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    Central Sterile Supply Department (CSSD)

    The Central Sterile Supply Department (CSSD) is an independent department with facilities to receive, clean, disinfect, pack, sterilize, store and distribute instruments & supplies as per well-delineated protocols to and from all departments of the hospital specially the operating rooms for the care and safety of patients.

     

    CSSD Furniture
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    Eto Gas Sterilizers
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    Formaldehyde Low Temperature Sterilizer
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    Instrument Washing & Disinfector
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    Plasma Sterilizer
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    Steam Sterilizer
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    Table Top-Steam Sterilizer
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    Ultrasonic Cleaner
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    Washing & Disinfector Tunnels
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    Objective and Functions

    • To provide sterilized material.
    • Contributing to reduction in secondary hospital infection (nosocomial infection).
    • To avoid duplication of costly equipment.
    • To maintain record of effectiveness of cleaning, disinfection and  sterilization process.
    • To monitor & enforce controls necessary to prevent cross infection.
    • To maintain an inventory of supplies and equipment.
    • To provide a safe environment for the patients and staff.

    Size & Location for CSSD

    • Size and location of CSSD varies on the number of OT’s & Beds.
    • The CSSD layout should be designed for a unidirectional flow.
    • The CSSD should be close to the casualty, Operation Theatre and wards which are the largest consumer of the sterilized material.
    • In multistoried buildings, CSSD may be planned in the lower floor right under the Operation Theatre, where vertical movement will be the quickest possible movement of the material.

    CSSD should have three zones for a smooth work flow :

    • Dirty area / washing area (Zone 1).
    • The clean area / Packing area (Zone 2).
    • The sterile area (Zone 3).

    Planning of CSSD

    • The materials/ items from contaminated and sterile areas should not get mixed.
    • There should be physical barrier between clean and dirty areas.
    • The floor should be smooth, impervious, non skid and robust.
    • The clean area should be maintained at positive pressures.
    • All 3 zones should have different HVAC pressure.
    • False ceiling should be metallic.
    • The sterilization must be planned for autoclaving by steam.

    Work Flow major activities in a CSSD:

    • Receiving the used items from user departments.
    • Cleaning.
    • Packing.
    • Sterilizing.
    • Storing (Temporary).
    • Distributing to user departments.

     

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