Central sterile supply services (2).pptx

Central sterile supply services

1. CENTRAL STERILE SUPPLY SE R VICES {CSSR} Dr. Mamta Department Of Pharmacy Practice

2. CONTENTS INTRODUCTION DEFINITION OBJECTIVES AND FUNCTIONS OF CSSR STRUCTURAL UNIT OF CSSR DEPARTMENTS OF CSSR ADVANTAGES QUALIFICATION AND RESPONSIBILITIES OF HOSPITAL PHARMACIST TO MANAGE CSSR REFERENCES 3

3. INTRODUCTION: The central sterile services department (CSSD), also called sterile processing department (SPD), central supply department (CSD),is an integrated place in hospitals and other health care facilities that performs sterilization and other actions on medical devices, equipment and consumables. 4 Each of these has equipments in place in order to perform specific functions towards sterilization of articles for immediate use in patient care.

4. DE F INITION: The central sterile supply department of a hospital has been defined as a centralised unit which provides professional supplies & equipments to all specialised departments. The specialised departments which are served includes all nursing departments, clinicians, certain specialised labs such as cardiac lab (catherisation) and operating rooms. Single use of items such as syringes, tubes, urine collection sets, I.V administration sets, needles, gloves, blood bags, are dispensed by central sterile supply room. 5

5. Single use of items such as syringes, tubes, urine collection sets, I.V administration sets, needles, gloves, blood bags, are dispensed by central sterile supply room. The CSSD should have the following zones – The unclean and washing area, The assembly and packing area, The sterilization area. Fig:1 ZONES OF CSSD

6. OBJECTIVES : The main objectives of central service includes the following: To provide inventoried supplies and equipment to customer areas. To provide supplies of sterile linen packs, basins, instruments, and other sterile items. To maintain an accurate record of the effectiveness of the cleaning, disinfecting, and sterilizing processes. To monitor and enforce controls necessary to prevent cross infection according to infection control policies. To establish and maintain sterile processing and distribution standards.

7. FUNCTIONS OF CSSR: CSSR has dual functions: Cleaning, packaging and distribution of medical equipments and supplies which is the responsibility of the nurse. Manufacturing of sterile fluids which is the responsibility of pharmacist. FIG:2 Functions and activities of CSSR

8. PHARMACIST ROLES OF CSSR Preparation of solutions in bulk and transport tanks to CSSR for bottling and sterilization. Prepare a mixture of chemicals in dry state which when dissolved in the specified volume of distilled water results in a desired product which is then packed and sterilized by CSSR panel members. Prepare and package the solutions for sterilization by CSSR. FIG:3 Activities of pharmacist

9. DEPARTMENTS OF CSSR: Sterile processing departments are typically divided into four major areas to accomplish the functions of decontamination, assembly and sterile processing, sterile storage, and distribution. DECONTAMINATION: Decontaminating used surgical instruments and other medical devices Operating and maintaining special decontamination equipment like automatic washers Inspecting decontaminated items to make sure they are clean Assembly Organizing clean items and packaging them into appropriate instrument trays and sets 10

10. STERILIZATION AND STORAGE Sterilizing assembled trays of instruments Precisely operating and monitoring special sterilization equipment like autoclaves Keeping detailed records of items that have been cleaned, sterilized, and stored. DISTRIBUTION Stocking crash carts , organizing sterilized medical supplies Ensuring that sterile supplies don’t become outdated / preventing event related sterility issues Delivering sterile supplies where they are needed and picking up dirty ones. 11

11. STERILIZATION EQUIPMENTS Hot air oven autoclave 11

12. STRUCTUTRAL UNIT OF CSSR: Central unit comprises of 2 zones separated by two distinct central barriers: Collection window One supply window on either side Fig:4 STRUCTURAL UNIT OF CSSR 12

13. ADVANTAGES: 13

14. QUALIFICATION AND RESPONSIBILITIES OF HOSPITAL PHARMACIST TO MANAGE CSSR: Interviewing the sales persons, promoters Meeting with and discussing procedures or specific problems with medical staff Purchases, receiving and storing of supplies Charging inventory and accounting procedures Teaching to various groups Practicing the principals of standardization Manufacturing in a small lots both sterile and non sterile preparations 14

15. REFERENCES: A textbook of hospital pharmacy by H.P Tippins and Amritha Bajaj. h t t p s: / /en.wik i p e d i a . o r g/wiki/ C entral sterile services department https: //ww w .ncbi.nlm.nih.gov › NCBI › Literature › PubMed Central (PMC) 15