Sterilization Station: A Sterile Processing Empowerment Podcast
Welcome to "Sterile Processing Empowerment Podcast, the podcast dedicated to elevating the field of sterile processing and surgical services! In an industry where precision and care intersect, we believe that knowledge is power. Our mission is to empower, encourage, and motivate every professional engaged in the transformative world of healthcare.
Join us each week as we delve into enlightening discussions that shine a light on best practices, emerging innovations, and the critical role sterile processing plays in patient safety. Whether you're a seasoned expert or just starting your journey, our panels and expert guests will provide invaluable insights through engaging conversations and real-world stories.
From the nuances of instrument handling to the latest in sterilization techniques, we cover it all. Expect thought-provoking interviews, educational segments, and motivating content designed to inspire you to elevate your craft. Together, let’s foster a community that champions excellence in surgical services and celebrates the unsung heroes of healthcare.
Tune in to where expertise meets passion, and every episode empowers you to make a difference in the operating room and beyond.
Sterilization Station: A Sterile Processing Empowerment Podcast
Skills with Jill: Single-Use Endoscopes & How They Are Revolutionizing Healthcare Workflows
Christian Escobar, VP of Marketing for Ambu US, brings three decades of endoscopy expertise to this eye-opening discussion about how single-use endoscopes are revolutionizing healthcare delivery across hospital departments.
The conversation begins with a fascinating history of endoscope technology evolution, from hybrid systems of the past to today's fully disposable solutions that now rival traditional reusable equipment in performance. Escobar explains how single-use technology has matured over the past decade, with Ambu now offering fifth-generation HD bronchoscopes capable of handling high-energy devices with specifications comparable to premium reusable scopes.
What truly stands out is the transformative impact on sterile processing workflows. Escobar paints a vivid picture of the challenges SPD teams face with traditional reusable endoscopes - from staff members literally walking scopes across parking lots between buildings to managing unpredictable demand during flu season or emergency procedures at 2 AM. Single-use technology eliminates these pain points through what he calls "addition through subtraction" - removing complex processes that require near-perfect execution and allowing talented staff to focus on other critical responsibilities.
Perhaps most compelling is the conversation around costs and productivity. While many assume single-use must be more expensive, Escobar explains how the comparison is increasingly "apples and oranges" when considering the full operational picture. Single-use technology enables facilities to perform significantly more procedures without capital investments in additional equipment and staff. This flexibility to handle variable patient volumes without maintaining excess capacity fundamentally changes the economic equation.
For sterile processing professionals, this episode offers valuable insights into how technology advancements can transform daily operations, reduce pressure points, and elevate the profession beyond repetitive reprocessing tasks. Anyone involved in endoscopy, infection prevention, or healthcare operations will gain a fresh perspective on how single-use technology creates ripple effects throughout the entire patient care journey.
Welcome to the Skills with Jill mini-series, a series that will explore various skills through sterile processing, quality accreditation and endoscopes. I appreciate Bill and the Sterilization Station for allowing me to bring this series to you. Check out all the great things arriving daily from Sterilization Station. Today we have Christian Escobar, the VP at Ambu of Marketing. Do you want to tell our listeners a little bit more about yourself? Thanks for joining me today.
Speaker 2:Thanks, jill. It's great to be here first and foremost and great to talk to you about this subject. Sure, as you mentioned, I'm the Vice President of Marketing for Ambu US here. I have been in endoscopy solutions in the industry for about 30 years. A lot of that has been in kind of all areas of endoscopy medical disciplines. I spent most of my time in really innovative areas, so non-traditional kind of endoscopes, single-use, hybrid systems. So I have a lot of kind of background in kind of the reprocessing aspects of reusable, but also kind of the innovation insights that come along with kind of single-use devices or hybrid systems.
Speaker 1:Yeah, I'm really looking forward to kind of talking through our questions today. So what types of single-use endoscopes are currently available?
Speaker 2:Sure, that's a great question. I mean, it's going on, you know, 10, 12 years since single-use endoscopes really started to take hold, and now they're, quite frankly, they're everywhere. Most, when it comes to flexible endoscopes, they're available for kind of a lot of the baseline procedures that you have out there, Think cystoscopy, ureteroscopy, ent procedures, bronchoscopy, of course the big one and so forth, and there are kind of even laparoscopes now, and there are otoscopes and there's all sorts of different endoscopes that come in the single use platform now, when was the first single use available, like when was that made?
