Roles and responsibilities High Level Overview Circulator Prepare instrument carts required for the production of human bone and tissue allografts in accordance with company SOPs, AATB standards, and federal and state government rules and regulations Clean and disinfect cleanrooms and decontaminate instruments May assist processing and packaging technicians CNC Operator Operate machines to perform machine functions on workpieces Set up, maintain, modify, and operate a variety of computer-controlled machine tools to produce precision parts and instruments Knowledge of mechanics, metal properties, layout, and machining procedures required Quality Assurance Technician Inspect, test, sort, sample, and weigh various materials, parts, and products for defects, wear, and deviations from specifications Read work orders, blueprints, and other instructions to determine product specifications, material requirements, operational methods or sequences Production Supervisor Organize, prioritize, and plan work to accomplish production goals and targets Maintain a safe work environment May train and coordinate the activities of production and operation Deep dive into the Circulator role follows

The Circulator role follows a multi-level career path Normal Volume Limited Volume Circulator Lead External talent Circulator I Circulator II Circulator III

Occupation-specific competencies necessary for each role Pre-required Occupation-specific competencies necessary for each role Required up-skill Required Roles: Circulator I Circulator II Circulator III Circulator Lead Competencies: Equipment Check Equipment Check Equipment Check Equipment Check Machinery Machinery Machinery Machinery Instrument Preparation Instrument Preparation Instrument Preparation Instrument Preparation Medical Support Medical Support Medical Support Medical Support Process Documentation Process Documentation Process Documentation Material Moving or Transport Material Moving or Transport Material Moving or Transport Process & Analysis Administrative Functions Equipment Maintenance Management & Planning Employee Training

Foundational competencies necessary for each role Pre-required Foundational competencies necessary for each role Required up-skill Required Roles: Circulator I Circulator II Circulator III Circulator Lead Competencies: Active Learning Active Learning Active Learning Active Learning Equipment Safety Equipment Safety Equipment Safety Equipment Safety Coordination Coordination Coordination Time Management Time Management Time Management Judgment and Decision Making Personnel Management Complex Problem Solving Speaking

Interpersonal competencies necessary for each role Pre-required Interpersonal competencies necessary for each role Required up-skill Required Roles: Circulator I Circulator II Circulator III Circulator Lead Competencies: Active Listening Active Listening Active Listening Active Listening Office Etiquette Office Etiquette Office Etiquette Office Etiquette Teamwork Teamwork Teamwork Communication Communication Communication Monitoring Problem Sensitivity Social Perceptiveness Team Management

Competency overview for Pinnacle Transplant Competencies Circulator I Circulator II Circulator III Circulator Lead Occupation-Specific Competencies Equipment Check Process Documentation Process & Analysis Administrative Functions Machinery Material Moving or Transport Equipment Maintenance Management & Planning Instrument Preparation Employee Training Medical Support Foundational Competencies Active Learning Coordination Judgment and Decision Making Personnel Management Equipment Safety Time Management Complex Problem Solving Speaking Interpersonal Competencies Active Listening Teamwork Monitoring Problem Sensitivity Office Etiquette Communication Social Perceptiveness Team Management

Key occupation-specific competencies: Circulator 1 Pre-required Key occupation-specific competencies: Circulator 1 Required up-skill Required Competency Overview Equipment Check Able to check PPE supply levels in locker rooms, cleanrooms, and the General Lab Area and notify Production Manager and other applicable departments to ensure proper levels of inventory are maintained Machinery Able to safely and appropriately operate, demonstrate, clean, and lubricate machines Intermediate experience with sterilization equipment (e.g., Autoclave, heat sealer, sonicator) Instrument Preparation Prepare materials (e.g., instruments) needed for carts Create instrument packs and wrap decontaminated instruments and supplies for sterilization Medical Support Assist all applicable technicians with setting-up the sterile field and aseptic gowning and gloving in the cleanrooms

Instrument Preparation Pre-required Educational providers for key occupation-specific competencies: Circulator 1 Required up-skill Required Specific course(s) or program(s) Length Delivery Educational provider On-site training TBD In-person Equipment Check In-house training Machinery In-house training On-site training TBD In- person TBD In-person Instrument Preparation In-house training On-site tutorial on criteria used for instrument preparation Certification Code of Conduct Exam Online Medical Support American Association of Tissue Banks

