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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: Beyond Reprocessing- Sustainable Approaches to Modern Endoscopy
What happens when a patient needs an urgent endoscopic procedure at 2 AM? The answer might surprise you – and it's changing healthcare delivery across the board.
Christian Escobar, VP of Marketing at Ambu USA with 30 years of experience in medical technology, pulls back the curtain on how single-use endoscopes are revolutionizing patient care. From critical care units to outpatient clinics, these devices offer something traditional reusable equipment can't: immediate availability without complex reprocessing requirements.
The conversation goes deep into how single-use technology addresses the persistent challenge of cross-contamination risk. Despite rigorous cleaning protocols, human factors inevitably introduce variables in reprocessing – a concern completely eliminated with single-use devices. A speech language pathologist's experience highlights this transformation perfectly: previously waiting hours between procedures for scope reprocessing, she can now see multiple patients back-to-back, dramatically improving patient access and care efficiency.
Beyond clinical benefits, we explore how single-use endoscopes free healthcare professionals to focus on delivering their best work rather than managing logistical hurdles. The discussion extends to sustainability considerations, with insights into how Ambu leads industry efforts through bioplastics, zero landfill programs, and circular packaging initiatives.
Whether you're in sterile processing, clinical practice, or healthcare administration, this conversation offers valuable perspective on a technology that's not just changing procedures, but transforming how we think about optimal patient care. How could your facility benefit from always-ready endoscopy solutions that eliminate reprocessing concerns while supporting sustainability goals?
Welcome to the Skills with Jill miniseries, a series that will explore various skills through sterile processing, quality accreditation and endoscopes. I appreciate Bill and the sterilization for allowing me to bring this series to you. Check out all the great things arriving daily from Sterilization Station. I have Christian Escobar with me today from Ambu, the VP of Marketing. Good morning, thanks for being here. Do you want to tell our listeners a little bit more about?
Speaker 2:yourself Good morning. Thanks for being here. Do you want to tell our listeners a little bit more about yourself? Good morning, Jill. Yes, I'm the VP of Marketing here at Ambo USA. Yeah, my background is about 30 years in med tech. Most of that has been in endoscopy solutions in one form or another Usable slash, hybrid systems, innovative approaches, single-use endoscopy We'll call it disruptive and innovative endoscopy platforms over the last 20, 30 years.
Speaker 1:That's great. Are hospitals, ambulatory surgery centers, private practice, outpatient clinics all able to use single-use endoscopes?
Speaker 2:At this point single-use endoscopes are virtually in all points of care. It's at some level. So depending on what those sites needs are, single-use endoscopes will have varying values. So at this point obviously hospitals especially are widely adopted in all the different kinds of single-use endoscopes, either from AMBU or from others, ascs to a we'll call it a more, slightly less extent because they have different structural needs. Outpatient clinics absolutely there's a lot of single-use extent because they have different structural needs. Outpatient clinics absolutely there's a lot of single-use usage because they benefit a lot by the productivity. Private practice there are some that use single-use endoscopes but they have a little bit different needs and a little bit different elements that go along with doing endoscopes I'm sorry, doing endoscopy every day. So you know, I would say there's a little bit less, you know, use there but everybody can benefit from it every point of care.
Speaker 1:How can single-use endoscopes help in emergencies like in the ICU, high-risk emerging diseases in patient care?
Speaker 2:Simply put, the single-use endoscope is always ready 24-7, plug and play, and ready to treat the patient when needed. It can't be stated any simpler. Right At the end of the day, what you don't want to be when you have an emergent situation needing endoscopic care, whether it be in a critical care unit at 2 in the morning, whether you're trying to get a patient swallow study done so that they can decide whether or not they can go home or get food you want to be able to actually just do the case, make sure the patient gets the treatment as fast as possible or as high quality as possible and not necessarily have to kind of wait for a lot of transport. So in those emergent settings and sometimes it's not even emergent, sometimes it's just, you know, a point of care like a critical, a CVQ or surgical ICU or a lung transplant ward, like it's hard to like, you know, wheeling things across at 11 pm at night, right, single use kind of it's obviously ideal for those settings.
Speaker 1:Yeah, and for people who don't maybe know, could these be stocked in the department? Like, are they big bulky?
