CSSD- Central Sterile Supply Department

  CSSD- Central Sterile Supply Department

Functions of CSSD

Ü Receive & process

ü Sterilize & dispense

ü Improve sterilization process

ü Maintain uninterrupted sterile supply

ü training

Flow of CSSD

Receipt→ accounting/sorting→ washing, cleaning, drying→ packing→ awaiting sterilization→ check for sterility→ sterile storage→ issue

Location

Ü Near boiler

ü Easy access OT, ICU, labour room etc.

Ü Accessible to dumb weightier

Space

Ü 7sq ft/bed for 300 beds & above

ü 10 sq ft /bed below 300 beds

Activities

Ü Receipt of used supplies

ü Accounting

ü Washing, cleaning & drying

ü Sorting

ü Packing

ü Sterilization

ü Sterile storage

ü issue

Staffing

500 bedded teaching hospital

ü matron—01

ü staff nurse—04

ü technical assistant—08

ü technicians—08

ü ward boys—08

ü sweeper---04

(for three shift duties)

Sterilization process

Ü Heat sterilization—steam

ü Dry heat

ü ETO sterilization

ü Chemical sterilization

ü Radiation sterilization

                                                        

Equipment's

Ü Autoclave walk in type

ü Dry oven

ü Gauze cutter

ü Ultrasound washer

ü Needle flushing device

ü Ethylene oxide sterilizer

ü Workbenches with s.steel tops

ü Storage racks

ü Soaking sinks

ü High-pressure water jets

Autoclaving

15 minutes

ü Quality control—color index strip

ü Sterility indicators--

ü mechanical indicator— temp, pressure, time, humidity

ü Chemical indicator

ü Biological indicator

ü Shelf life—4 wks but to be resterilized after 01wk

ETO Sterilization process

Ü Warming the chamber

ü Evacuating residual air

ü Introduce moisture

ü Introduce EO

ü Raising temp

ü Expose required time

ü Release chamber pressure

ü Removal of gas under vacuum(purge cycle)

ü Reestablishment of atmospheric pressure

Policies & procedures

Ü Responsibility

ü Disposables

ü Segregation of sterile/unsterile supplies

ü Standardization of packs

ü Packing procedures

ü Manuals of operation

ü Packing material

CSSD Distribution system

Ü Clean for dirty-exchange

ü Requisition system

ü Grocery system

ü Quota system

Managerial issues

Ü Maintenance & repair of equipment's

ü Inventory management

ü Budget consideration