Consulting Core Competencies Design   Department analysis Work area design and functional workflow Department physical design including architectural recommendations for remodel and new facilities (SPD, OR, and ambulatory surgery centers) Sterile Storage Distribution SPD equipment assessment and capacity planning Bottleneck and inefficiency identification  Policy and Procedures   Policy and procedure review Packaging, preparation and sterilization Packaging configuration and preparation Instrument tray design Loading and unloading sterilizers Sterilization parameters Monitoring sterilization cycles Documentation/Record keeping Standards and recommended practices (AAMI, AORN, APIC, IAHCSMM, CDC, and SGNA) Quality assurance/improvement indicators and measurement systems  Personnel   Competencies & certifications Qualifications Training and education Proper attire Staffing recommendations Education evaluation Roles and responsibilities OR/SPD coordination – interdepartmental relationships Building and maintaining relationships with OR  Process Improvement   Instrument cleaning and other decontamination processes Case cart system design and organization SPD information systems for tracking and productivity Problem analysis and assistance with resolution  Equipment   Equipment and product evaluation and selection Instrument and equipment tracking  Other   Publication of articles in trade journals covering all aspects of SPD  Expert witness Vast professional network of industry colleagues Quality assurance/improvement indicators, measurement systems Evidence based practices Implementation assistance Educational presentations