Speaker 2:No, 100% that they can be stocked. I mean, in fact, I would venture to say you know most critical care units that you say single use bronchoscopes or outpatient. You know urology clinics that use cystoscopes. They're all stocking on site. They're not very bulky, they're pretty, pretty streamlined. In some cases you can hang them in the supply closet so that, as your monitors and your very portable monitors that are kind of bedside, say a critical care unit, you can just walk down to the other end of the critical care unit. Again, we'll use 11 pm at night, pull it from the closet, open it up, plug it in, perform your case. Right, it doesn't get any kind of ready when needed. Better than that.
Speaker 1:Yeah, if there's consult carts that SPD is using currently with maybe reusables, could single use take the place of that?
Speaker 2:A hundred percent. I mean, it is certainly from a functional standpoint, absolutely, and I would venture to say whether it's difficult airway carts or whether it's a, it's basically a consult cart and ENT or urology or you know, or again a bronchoscopy set up that needs to be wheeled and even, quite frankly at this point, a single use EGD scope for peg treatment in a critical care unit. Those cards can absolutely be set up with single use platforms. I would argue that the site should look at which platform is the best, because there are some platforms that offer kind of the right platform for all these sorts of different consults and I would take that into account because that's very meaningful for critical care units or a biomed or kind of all the other stakeholders.
Speaker 1:Yeah, thank you. Are there specific procedures or patients where single-use endoscopes would be preferred?
Speaker 2:So that's a great question and I would say, look, I typically this is just me personally. I typically refrain from like presuming a different standard for different patients. I believe all patients, if they had their choice, they would probably prefer a sterile, single-use device Not all, but I would say that tends to be a preference. I know myself as a patient I would prefer it, although I would trust SPD and clinicians that they use reusables, I think. But when you think about when it boils down to, you know, certainly there are always concerns for any technology contamination safety when it comes to, say, immunocompromised patients or critically ill patients or surgical patients.
Speaker 2:And in some cases there has been some society commentary on single use. In these cases I'll kind of use their kind of their language and I would refer people to kind of some of their documentation on that. You know, because obviously, when it comes to, at the end of the day, single use, endoscopes that are provided in the sterile package, never been used before, they do provide a different margin of safety compared to technology that does require significant cleaning, disinfection and sterilization several times a day. Again, I use that phrase because that's more of an AORN phrase than my own personally, right? So I think, depending on your needs for margin of safety, I would say to every kind of healthcare provider and every kind of hospital or IDN to say, like, what are you looking for for those kinds of setups or casework? Do you want lower, highest degree of margin of safety? Then I would consider technologies that the systems and, quite frankly, processes that elevate the, you know the.
Speaker 1:When we think about single use reducing cross-contamination, can you talk about the design, the packaging, why it actually reduces cross-contamination?
Speaker 2:My career- has been spent pursuing technologies that mitigated cross-contamination. My career has been spent pursuing technologies that mitigated cross-contamination in an endoscopy. That's been a good 75% of my career, including sitting on the ANSI-AMI working group for ST91 back in 2015. And so I was part of that working group, so I spent a lot of time looking at this and working with healthcare providers and research and all these things, and I would say the most important thing to understand about cross-contamination is that a lot of times it's a complex question because it's a complex routine to avoid having cross-contamination, especially with complex devices Simple devices, different story, very simple needs for disinfection, intermediate or low level, different level of cross-contamination risk. When you talk about putting devices inside patients' bodies, working with blood and patient debris and tissue and so forth, it changes everything right. So the demands on reprocessing efficacy become quite high and mitigating cross-contamination become about way more than just did the scope get cleaned, but rather did the scope get cleaned properly at point of care? Did it get flushed properly? Did it get the right enzymatic treatment? Did it soak long enough? Did you dry it long enough? Did the person skip a step? Were the IFUs followed? Were the scope leak tested At some point? The human factors and I use that phrase specifically because an infection preventionist that I had great respect for used it quite a bit over the last 20 years and she would say, like, human factors are the one thing that's really hard to plan for in healthcare. Nobody's perfect and anybody can be overworked. Somebody can miss a flushing step at point of care, somebody can not follow the IFU appropriately when you're doing things 150 times a day, and so you end up with all of these kind of critical mass of human factors that's beyond before the device maybe being damaged or being scraped inside the channel or didn't get reprocessed properly the first time in the morning, right, there's all these other kind of floating around factors and one of the things that's very simple about single-use devices in general and of course it applies very, very distinctly to endoscopes, and that is all of that is reduced to zero or mitigated or completely eliminated. Right? You're not worried about whether or not someone flushed the channel at the 8 am case? You're not worried about whether or not the scopes were treated during the weekend cases. You're not worried about whether the button suction valve is stuck and occluded, you know, or there's patient debris in the channel or the scope was leaked test, right.
