offsite teams.
Ensures adequate staffing resource allocation and workflow coverage to meet production demands.
Ensures instrumentation and surgical supply workflows align with OR and procedural schedules.
Ensures timely and accurate instrument ordering repair maintenance and replacement processes.
Oversees refinement of surgical instrument and supply inventories to improve tray integrity case cart accuracy and product availability.
Ensures OR Materials Management activities are completed including bone/tissue management onboarding/offboarding of products profile cart maintenance remediation of expired goods consignment oversight and contract adherence.
Supervise and guide a team of sterile processing technicians.
Provides direct supervision coaching and mentorship for CSPS offsite managers and supervisors.
Hires trains orients and evaluates manager- and supervisor-level staff; conducts performance management and skill development.
Ensures offsite staff receive structured onboarding competency assessment and ongoing training aligned with MGH CSPS standards.
Maintains accountability for adherence to standard work; intervenes when deviations occur.
Interfaces with OR Endoscopy and nursing leadership to coordinate cross-functional staffing and workflow support.
Implement quality control measures and perform regular audits to ensure compliance with sterile processing standards.
Establishes and monitors productivity quality and compliance metrics across all offsite sites.
Conducts routine quality assurance rounds workflow audits equipment checks and documentation reviews.
Investigates reported process failures patient safety events and escalation requests.
Develops and implements remediation plans to address identified risk areas.
Identifies quality improvement opportunities and oversees workflow redesign efforts.
Ensures effective use of software systems (SPM Mobile Aspects TorQ PeopleSoft) and partners with informatics teams to improve process visibility.
Serves as local HLDS subject matter expert and coordinates with the MGH HLDS Team for complex issues.
Physical Requirements
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$121908.80 - $177351.20/AnnualGrade
9EEO Statement:
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
Director
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