SGG
Appearances
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
If they follow the instructions for use, if they can document and show you in documentation that the instruments were processed according to that, if the OR said when they checked the instruments, they were clean, there was no bio burden, everything was straight, then you can't say it was SPD. I can testify to that, that it wasn't SPD.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
The patient got an infection and they said SPD, but take them off the tape. It wasn't SPD. But you can't say that if you don't know that. And you can't say that if you haven't gone to meetings, infection control meetings, if you haven't gone to the surgical operating center meetings, if you haven't made the C-suite aware of what we do. Bring the C-suite to the SPD.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
They need to see from the dirty to the clean, what we do. They need to understand some, you can't tell them all the standards. You tell them basic standards. The standards are, I'm supposed to follow these instructions. And according to these instructions, I need a sonic machine. We don't have one, sir. So we're never going to meet that need.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
And yes, instruments may get there dirty because we don't have a sonic. And the people said, have a sonic. You make it plain, you document it. And then you're able to, uh, stand on what could have happened. I don't think that, and I want to say, most hospitals, let me just clarify this, do not call SPDN after the lawsuit has been filed. They call SPDN once the infection has been noted.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
And they ask you, how did you process these instruments? And that's when you're in the movie. You got to go get your documentation and prove that the standards, best practice standards were met for that set of instrumentation. And that's why you can say we need tracking systems, sir. I can't tell you about these instruments because we don't have a tracking system. You let the people know.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
I can only tell you we ran them. I can't tell you if we ran them for that case. So there are a lot of components to this particular question that require that you take it apart. But understand, you have to know. I guess I can end with this. As a leader, you have to know the standards of your operating procedure so that you can stand behind what did happen.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Not stand there and say what happened was. No, this is what happened. This is our part. Now go to the OR and find out their part. Go to the floor, find out their part. Go ahead. And then we put this puzzle together and we tried to say, this is what we found out. But investigation is key. And you having the information for your part of the puzzle is paramount.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Absolutely.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
It's all in presentation. That's right. If you present it as garbage, it's received as garbage.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
OK, it's in presentation. I have dealt with the C-suite by not presenting it as garbage. If I'm in the hall and the CEO say, hey, Ms. Golden, how you doing? How are things in SPD today? I gauge the atmosphere and say, well, funny you should ask. Do you have time to come to SPD? Let me show you something. take him down there and say, we need this. Let me show you this.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
When I wanted a borescope, the biggest thing I did was get the CEO to visit SPD. He came in, told everybody, hello, hello, hello, hello. And I actually brought the borescope over to him. And I said, because we were borrowing one, I said, we need one of these. It's about $3,000. He looked at me.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
I said, but this cannulated instrument, we cannot clean, and we don't know it's not clean because we can't see it. He said, okay. I said, put your eye on the little thing. Let me show you. Can you see anything? He said, no. We put the borescope down, and on the screen, it showed the guy said it looked like stranger things. We was going, ah, ah, ah.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
I said, but do you know, sir, that because we can't see this, we will process it. And the sad part is that whatever this is in there will probably loosen up in the middle of somebody's surgery and fall in their body.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Nobody's going to see it fall. Therefore, it stays in their body. And as they're trying to heal from surgery, they're getting sicker and sicker because we push this stuff into their body.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
He said, oh, as you said, go on over there and see if you can order one. Yes, sir. Because this is going to put us in a better place.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
But it's all about knowing the presentation, knowing the right time, and being willing to share. I understand you don't know. I told my CEO, you don't have to know because I know. I need you to support me.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
You don't need to know. Just know when I come and say I need an ultrasonic, I need an ultrasonic. And understand I got the book and everything to back up why I need the ultrasonic.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
So it is in presentation. And I said it all the time. If you present things as garbage, it is received as garbage and no one will ever do anything for you.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
I want to say that some things you have to do just for you. I worked in SPD for at least 15 years before I even got certified. I got certified for me. I decided I wanted higher standards. I worked it around my family budget, around my family things, the studying, everything I had to do. But I did that for me. I didn't do it for the hospital.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
I did it for me because I wanted to be a better person in what was going to be my profession. I think you have to decide what it is you want. where you want to be in that profession, and then you go for it. And you do what is necessary to keep climbing. And you don't let anybody sway you to say it's not important. A lot of people told me along the way, you don't need to be certified.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Why would you? You don't have to do this. And I would tell them, I'm doing this for me. I'm doing this to position myself for greater. Because I felt I was a good tech. I knew I was a good tech. but I wanted to be better. And I didn't always want to be a tech. I wanted to be able to climb the invisible ladder that wasn't even there. But I knew I needed to position myself for better.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
So position yourself for better. Listen to your mind as to what it is you want to be. And then seek mentors. We didn't do that back then. Seek someone who's like-minded, who's going somewhere and follow them to better.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Okay.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Yes.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