Speaker 2:You simply, with single-use endoscopes, all of that mind share, that complexity that goes into mitigating cross-contamination is just taken off the table, and the reason I think that's really important is cross-contamination goes beyond flexible endoscopes, right.
Speaker 2:We need to have clean, disinfected, sterile devices across the board, and some devices can't be single use. And so I would state, like you know, do you put a lot of effort and time and focus in trying to make these complex devices, ensure that they're cleaned, if there is an alternative that maybe alleviate some of that stress, versus putting the focus into things like breeders that are like they require that attention because there is not a really good single use option, right. And so I think, to meers that are like they require that attention because there is not a really good single use option, right. And so I think to me that's again that's a perspective that I think I've kind of taken over the last 20, 30 years of kind of navigating this space. I think that demands on complex reprocessing perfection, so to speak and I use human factors again it's like that will never go away. It doesn't matter what guideline we produce. At the end of the day, human factors or devices not being perfectly functional or whatever, are still going to be part of the risk factor.
Speaker 1:Yeah, thank you for breaking that down into such a nice way. I know that when we think of that overarching umbrella of cross-contamination, you can go either way, so I appreciate how you kind of unpack that a little bit. Are there recalls or future guidelines that could push adoption to single use?
Speaker 2:I mean a good question. I mean, first of all, I would say like, I think, like any technology, you know, endoscopy portfolios that are single use have kind of been an inherent value, either clinically or logistically or operationally or financially. We've talked, we've talked about some of that. Um, I think these, these often get recognized over time and certainly when externalities play a role, right, recalls are really difficult for everybody. So to me, I look really to the perspective of, and guidelines could take a long time to develop. I just think of externalities, right, whether it be, quite frankly, a global pandemic brings a lot of value to the surface for single use bronchoscopes, or whether it be the kind of the post-COVID demand whip that came into a lot of outpatient clinics and all of a sudden they have a huge backlog in cystoscopy or ENT or some of these other places where they just realize they need to get these procedures done faster because the patient backlog is significant and flipping rooms shouldn't necessarily be dependent on a 45-minute reprocessing cycle. Know, and then of course there are, of course there's always you know, you know, you know, you know devices that have been removed from the market, you know, that have kind of reached their end of life that you know that have occurred over the last 10 years. Certainly, guidelines changing play a role and I would say you know and I'll refer really to the ALRN guidelines that were really you know the ones that were published I think it was 2023, took into account a recommendation that that is part of guideline I'm sorry protocol development to look at both reusable and single use options for, like what best suits your needs at all points of care when it comes to, you know, endoscopes, and I think that was a really, of course, that, at the very least, that opens up eyes to people when they start saying, okay, we're going to open a new clinic, what should we do? Should we just buy what we've always bought the last 20 years, or should we look at new options? And I think so.
Speaker 2:You know, I think there's always an opportunity, I think, for you know, those sorts of changes to play a role. I think, lastly, I would say what you've seen and I say this as someone who sat on the ST91 working group in the past right, what you're always trying to do when you're developing good standards or good guidelines, whether it be for this topic or another topic, is try to find a way that the patient care is put front and center and that the risk factors are taken into account, like are you trying to compensate in the margin of safety, right? Are you trying to find ways if scopes being not always dried purposely or, I'm sorry, not purposely not being dried, effectively plays a role into some potential cross-contamination, then obviously a guideline is probably going to look at that and say, okay, we're doing millions and millions of these procedures. If we want to kind of improve the margin of safety, we've got to tell people, hey, you have to look at what are your standards for drying, right. And so I think that obviously creates more kind of more oversight needs, more complexity and things like this, and that, of course, will in turn lead some people to say, okay, well, this is great for our suite, but maybe for our outpatient clinic that's across campus or downtown, we don't have so much resources, right. So buying drying cabinets and things like this maybe not be the right choice for that point of care or that site, right. And I think to me it's all about options, right? I don't think it's about single-use devices, but ultimately, at the end of the day, I believe it is about choosing the right technology for the right patient care and site of care needs right. If a hospital feels reusable is the right option and they have the right reprocessing structures, then I think that they should make those choices right.