Speaker 1:When did they kind of start this technology?
Speaker 2:So the technology. So it's an interesting story. I mean there have been hybrid systems for about 25 years or so. Hybrid systems for about 25 years or so. There were a lot of companies tried over the years, before really single use, kind of full single use technology was available to kind of try and solve the challenges that were out there for reusable endoscopes. So you add lots of kind of hybrid systems or covers or components in reposable systems. The last, about 12 years ago, you saw companies and Ambu being the first to really dive into flexible endoscopes that were fully single use and that is to say that the technology capacity for imaging, single use, sensors for imaging became good enough to even start to really consider this kind of technology basis. Now of course you're looking on a decade and obviously Ambu is a pioneer in this. Looking on a decade, and you know, obviously Ambu is a pioneer in this space and a market leader but other companies have jumped in as well to try and develop really good performing endoscopes.
Speaker 1:Yeah, that's really cool, Kind of as we think about what technology, with me being in the hospital system, what was there at that time and trying to come up right designing something as complex as that to be single use. So that is really great. What departments see benefits from single use technology?
Speaker 2:The obvious answer people think, because I think the obvious answer, I think that comes to mind is people think well, obviously, the medical specialty, whether it be the pulmonary team or the urology team or the GI team or the speech-language pathologists roaming around the hospital, of course they benefit from a lot of the intrinsic values that single-use endoscopy platforms bring.
Speaker 2:But also, and probably, and I would say as importantly, all the other stakeholders that are kind of responsible for enabling patient care with endoscopy solutions benefit. There is an advantage whether you're running an ambulatory clinic, an outpatient clinic that's on or off campus, a satellite clinic that's kind of in the suburbs, whether you need 24-7 access, you're a critical care unit team, you are an OR surgical team that need to bring in an EGD scope at the last at 5.30 in the afternoon. And then you think about all that, the SPD and the techs that can conceivably be supported and helped by single-use technology. It's an answer that I think is, as those other stakeholders dive in to all the different benefits and values, I think they learn a lot that they weren't expecting in terms of how it can help.
Speaker 1:Yeah, I'm glad that you brought up that sterile processing piece with the ambulatory or the outreach, because I think when they do move forward or try this out evaluation they do find a lot of that. Maybe they're doing transport or something like that and then they find that this is helpful for those end of day when maybe we're backlogged in sterile processing.
Speaker 2:One of my two kind of synergistic stories that I think are really interesting is that on the same week I had spent time at a very large hospital in New York City and it was an outpatient clinic in New York City, and then I flew across country and I was in a very big hospital network in California that had kind of a very large campus.
Speaker 2:Both hospital systems had people that were walking scopes across parking lots or through city streets and that's all they were doing every day was they were walking scopes back and forth to be cleaned, disinfected, reprocessed and then brought back to the clinic, whether it's across the entire campus on a hot California day or in like three blocks in a busy New York City street. And to me that doesn't make sense. That's just me personally. It doesn't make sense from a productivity efficiency standpoint. I think if you have a really talented people in SPD and in that stakeholder group, that's not really you know. The skill set should be applied really to really driving really effective reprocessing and cleaning within central, sterile or within those structures point of care. Even walking things across parking lots doesn't always seem all that productive to me.
Speaker 1:Yeah, If we built a spaghetti diagram, like taking the map of New York and like imagine what that would look like it was.
Speaker 2:I mean it was and they were telling us, like because they had, obviously they were, they had just converted to single use scopes. And so they were telling us that, like because they had, obviously they were, they had just converted to single use scopes, and so they were telling us how it would, how it was like three or four months prior. And of course they now they actually the team that are that are that was involved in in kind of transporting this were telling us that of course they now they're actually able to focus on other things that obviously felt more important to them and and, quite frankly, were more important to delivering great care, I think in their opinion, and certainly I agree with that- yeah, doing the good work every day, right, right, do?
Speaker 1:single-use endoscopes differ from reusable Like, when we think about the specs and the quality and the image.