You're absolutely right. You're right. And it still stands. And I'm disagreeing with you. I am agreeing with you. You have to know your people. And you know them. You know the low hanging fruit. You know the middle hanging fruit. And you know the high hanging fruit. And you know when there's a difference in their walk and their talk.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
And as Dr. Jake says, as a leader, you have to be willing to support them and what is needed for them to be healthy mentally. Because if they're not healthy mentally, they're not going to do the job. That's right. If they didn't have an integrator, they forgot 10 instruments.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
So they have to be aware and in the present moment to do their job, which affects at the end of the day, a patient at some time. So, yes, I never had any problem letting anybody off for mental health day. In fact, I forced you to go home.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
go home do what you need to do because as i said earlier you're not doing us any good if we have to redo the work that you did because you weren't in the present in the moment and your tray got to the or without an indicator and 10 instruments you set all of us back the patient the doctor The team. So I need everybody mentally healthy.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
And, you know, I never was angry with somebody told me I'm not I'm not mentally able to do it today. Miss Gold, please get your head in code and go home.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Because there have been people mentally unstable in hospitals have come in with guns and shot somebody. The nurse was killed. The doctor was killed. I don't need you being so mentally unstable. You go get your gun at the trunk.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
And that's why you have to know your people.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
You need to listen. See, I would walk up on my people having conversations about crazy stuff. I'd be listening. What you saying? You got what? Because I need to put that in my back pocket of my brain to say, you know what? When Derek's eyes start crossing, something's wrong.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Now I'm going to help Derek get out.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Yes.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Yes.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Yes.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Yeah.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Yes.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
This is a big question. We probably need a whole session just for this, but Ignacio, Iggy, leave that question up there so I can read this. So this is where I'm going. Patient safety is paramount in sterile processing. What we do matters every day. We are human beings and you're dealing with the human factor.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
And when you're dealing with the human factor, if you don't put processes in place to check yourself, yes, things will happen. Leaders are called in. I'll try to quantify this part. We're called in when a patient, for instance, has a replacement knee surgery and within the 30 days they get an infection.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
They call us in not for the secret answer, but for us to justify with documentation that the instruments were processed according to the IFU and therefore It was not SPD's issue. They call us in when there's a sentinel event, meaning we're going to have a lawsuit. Someone is pursuing what happened and they're trying to do their investigation to put the puzzle together.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
We as leaders, because the regular tech in SPD is never called in, We as leaders have to have our documentation, be able to locate it and come in to explain what had happened for real. People get infections, surgical site infections every day. And because we're part of the team, we could be part of the problem. But it is very hard to say when a person gets an infection after a surgery that
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
that it had anything to do with sterile processing, as long as you are able to document your processes. Now, if you know that Sharon is not putting trays together correctly, this is where you get in trouble because you did not move Sharon. You did not check Sharon. You did not help Sharon to do things right. Hospitals,
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
Don't necessarily, and when we say hospitals, we're talking about the administrative suite. We're talking about human beings here. Don't know what we do. Therefore, they cannot quantify what we didn't do. And they can't say, oh, we think SPD didn't clean the instruments because they really don't know.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
They don't know. what we do not only do they not know what we do as as a whole sometimes they do not know the importance of what we do that's that's why we're fighting now for more pay and for quality people they in their mind i've had doctors say they thought instruments were disposable They didn't know there was some people down somewhere, somewhere doing some instruments.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
They hear the word SPD when things go wrong. This tray is dirty. SPD. But they really some, most doctors don't even know where that is. They don't even have an idea what we do. They just know when they put their gloves and gown on and turn around and then they do the timeout, the instruments are being passed.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
They don't know there's a group of people who are specialists in following IFUs and processing these instruments for patient use over and over again. We don't throw them away. So to help, we have to. as I've always done, you have to be part of surgical operating center. You have to go to the meeting with the physicians. You cannot allow the operating room director manager to speak for SPD.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
You're part of the team. When they have the meeting, you need to be sitting there to explain what SPD's point or what their issue was or what was my part in this problem. What was my part in this problem? Did I even have a part? And in order to do this, Dr. J, you have to understand the chain of infection and that a patient can get an infection has nothing to do with SPD.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
They got the infection because somebody checked their incision with a dirty hand.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
So there's reasons that we have to follow this. It's just that it is easy. as I said in the beginning, to throw SPD under the bus because nobody knows where we are. And when you say SPD, then people be like, oh, SPD, SPD.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP3 Part 2 Mastering Leadership: Beyond Task Management
But when you get people like me, you have people in the industry, when you get them up there now and they're subject matter experts and lawyers come and call me to the side and say, Ms. Golden, what do you think happened? I'm going to give my understanding as a subject matter expert