Speaker 2:I think what I would say is we live in a very dynamic environment and single use doesn't just play a role in endoscopy, it plays a role in a lot of things, especially think, think of the advent of the OR flip and getting down to flipping OR times to down to 20 minutes from what they might've been 10 or 15 years ago. You don't know that that would be possible without single use devices, right? Because that that level of optimization and productivity is inherent in the device usage. And so you know, I think it boils down to those externalities. Getting to your question got a bit far on those things.
Speaker 2:I think they can. What they typically do is just make people see the value of technology like single-use endoscopes in their full portfolios. You know, kind of, in a way, maybe they wouldn't have seen before that externality and before that event occurred, and I think that's okay. We all do this, right? We, you know, we all do this in our lives and our work is like sometimes something happens and all of a sudden, we have to use something else and we're like Whoa, I didn't realize how valuable that would be Right.
Speaker 1:Yeah, I think the overarching themes of that right, like figuring out what is that, those guidelines or something of like the burden of work or what is that going to add for additional resource needs, or even, as you say, like trying to outfit a new location with AERs and frying cabinets, the financial burden of that right, so kind of looking at all those different themes to then look at do we go with reusables? Do we look at single use options? I like how you broke that down.
Speaker 2:I think that's and that's a really important kind of lock in to when you think about the infrastructure investment, right? Because that gets back to what I was saying earlier about the human factors element. You know, at the end of the day, you know, depending on what you're trying to accomplish in this point of care or this site like, what your needs are for treating patients is asking that question, yes, okay, maybe, maybe having an AR is the right thing compared to putting our scopes in a bucket and setting a timer and turning the cooking timer. I would probably agree. I think that's. You know your, your margin of safety is going to increase if you move in that direction. But then you're still not addressing other human factors elements, other cost investments, other other structural deficiencies that come along with, if you want to do patient add-ons. Well, 45, 20 minute cycle, whatever it may be, there's still time. You still build your schedules around an AR. You still build your schedules around the ability to leak test. A scope Like that stuff doesn't go away, even if you improve it, versus compared to sticking scopes in a bucket or a tube, so to speak. Or, quite frankly, sending things to central sterile when a central sterile is already backed up is already under tremendous demand.
Speaker 2:And then you have a consult, someone who's actually like doing. I'll give you an example. I had a speech language pathologist that I met at a conference last year, and what she told me about what she would do is she had one endoscope system, one reusable endoscope system. Told me about what she would do is she had one endoscope system, one reusable endoscope system, and in her day was if she had four procedures for the day, her day looked like I would do the procedure, I would do my half hour case, I would walk the scope down and I would wait at central sterile and they would try and fit the scope in and I would wait. Maybe I'd wait 20 minutes, maybe I'd wait an hour and then I would go to my next case and then I would do it all over again. And I did this for two years.
Speaker 2:And at the end of the day now and then when I talked to her, she said, and what changed for us was like I now, if I have, if I want to treat four patients the day, I just go treat them right then and there I can schedule it in the morning. Now I can do other patients. Now I could do maybe more than four, whereas before I'd try and say okay, let me see if we can get to them later today or whatever. Now I don't even worry about that. And I think, when it comes to the kind of the burden, if you will, like you just said which I think is a nice thing, putting the burden on people to again to optimize on their own, so to speak, or to kind of find the solutions just by, like you know, grit is, it's asking a lot right, yeah, and I think you pointed out where single use isn't taking the jobs of sterile processing.
Speaker 1:It's really the tool or the conduit, if you will, to allow for the trays or the instruments or all of the other things that are not going to single use. We know that it just doesn't make sense for every single instrument, every time to be single use.
Speaker 2:Yeah.
Speaker 1:So I think that that's a really good point.
Speaker 2:No, no, I think, and you know there's and look, that's a perfectly reasonable. We all think about that. I'm worried whether or not AI will take my job one day. Like you know, we all live in that environment, so to speak. But I think more importantly and I think this is a lesson, I think, for everybody in these is that we also live in an environment where optimized, doing the best work for the best outcomes and this is especially true, I think, in today's health care it does it, there's, there's never enough hours in the day, right, it always. You always want, if you want better outcomes and patient care.
Speaker 2:This is my own belief now is that you need all of your people, all of your staff, from the CEO down to whoever's helping the whole hospital run day to day. They should be doing their best work. They should be doing their optimized work. They should be in a system where people are making choices. Who can make choices about? Okay, let's not.
