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CSSD

The Central Sterile Supply Department (CSSD) aims to centralize sterilization activities like cleaning, assembly, sterilization, storage and distribution of sterile materials under controlled conditions with technical supervision. This provides efficient and continuous supply of sterile materials to hospitals while reducing infection rates. The CSSD layout is designed for one-way flow from receiving to issue areas. It has six divisions - soiled, clean, and sterile zones separated by barriers, and includes collection/supply windows. Equipment includes washers, autoclaves, dry heat sterilizers and storage areas. Staffing is based on three shifts and number of beds, with technicians, attendants and supervisors. Regular validation testing ensures sterilization effectiveness.

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2K views8 pages

CSSD

The Central Sterile Supply Department (CSSD) aims to centralize sterilization activities like cleaning, assembly, sterilization, storage and distribution of sterile materials under controlled conditions with technical supervision. This provides efficient and continuous supply of sterile materials to hospitals while reducing infection rates. The CSSD layout is designed for one-way flow from receiving to issue areas. It has six divisions - soiled, clean, and sterile zones separated by barriers, and includes collection/supply windows. Equipment includes washers, autoclaves, dry heat sterilizers and storage areas. Staffing is based on three shifts and number of beds, with technicians, attendants and supervisors. Regular validation testing ensures sterilization effectiveness.

Uploaded by

niraj_sd
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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CSSD

Central sterile supply department (CSSD)


Aim of CSSD is :
• Centralizing the activities of receipt, cleaning, assembly, sterilization,
storage and distribution of sterilized materials from a central
department where safe sterilization is done under controlled conditions
with adequate managerial and technical supervision at an optimum cost
• To provide an efficient, economic, continuous and quality supply of
sterilized material to various areas of the hospital to deliver quality and
infection free patient care
• Contributes to reduction in hospital infection rate
• To reduce the burden of work of the nursing personnel, there by
enabling them to devote more of their time to patient care
Planning OF CSSD
Lay out designing principle
• There is no back tracking of sterile goods
• One way movement from receiving counter to issue counter
• Sterile area should be prior to sterile storage and issue
• The receiving counter must be away from the issue counter
• Separate receiving and issuing counter

There should minimum six basic division in CSSD


Structural designing
The Central Unit comprises of three zones, separated by two distinct
barriers
• One collection window
• one supply window on the other end

Collection Distribution

Soiled Clean Sterilization


cleaning packaging Sterile
zone zone area
area area storage
Central sterile supply department (CSSD)

New demands
• Controlled room ventilation (air flow) to get good production conditions:
a) Soiled zone – negative pressure (-) versus adjoining areas
b) Clean zone – positive pressure (++) versus to all adjoining
c) Sterile zone – positive pressure (+)

(-) (++) (+)


Equipments
Cleaning area
 High capacity pass through washer disinfector at 800C to 900 C having
various shapes and size
Cold and hot water streams.
Detergent Solution
Steam when available
Hot air ovens for drying instruments
Wall fixtures for drying
Sterilization Area
Autoclaves using dry heat, moist heat
Ethylene oxide sterilizers
Testing material to check effectiveness of sterilization
Storage and Distribution
Cup boards, selves, tables, chairs, racks
Trolleys, instrument trays, wire baskets and containers
Staffing
 Staffing should be planned based on following factors:-
a. Three shift working
b. Messenger service
c. Maintenance service.
d. Staff for 6 areas.
e. leave and off duty
- Average 02 technicians for 100 beds and one technical supervisors
- One clerk for keeping records, accounting and supply/ shift
- Average 04 attendants per 100 beds in all shifts
- Adequate number of cleaning attendants and transporters
- One technician and two attendants should be stationed at each zone
 Personnel should be adequately trained to handle the equipments.
 Regular maintenance of equipments be done
 The hospital infection control committee monitors the sterilization by
drawing samples and growing in medias for colony count.
Performance/Validation test in CSSD
• Bowie Dick test (daily)
• Leak rate test (weekly)
• Temperature and process control test (weekly)
• Air detector performance test (weekly)
• Biological indicator test (weekly)
- Bacillus stearothermophillus: steam
- Bacillus subtillis:ETO and dry heat
• Quarterly test (using thermocouples)
(Usually done by company once in six months)
• Yearly commissioning and re-commissioning test
(using thermocouples)

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