Central Sterile Supply Department (CSSD)

The Central Sterile Supply Department (CSSD) is the service responsible for receiving, storing, processing, distributing and controlling the professional supplies and equipment (both sterile and non-sterile) for all user unit of hospital for the care and safety of patient under strict quality control
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1. CSSD Group Presentation Group 05 Group Members – Ms. A. P. M. Lakmali Ms. Wasana Heiyanthuduwa Ms. K. K. S. Madushani Ms. S. F. Nashath 12 th Batch (2015/16) BSc Nursing Program Faculty of Medical Sciences University of Sri Jayewardenepura

2. What is CSSD Functions of CSSD Steps to be completed before sterilizing Measures taken by the staff to maintain the chain sterility How liquids are being autoclaved Roles and responsibilities of a nurse works in the CSSD Content

3. What is CSSD ? The Central Sterile Supply Department (CSSD) is the service responsible for receiving, storing, processing, distributing and controlling the professional supplies and equipment (both sterile and non-sterile) for all user unit of hospital for the care and safety of patient under strict quality control

4. Functions of CSSD Functions of CSSD Receipt Labeling Cleaning Drying Packing Sterile storing Issue / Distribution Sterilizing

5. Functions of CSSD Receiving and storing soiled materials used in the hospital Carry out the process of decontamination or disinfection prior to sterilization

6. Carry out specialized cleaning of equipment and supplies Inspecting and testing instruments, equipment and linen

7. Assembling treatment trays, instrument sets, linen packs etc . Packing all materials for sterilization Labeling and dating materials

8. Sterilizing Storing and controlling inventory Issuing and distributing

9. Steps to be completed before sterilizing Rinsing Cleaning Ultrasonic cleaning Manual Cleaning After cleaning Air dry

10. Measures taken by the staff to maintain the chain sterility Chemical indicators Which changes color on exposure to the appropriate sterilization cycle – Autoclave tape or steri tape Biological indicators Contains bacterial spores which required high temperature to lose their viability are used. In biological indicators G.Sterophylothermophylus bacterias are used. We check the growth of the bacteria in this case

11. How liquids are being autoclaved An autoclave is a pressure chamber used to carry out industrial processes requiring elevated temperature and pressure different from ambient air pressure. Autoclaves are used in medical applications to perform sterilization and in the chemical industry to cure coatings . The most common temperatures used are 121 C- 132 C .

12. When we placed the liquids in autoclaving machine we must follow some important steps. Place soiled glassware and label ware in secondary containers and autoclave them in the solids cycle. Do not fill containers more than 2/3 full with fluids. Loosen caps or use wrapped instruments, lay them in a secondary container before autoclaving in wrapped goods cycle. Never autoclave sealed containers of liquid as this could result in an explosion of superheated liquid. When we autoclaving fluids in setting bar we use yellow color button. It may course pressure decreases more slowly at the end of sterilization. The autoclave must have a “LIQUID” setting that can be used for liquid materials. The setting for liquids run for a longer period at a lower temperature to minimize liquid evaporation and spills. How liquids are being autoclaved

13. How liquids are being autoclaved

14. Roles and responsibilities of a nurse works in the CSSD A Central Sterile Supply Department (CSSD) nurse is a member of a medical facility, usually a hospital or clinic, responsible for maintaining the facility’s supply of sterile devices. Many CSSD supervisors have experience in nursing . Roles & Responsibilities Maintaining Inventory

15. Maintaining budgeting Maintaining hygiene Staff Supervision

16. Record keeping Documentation Infection control Relations in CSSD Reprocessing medical devices

17. Questions?