Speaker 2:Why are we putting the burden on, maybe, this collection of people simply to carry a scope across a parking lot or something like this? That doesn't make sense. I don't think that you're going to get if you've got this full-time person and you're backed up on the ortho trays and you're backed up in your surgical instruments. You're backed up over there and you've got ORs you want to flip. Or now you have an ASC that's coming online and they might need maybe somebody over there right to help optimize what they're doing right, like there's all these sorts of needs within healthcare for all these talented people, and executing and doing the work well is, I think, what we're all trying to get to. And I think single use I don't think always people think of products that way, but I think it's true not just the single use endoscopes. I think it's true of a lot of products in healthcare they can play, you know, maybe an unexpected role right Sometimes that people aren't thinking in helping people get to doing kind of being great at their craft and doing the best outcome work.
Speaker 1:Yeah, we've talked a lot about that kind of that unexpected knowledge or the unexpected process improvement or other things across kind of the podcast around single use endoscopes of these unknown.
Speaker 2:I can't tell you. So I'm very much a stream of work person and it drives my family crazy because I go to work and I'm working and I need to be zoned in to do what I think is my best work and meanwhile my kids are messaging, my wife is calling and of course I have to be disrupted. This is my family right. But like disruption when you're trying to do your best work is hard to manage. Like nobody is good, I don't know. I mean some people are probably masterful at it, but like I know I'm not.
Speaker 2:And I think when we ask people to do their best work which I think in health care, we're all. I think that's kind of a baseline right. Like because we have so much at risk and so much you know to put in front of us for patient care, that tools and devices and services that can actually help hcps and help staff and help teams get to delivering their best work. I just feel like that's just a personal belief of mine and I think if you are lucky enough to work in industry that thinks that way an industry partner or if you're lucky enough to work in a idn with management who thinks this way, then I think you end up with really shining star, you know sites and I think you end up with a lot of happy people and a lot of job satisfaction, right Like you end up with teams that feel good about what they're doing every day.
Speaker 1:Yeah, I really like that. That's nice and encouraging to help them do the best work Right. And if every everyone can think that way in all the manufacturers, think of all the things that we can come up with. Christian.
Speaker 2:I'm sure they all try, they all try, they all try. But, but I think it quite frankly, you have to do more than try, right?
Speaker 1:So let's talk about sustainability. Can you share what Ambu is doing to ensure single use endoscopes are sustainable?
Speaker 2:Sure, I think, well one. I think Ambu is a leader in this area, if not the leader, certainly in endoscopes. I mean, I think what we're doing not only are we rated highly by third parties that evaluate med tech companies what they do for sustainability, parties that evaluate medtech companies what they do for sustainability, but we were the first company really to invest in utilizing bioplastics on our endoscopes. We've been involved in zero landfill programs. We're involved in creating circular and recyclable packaging and we're working towards more recyclability and service-oriented programs for our endoscopes. We're very much ahead of the game on this front. And one of the things I think is really important and I would say to any if you care about this right in the kind of an ether in the space, whether SPD or anywhere else if you care about sustainability, how you choose your industry partners, I think is important. And one of the things I would say about Ambu is that Ambu has has in our products, like our Endoscope portfolio, we have value chain ownership and what that means is we kind of own everything from design and delivery of our Endoscope and that gives us a tremendous amount of control and opportunity to build sustainability into every step of the process, not just end of life, not just recycling or a little bit of this, which we do, and we do invest in this, but we can invest in everything where how we treat our beads and our plastic molding, how we deal with our transport. We moved the factory. You know, a few years ago we moved, we built a factory in Juarez. You know that, you know, allowed us to actually move closer to to our North American customers. You know we have Factory for Products in Noblesville, indiana. We do some of that. We keep some of that online and we do things throughout our value chain. That is about making us a more sustainable company. I mean even things like circular packaging, which basically means that you know everything is kind of using recycled things, going into recyclable. You know packaging and this, to me, is more of a future-oriented approach.