Speaker 2:That's a good question. I think a lot has changed over the last decade and will keep changing, like any other technology set, whether it be your cell phone from 10 years ago versus what your cell phone today can do. Of course there's a lot of advances in single use that are happening every day. So they absolutely do differ. I mean obviously, I mean number one. They enable a fundamentally different approach to endoscopy. So the differences are both positive and, to a degree in some areas, negative, right? So I think you know, on one hand they differ significantly in that they are very enabling and that obviously you're not restricted by traditional reprocessing. You have lots of site of care flexibility with single use. You don't have big towers, you can provide video scopes in all sorts of areas where you might still be using fiber scopes. So there's all these kind of traditional advantages Over the last 10 years where technology has changed, where single use has caught up or rivaling or even potentially surpassing is in some areas, and some key features like image quality, functionality, for example.
Speaker 2:You know Ambu is on their fifth generation bronchoscope right now. It's an HD system. It can handle high energy devices. It has incredible specifications that rival even by evidence rival some of the best performing reusable scopes and so at this point you're starting to really see not as much differential as historically perceived between single use and reusable. Now there are of course some areas where single use is not quite caught up. You know, in the GI endoscope area. Now there are of course some areas where single use is not quite caught up. You know, in the GI endoscope area Obviously those GI reusable scopes are very, very high performing. But every quarter, every year, single use technology grows and you know it's hard to say where the deficiencies will be in the coming decade. But I think there'll be less and less, if not any, on the functionality side.
Speaker 1:Yeah, it is amazing the technology as it advances and we get the HD chips, just kind of watching that from the early days working in the hospital and seeing these. What has happened now? How do you single-use change the sterile processing workflows?
Speaker 2:So I mean that's a great question and I would start maybe with kind of framing something out, because I think a lot of times people think of endoscopes and they think of by default because of volume. They think of GI suites, which are pretty well-designed kind of operations by default, right. But endoscopy in general, as a way of medicine, as a patient care, as a vital patient care algorithm across healthcare, is actually very utilitarian. It's very it's utilized across, especially flexible endoscopes. They are utilized across so many points of cares. They are used obviously in suites but they are used in surgical and so they're used at bedside. They're used in an ER setting. They're used at 2 a. They're used at bedside. They're used in an ER setting. They're used at 2 am in the critical care unit to treat a COVID patient or a patient on a ventilator. They are used by speech-language pathology teams that are going in and doing swallow studies to make sure a patient whether or not they need a Pertrake or a PEG. So endoscopes are used not just to obviously their primary use of detecting cancer or pathology or other disease states, but they're also used in all these different patient care algorithms and I think when you think about that as a workflow for clinically, then by default you start to think, wow, that really does change a sterile processing workflow Because, unlike a suite which may have a very set algorithm at all times which enable you maybe to build a sterile processing workflow that was at least somewhat optimized when it comes to very high volume, short procedures, urology clinics that are in the professional building, critical care units now you have people that are having to, by default, roam around the hospital, stack things, put things in bags.
Speaker 2:Who's going to clean a scope at 2 am after you have bronchoscoped somebody that's critically ill or has a disease state or communicable disease? We know the guidelines. The guidelines say you shouldn't be letting the scope sit in a bag until Monday morning. Right, so immediately when you think of all of the utilitarian needs, whether it be high patient throughput and outpatient clinics or 24-7 needs now all of a sudden you don't have these kind of we'll call it crazy out-of-pocket demands put on sterile processing, where I think I don't want to speak for the sterile processing teams, but I think they, like anybody else, they benefit from an optimized workflow and when you have things that are very disruptive to that, then it presents a challenge and I think single use. Can really that's something come right in and take all of these emergent unexpected kind of ebbs and flows, of volumes and kind of level that out?
Speaker 1:and kind of level that out. Yeah, I think that's the key piece. There is that throughput piece when it ebbs and flows and you may just be getting them at random times and there's not really a set to it when we have 60 orthopans that just showed up, and so how do you balance the never ending, or sometimes maybe four at a time that just show up?
Speaker 2:Yeah, 100. And you have to look and people have to look at. You know, like I said, when you have something like endoscopy that has all this variable utilitarian need, there's bronchoscopy. There's a lot more bronchoscopies performed during flu season because you need to, that the patient population swells that need bronchoscopy, you know, for other treatments, and all of a sudden now there's a lot more demand. That that's in January on SPD. That wasn't there, maybe in in August.