Key foundational competencies: Circulator 1 Pre-required Key foundational competencies: Circulator 1 Required up-skill Required Competency Overview Active Learning Understanding the implications of new information for both current and future problem solving and decision making Equipment Safety Able to follow safety procedure and protocols; Ensuring the complete physical safety of oneself and one’s co-workers at all times without exception

Educational providers for foundational competencies: Circulator 1 Pre-required Educational providers for foundational competencies: Circulator 1 Required up-skill Required Specific course(s) or program(s) Length Delivery Educational provider Creative Problem Solving and Decision Making course 30 hours Online Active Learning edX course N/A N/A N/A Equipment Safety TBD

Key interpersonal competencies: Circulator 1 Pre-required Key interpersonal competencies: Circulator 1 Required up-skill Required Competency Overview Active Listening The ability to listen to and understand information and ideas presented through spoken words and sentences (e.g., understanding occupation-specific terms and their practical meaning) Office Etiquette Complete assignments to meet work schedules and keep supervisor informed of progress

Educational providers for key interpersonal competencies: Circulator 1 Pre-required Educational providers for key interpersonal competencies: Circulator 1 Required up-skill Required Specific course(s) or program(s) Length Delivery Educational provider Active Listening Lynda.com course Becoming an Active Listener 1 hour Online Lynda.com course Office Etiquette Office Etiquette 5.5 hours Online

Key occupation-specific competencies: Circulator 1 to Circulator 2 Pre-required Key occupation-specific competencies: Circulator 1 to Circulator 2 Required up-skill Required Competency Overview Process Documentation May be assigned to a processor or technician to document critical tissue processing activities (e.g., time) Material Moving or Transport Assist with transferring donor tissue to WIP areas Equipment Check Machinery Instrument Preparation Medical Support

Educational providers for key occupation-specific competencies: Circulator 1 to Circulator 2 Pre-required Required up-skill Required Specific course(s) or program(s) Length Delivery Educational provider Certification Code of Conduct Certified Tissue Bank Specialist (CTBS) Exam Online Process Documentation American Association of Tissue Banks Material Moving or Transport N/A N/A N/A TBD Equipment Check Machinery Instrument Preparation Medical Support

Key foundational competencies: Circulator 2 Pre-required Key foundational competencies: Circulator 2 Required up-skill Required Competency Overview Coordination Working well with others (e.g., applicable technician or other circulators) to set-up the sterile field, aseptic gowning, and gloving in the cleanrooms Team Management Maximizing the use of one's own time and the time of others; Showing up on time, reliably completing tasks by set deadlines and adapting to changes in deadlines and priorities Active Learning Equipment Safety

Educational providers for foundational competencies: Circulator 2 Pre-required Educational providers for foundational competencies: Circulator 2 Required up-skill Required Specific course(s) or program(s) Length Delivery Educational provider edX course Communication & Teamwork 6 hours Online Coordination 3 hours Online Lynda.com course Time Management Fundamentals course Team Management Active Learning Equipment Safety

Key interpersonal competencies: Circulator 2 Pre-required Key interpersonal competencies: Circulator 2 Required up-skill Required Competency Overview Teamwork Able to work with packaging and processing technicians Communication Able to effectively communication with technicians, supervisors, and other applicable staff members Active Listening Office Etiquette

Educational providers for key interpersonal competencies: Circulator 2 Pre-required Educational providers for key interpersonal competencies: Circulator 2 Required up-skill Required Specific course(s) or program(s) Length Delivery Educational provider Teamwork edX course Communication & Teamwork 6 hours Online Communication Same as above Same as above Same as above Same as above Active Listening Office Etiquette

Key occupation-specific competencies: Circulator 2 to Circulator 3 Pre-required Key occupation-specific competencies: Circulator 2 to Circulator 3 Required up-skill Required Competency Overview Process Analysis Deep understanding the process components and analysis of the end-to-end process Equipment Maintenance Inspection and tests of instruments to evaluate quality or performance using a set of test tools Equipment Check Machinery Instrument Preparation Medical Support Process Documentation Material Moving or Transport

Educational providers for key occupation-specific competencies: Circulator 2 to Circulator 3 Pre-required Required up-skill Required Specific course(s) or program(s) Length Delivery Educational provider Lynda.com course Process Improvement Fundamentals 1.5 hours Online Process Analysis Equipment Maintenance In-house trainer On-site training TBD In-person Equipment Check Machinery Instrument Preparation Medical Support Process Documentation Material Moving or Transport