Speaker 2:At the end of the day, amu is well aware of our investment in using plastic and single-use devices. Of course, right, but at the end of the day, what I would say to anybody who really thinks single-use is important I mean sustainability and single-use is important is investing in companies that are investing in this, trying to find a way to reduce everything from the footprint, trying to find ways into a completely circular environment where we are trying to mitigate landfill, trying to mitigate use, try and use bioplastic, less fossil fuel inputs, then I think it's important to invest in those companies because those, yeah, it's just my own opinion, but I think I do it in my personal life and I would say that customers should look at that too, because I think it's important to invest in those companies because those, yeah, it's just my own opinion, but I think I do it in my personal life and I would say that that customer should look at that too, because I think otherwise, if you don't do that, it makes it harder, quite frankly, for companies to invest in this space. And we're not alone, of course, but we, we think we're a leader in this space and I think if you as a customer, if you choose, if sustainability matters and you're choosing your vendors and your strategic partners is important. You know Ambu, you know is, you know we're a Danish company where our headquarters in Denmark, we have a U S headquarters in Columbia, maryland. You know it matters, it's in our DNA, and so we have a team in Denmark.
Speaker 2:That that's all they do is is look at how do we develop sustainability all the way into, like our part, design and and how do we be sustainable for how do we design it better for sustainability? So you know, when you I always think you know flash forward 10 years, all the benefits, all the values that single use can provide healthcare treatment, which, which we don't want to, I don't think anybody wants to take away, right? I think we want to realize this. In fact, I think we want more people to realize the inherent value to single-use devices, single-use, the power of single-use technology that'll be, quite frankly, be very, very advanced in five to 10 years.
Speaker 2:I don't think we want to take this away from patient care, right? I think what we want to do, and I think the onus is on the industry to say how are you making investments to make sure that this is sustainable? If this is a standard of care going forward at some point, how do you make it so that it isn't plastic in an ocean, right? How do you make it so that people can feel comfortable using it? And I think Ambu is way ahead of everyone else on that. It's my own personal opinion, but I certainly, I think anybody can look into Ambu's track record you know and see what we're doing in that area and see a lot of the firsts and see our ratings, see our ratings, see our STBI targets, can see all of these things that matter to Ambu as a company.
Speaker 1:Yeah, thank you for that. I think sustainability is a real key piece out there for a lot of things when we think about planet health and how we can set it up well for our future and our children, and so I think anything that we can do as manufacturers, um, and a great job like lead, you know, just leading kind of that I think that is really good for Ambu to be leading some of that work.
Speaker 2:No, a hundred percent, and I think you know, and I think also I think you know. Lastly, I would say you know it's hard for people to do sometimes and I put myself in this bucket right, like to think, to think forward rather than status quo. Right, and and and think about where things could go if we choose them to go right, versus kind of where they are, and how do we get back to where it was before? Or like, should we dial back the clock and do other things, and and and? I would say, like that's, that's a really difficult thing when you're trying to advance an industry, or if you're, in this case, trying to advance healthcare outcomes, and you're trying to advance, you know, availability for patients, try to advance the ability of healthcare providers to to perform procedures when they need it, to hospitals to turn over ORs so that they can be productive. And, quite frankly, you know, even you know, you know profitable. I mean, we need you know.
Speaker 2:I know that sounds crass sometimes to say, but you know, at the end of the day, we have a system that does require the right kind of revenue and spend and all that stuff. So you know, at the end of the day, I think it's important for all of us to kind of look forward, how all that stuff. So you know, at the end of the day, I think it's important for all of us to kind of look forward. How do we, how do we make all this possible that we can see in our vision right and and rather than say, well, can we turn back the clock?
Speaker 1:I don't really feel like that's really a good direction. Yeah, I think that's a, that's a key piece, right. The hospital systems are businesses as well, and so talking about some of that pieces, right, as we talked about those themes before Anything else you would like to share with our listeners today. Thanks for being here.
Speaker 2:No, I just I'm very thankful to be here, always grateful for the great work that SPD Central Sterile Teams do, all their associated partners, people who run around you know runners who go back and forth, whatever they may be. Hopefully they know that certainly industry knows that healthcare kind of can't run without them and their hard work and the fact that they care about doing their work every day. So, thank you. It's amazing work that I see every day and I get to experience and also, you know, for, lastly, if people are interested in learning more about kind of all the values and changes single use brings, there's obviously a lot at ambususacom, there's a lot at singleuseendoscopycom. There's a lot of information. Social media platforms you know Instagram, linkedin, twitter, etc. All those good places you can go on and you know you can ask to be added to that. We send out newsletters and things like that and information and so you know, feel free to jump in on all that fun stuff.
Speaker 1:Yeah, great. Thank you for joining me today on Skills with Jill miniseries. I appreciate the time and I look forward to bringing you all of the next episodes. Thank you to Bill and Sterilization Station for the support with this miniseries and be sure to check out all the great learning opportunities coming from.