Speaker 2:So, or, like I said, you know you mentioned patient throughput. I mean you have, you can have a really busy urology clinic and you know, depending on how they again they're across campus or they're down or they're on the other buildings, so to speak, depending on how they need to kind of deal with backlogs and so forth, they can ebb and flow that demand. And so now the beauty, I think, of single use when it comes to workflows is that everybody can be optimized from it. Right and to your point. I think what I think is most important when we think about the sterile processing workflow is it's not like flexible endoscopes are all they have to do every day. There are the orthopens, there are all the surgical instrumentation. I mean they might have ADORs to service, right, correct, forget about it. Forget about the kind of the overlaying, of kind of utilitarian endoscopy uses. You've got massive, massive volumes of operating room needs or trauma centers or things of this nature. Yep.
Speaker 1:Yep, so I know we talked a little bit about the feedback, of thinking about that spaghetti diagram. Can you share feedback from clinicians and sterile processing teams on the value that they've seen with single use for their patient settings?
Speaker 2:Sure, I think you know I highlighted a couple earlier. You know I think the number one feedback today versus maybe where it was a five to eight years ago the number one feedback today is really productivity and flexibility For the clinical teams and the SPD teams and navigating the points of care uses. Is that basically, the frame that I would place is that they paraphrase this when they need first-rate endoscopic care for the patients, they can deliver it right. There's a lot to be said when you can just perform the procedure when you need to and not say, well, where's the scope? Can we get the team here? Can we get something brought here? Or you're in a urology clinic and you have two patients where you want to do an add-on and people are saying, well, I don't have the two other scopes right. At the end of the day, you just want to treat those patients right. And then you think about the kind of the staircase effect that comes on if you say you want to treat those patients Now there's pressure to the clinical teams, the MAs, the PAs, the RNs and then all the way to the SPD teams Can you get those two scopes back to us faster? And there's this cascade effect to that people. It makes it harder for people to work under, quite frankly, when you're trying to deliver patient care. So I think that's like the number one feedback.
Speaker 2:Obviously, once you've adopted single-use endoscopes, a lot of those stakeholders, beginning with the clinical teams but all the way back through the SPD side and kind of even we'll call it the infection prevention and the protocol side, there's a far more productive patient procedure scheduling mechanism right, when you don't have to account for all the other human factors, all the other mitigations, scopes that break parts that you know, scopes that show up with missing parts from SPD, which is nobody's fault because they're like there's lots of things that are kind of flying around and who knows if this part was supposed to be there. Right Now you can actually schedule per patients, whether you're trying to stack the cases for productivity or whether or not you need to scope somebody at 2 am. It's a much more productive patient schedule and I think when I think about kind of what's changed over the last 10 years, I would say obviously sterility and having a brand new instrument has today it's more of a baseline benefit right than it was maybe five, seven, eight years, 10 years ago, where everyone was like whoa. Now, you know, obviously, cross-contamination was. It's still a big, it's still a big kind of driver in our business, you know, across the board, even beyond endoscopes.
Speaker 2:But at least today, now there's an exploration, I would say, you know, from all the HP, the hospital and IDN stakeholders, clinical to admin, to SPD, about what does sterility mean. This creates a margin of safety for us. Sure, that's fantastic. But it also means, like I'm not too worried about whether or not someone's trained, you know, at the last minute, does that outpay? You know, is that satellite clinic does have somebody trained for flushing a channel? Have they signed off on their document?
Speaker 2:So it's not just like sterility for the patient care, it's like what does it take to produce sterility if you're not using single use, right, or high level disinfection, whatever that confidence level? Single use kind of obviates that, at least at a baseline, and says, hey, I don't have to worry about whether or not someone's trained to flush a channel or not, right, like it's not even something we're thinking about, because we're thinking about other things, about patient care. Now we're driving other improvements To me. I hear that from single use. I mean from customers who and you know sites that use and have adopted single use, especially over the course of several years. They have discovered, probably unexpectedly, all of these critical masks adopted within their IDN.
Speaker 1:Yeah, I'm glad that you brought that up, because when we think about the 200 steps to reprocessing a duodenoscope or what have you overseeing that from the infection prevention, sterile processing managers, the supervisors, trying to keep all that in order, eliminating some of that? You're right, you can focus on the process improvements or just the day-to-day let's get this done. We all have so much work in the pipeline.
Speaker 2:Exactly, and I think the easiest kind of what do you call it? The phrase that comes to mind is like addition through subtraction. Right, like you, ultimately, you want to add to your margin of safety, you want to add to your productivity, you want to add to the confidence and comfort level that SPD teams have to get the orthopans done and to get the surgical instrumentation done. You know when the ORs have a 20-minute flip time and to do that, you know. I think it's a smart thing to think about subtracting some of the things that are really complex and that to achieve them require I don't want to say perfection, but they require almost a mistake-free environment. On top of the complexity, you're asking a lot of people in healthcare, who are under a lot of duress just to make sure that patient care gets delivered, to be top-notch, which is everybody's number one focus, no matter what role you have in a hospital.