Key foundational competencies: Circulator 3 Pre-required Key foundational competencies: Circulator 3 Required up-skill Required Competency Overview Judgment & Decision Making Able to make decisions independently when appropriate (picking the right machines and using an efficient process to create products); follows safety protocols and does not take short cuts, which can be risky Complex Problem Solving See process from start to finish, take initiative to identify problems and solve them (minimize waste) and choose the most efficient way to produce; able to operate independently with decreasing supervision required over time; proactively maintain tools to optimize efficiency Active Learning Equipment Safety Coordination Time Management

Educational providers for foundational competencies: Circulator 3 Pre-required Educational providers for foundational competencies: Circulator 3 Required up-skill Required Specific course(s) or program(s) Length Delivery Educational provider edX course Analytical Problem Solving & Design Thinking course 35 hours Online Judgment & Decision Making edX course Creative Problem Solving and Decision Making course 30 hours Online Complex Problem Solving Active Learning Equipment Safety Coordination Time Management

Key interpersonal competencies: Circulator 3 Pre-required Key interpersonal competencies: Circulator 3 Required up-skill Required Competency Overview Monitoring Monitoring/assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action Social Perceptiveness Being aware of others’ reactions and understanding why they react as they do Active Listening Office Etiquette Teamwork Communication

Educational providers for key interpersonal competencies: Circulator 3 Pre-required Educational providers for key interpersonal competencies: Circulator 3 Required up-skill Required Specific course(s) or program(s) Length Delivery Educational provider Monitoring The Manager's Guide to Employee Feedback – Impakt Publishing 2014 TBD TBD In-person Social Perceptiveness Same as above Same as above Same as above Same as above Active Listening Office Etiquette Teamwork Communication

Key occupation-specific competencies: Circulator 2 to Circulator Lead Pre-required Key occupation-specific competencies: Circulator 2 to Circulator Lead Required up-skill Required Competency Overview Administrative Functions Experience dealing with planning, budgeting, and organizing of different resources (human, financial, or physical); activities may include weekly scheduling, employee assessments, and managing expenses HR Management & Planning Identifies and manages the current and future HR needs of an organizations in ways like succession planning, job analysis, performance appraisals, organizational development, HR policies, and organizational analysis Employee Training Assist staff in using various techniques, tools, strategies, and materials to complete jobs Equipment Check Machinery Instrument Preparation Medical Support Process Documentation Material Moving or Transport

Educational providers for key occupation-specific competencies: Circulator 2 to Circulator Lead Pre-required Required up-skill Required Specific course(s) or program(s) Length Delivery Educational provider Process Improvement Fundamentals 1.5 hours Online Administrative Functions Lynda.com course HR Management & Planning Same as above Same as above Same as above Same as above N/A N/A N/A Employee Training TBD Equipment Check Machinery Instrument Preparation Medical Support Process Documentation Material Moving or Transport

Key foundational competencies: Circulator Lead Pre-required Key foundational competencies: Circulator Lead Required up-skill Required Competency Overview Personnel Management Motivating, developing, and directing people as they work, identifying the best people for the job Speaking Talking to others to convey information effectively Active Learning Equipment Safety Coordination Time Management

Educational providers for foundational competencies: Circulator Lead Pre-required Educational providers for foundational competencies: Circulator Lead Required up-skill Required Specific course(s) or program(s) Length Delivery Educational provider University of Phoenix Effective Management 8 hours In-person Personnel Management edX course Introduction to Public Speaking 40 hours Online Speaking Active Learning Equipment Safety Coordination Time Management

Key interpersonal competencies: Circulator Lead Pre-required Key interpersonal competencies: Circulator Lead Required up-skill Required Competency Overview Problem Sensitivity The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem Team Management Able to work with and lead personnel (e.g., circulators, technicians) to resolve problems and efficiently find solutions Active Listening Office Etiquette Teamwork Communication

Pre-required Educational providers for key interpersonal competencies: Circulator Lead Required up-skill Required Specific course(s) or program(s) Length Delivery Educational provider Problem Sensitivity Coursera.com course Effective Problem Solving & Decision-Making 6 hours Online Team Management Lynda.com course Management Tips 5.5 hours Online Active Listening Office Etiquette Teamwork Communication