Speaker 1:Yes, Thanks for doing the good work out there. Sterile processing 100%, 100%. We know that you have so much that I have used and try to keep track of it. So we appreciate you for sure.
Speaker 2:I mean, jill, I don't have anywhere near the pressure that SPD teams have and I have to make like I have to make to-do lists for myself. I have to be organized Like I don't. Yeah, I mean, it's so much riding on their shoulders day in and day out. And I think it's really up to industry and then obviously hospital administrators and leaders and throughout the kind of societies and the industries to look for ways to support those teams to do the great work and to and because everybody wants to get better at what they're doing, and I think and you want to create an environment where everybody can advance and do the best work they know they can do for their teams or for the patients. And I think it's really up to kind of everybody else surrounding SPD also to kind of to chip in and say, hey, how can we help?
Speaker 1:Exactly, exactly. So let's talk about breaking down a myth. So there's a myth out there that single-use endoscopes are too expensive or cost-prohibited for long-term use. Let's talk a little bit about that.
Speaker 2:I think sure, and I think that's a good topic In general when we think about kind of what things cost and what the price is right, I think one, I would say at this point there's a lot of data, there's a lot of evidence, there's a lot of we call it micro-costing, peer-reviewed comparatives that really show that the cost comparisons are quite dynamic and in some cases they favor single use quite demonstrably and in other cases they're slightly more cost effective and in some cases if you're doing thousands and thousands of procedures, they might say, oh, the balance is maybe shifting to reprocessing. But I think at the end of the day, I think what's most important right is that single use and versus reusable when it comes to the cost of delivering care, rather than what is something priced at right is it's increasingly apples and oranges, and what I mean by that is if single use allows you to perform 21 procedures in the day productively, safely, with little downtime, with little people running around, know, you know packing up scopes and taking them down the hall, it allows you really to to treat patients, say, 21 a day versus 12 a day, because you have to account for all of kind of the you know the outpatient care, reprocessing requirements, then I would say like your investment in capital and reprocessing, if you wanted to meet the 21 procedures, it would be cost prohibitive. Right, you would have to buy another X amount of scopes, you'd have to hire a lot of more people to run around. That's not where you want to make your investment. What you would say is single use really allows you at a very reasonable, quite frankly, a reasonable price, so to speak, to deliver and in some cases, extraordinarily productive care.
Speaker 2:And the question is and to me that's always when we think in the early days of single use, they people would do their micro costing and a hospital say, well, you know, if I paid, you know I paid X amount of dollars for my reusable scopes five years ago and I amortized them and you know. And you get into these very complex models, which of course, that's okay, people do and we're happy to do those for our customers and we can support those. If people want those comparatives, we can do them for them. But what we started to see as customers really started to adopt, was they really started to realize what they were getting with single use, kind of what you would call the traditional like what am I getting for my money was way more than just being able to do six or seven. You know endoscopy procedures. For the day they were getting the capacity to do 20.
Speaker 2:They were getting the capacity to do these things in very different ways.
Speaker 1:In very different ways Once you start peeling back the onion of that when single use comes in, like you were talking before the people walking across the parking lot. That's not happening anymore. But we didn't actually realize how much time saving that in cruise.
Speaker 2:A hundred percent and, more importantly, like this cost is a dynamic thing. You could see it in other types of industries, right, If you know. The idea is like you have somebody who's walking across a parking lot and they're doing something that needs to be done and there's a certain cost associated with that. That person can drive more valuable to the healthcare system and the patient care kind of algorithm, if you will, to drive everything from patient care to revenue in the hospital, to be to kind of think through that lens, if they're actually doing something more productive.
Speaker 2:So it's, it's it's also this kind of we'll call it tried and true approach to where do you want to reallocate your resources, Not just for so you know, not just for, like, the cost of delivering care for that one, two, three minute procedure, but also like I, I need to deliver a lot of care here. How do I actually optimize that all with the same person, right, the same person. How do they deliver more value for me, how do they help me treat more patients, versus they're just kind of carrying equipment down to parking lot or down three blocks? I don't really think that that's really that cost is really going to be accounted for appropriately. Yeah.
Speaker 1:Yeah, some of those hidden costs, if you will like that, or when we even think about water that we don't track from AERs and there's just kind of no way at the facility level.
Speaker 2:There's no way. And actually one last thing I would say, beyond the transparent cost of care. By the way, single use is very transparent in that way. Right, you could see what it takes to deliver an endoscopy at any kind of point of care. But, more importantly, the ebbing and flowing we talked about procedures. This actually does have a demonstrable kind of impact when it comes to costs for hospitals.
Speaker 2:Because what I would say is, if you've got to do a lot of cases one month versus a smaller amount the next cases, then as a hospital you have to make the infrastructural the reusable. If you will investment for your high points, or either don't treat those, deal with kind of the backlogs and all that stuff, but you know, or you have to, and then so you buy all the capital investment that you make. And then, when you're in kind of a lower demand patient demand timeframe, you have a lot of kind of idle equipment or idle real estate, whatever it may be. And I think that's when you think about kind of today's way of optimizing, whether it be industry or service organizations or logistics centers, whatever it may be, they don't take that approach right. They take the approach that says what are the things that are gonna allow us to best manage that? The demand increases and decreases in a way where we're not buying for idle time sometimes.
Speaker 1:Yeah, and as we think about idle time, for those people who maybe aren't well-versed in single use, what is kind of the shelf life for the expiration dates on?
Speaker 2:them. Yeah, I mean the typical is three years, right? So I mean there might be some variances to that, but typically it's three years. So I would obviously encourage everyone to check what the expiration is with any single use of that device, whether it's endoscopes or not. Verify that before the expectation. But that tends to be a general.
Speaker 2:Yeah, because that would then help you with the ebbing and flowing that you're not Correct correct and I think what you've also found on that is that you know, as hospitals become much more savvy, if you will, everything from how they could store these devices, how they can prepare, how they can purchase there's a lot of companies like Ambu, but there are other single use companies out there maybe not endoscope companies that can do what we can do, but certainly we have the capacity really for things like safety stock and delivering on increases.
Speaker 2:You know we do our best to make sure there are, you know, to the best of our ability, no back orders and you know we've driven towards that mantra. You know, and and we've been largely successful. Even during COVID, we were able to deliver when there was a massive, massive increase in order. People were just obviously demanding single-use bronchoscopes almost March 2020. We delivered, we air freighted, we moved, we had the capacity because we had made the investments as being a partner to the healthcare providers and to be able to do that and I think companies need to invest in this If hospitals are going to manage their ebbing and flowing and have this platform, then we've got to do our part to make sure we can deliver.
Speaker 1:Yeah, yeah, that's fantastic. Thanks for walking through that. Anything else you would like to share with our listeners today? This has been great.
Speaker 2:Oh, I mean just thank you for the time and I would encourage one I would just say to for the SPD teams and people listening. I mean thank you. I've been doing this a long time and I've I've I've been very lucky to work with with SPD teams for for most of my career over the last 30 years, and and so I thank you for for all the efforts and dealing with the pressures to keep patient care being able to be delivered day in and day out. And also, I would say, like you know, lastly, just you know, when it comes to single use endoscopes, you know if they're, don't accept any myths.
Speaker 2:You know there's plenty of information out there. There's meant plenty of, lots of research that's been done, whether it's peer reviewed at PubMed or or companies websites. You know there's lots of data. There's probably a lot more in terms of how it can support SPD than we've talked about today. You know, and, of course, anybody else are. You know managers who might also be listening. There's lots of, lots of info out there for them too, if they are looking for other benefits and values.
Speaker 1:And just in case somebody wants to learn more on the Ambu website, is that where they're able to kind of learn more and get in touch with their rep or ask?
Speaker 2:questions? Absolutely yes, there's. Obviously. You know, ambuusacom is an easy place to go and you can reach out there if you're looking for more information. Ambu has a presence on all the social media platforms and as you click through those links you can get to dedicated kind of info on research and things related to SPD, if that's the subject you're looking for, and that'll take you to some specialized kind of data sites and things like that.
Speaker 1:Great Thank you for joining me today on the Skills with Jill miniseries. I look forward to bringing you all the next episodes. Thank you to Bill and Sterilization Station for the support with this miniseries and be sure to check out all the learning opportunities coming from Sterilization Station.
Speaker 2:Thanks, Jill.
