This document discusses central sterile supply services (CSSS) in hospitals. It defines CSSS as a centralized unit that provides sterile medical supplies and equipment to different hospital departments. The CSSS has three main zones - cleaning/washing, assembly/packaging, and sterilization. It describes the objectives, functions, departments, equipment, structural unit, advantages, and the qualifications and responsibilities of hospital pharmacists in managing the CSSS. The CSSS aims to provide sterile supplies, maintain cleaning and sterilization records, and enforce infection control policies.

1. PRESENTED BY:
T.Ramya Krishna
14AB1T0025
UNDER THE GUIDENCE
OF:
Dr. G.RAMESH Pharm.D
VIGNAN PHARMACY COLLEGE
(Approved by AICTE, PCI- New Delhi & Affiliated to JNTUK)
3/13/2018 1VIGNAN PHARMACY COLLEGE, VADLAMUDI

2. CENTRAL
STERILE SUPPLY
SERVICES {CSSR}
3/13/2018 2VIGNAN PHARMACY COLLEGE, VADLAMUDI

3. 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
3/13/2018
3
VIGNAN PHARMACY COLLEGE, VADLAMUDI

4. 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.
 Each of these has equipments in place in
order to perform specific functions towards
sterilization of articles for immediate use in
patient care.
3/13/2018 4VIGNAN PHARMACY COLLEGE, VADLAMUDI

5. DEFINITION:
• 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.
3/13/2018
5VIGNAN PHARMACY COLLEGE, VADLAMUDI

6. • 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 –
1) The unclean and washing area,
2) The assembly and packing area,
3) The sterilization area.
Fig:1 ZONES OF CSSD
3/13/2018 6VIGNAN PHARMACY COLLEGE, VADLAMUDI

7. 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.
3/13/2018 7VIGNAN PHARMACY COLLEGE, VADLAMUDI

8. 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 CSSR3/13/2018 8VIGNAN PHARMACY COLLEGE, VADLAMUDI

9. • 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.
PHARMACIST ROLES OF CSSR
FIG:3 Activities of pharmacist3/13/2018 9VIGNAN PHARMACY COLLEGE, VADLAMUDI

10. 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
3/13/2018 10VIGNAN PHARMACY COLLEGE, VADLAMUDI

11. 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.
3/13/2018 11
VIGNAN PHARMACY COLLEGE,
VADLAMUDI

12. STERILIZATION EQUIPMENTS
Hot air oven
autoclave
3/13/2018 12VIGNAN PHARMACY COLLEGE, VADLAMUDI

13. 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 CSSR3/13/2018 13VIGNAN PHARMACY COLLEGE, VADLAMUDI

14. ADVANTAGES:
3/13/2018 14VIGNAN PHARMACY COLLEGE, VADLAMUDI

15. 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
3/13/2018 15VIGNAN PHARMACY COLLEGE, VADLAMUDI

16. REFERENCES:
1. A textbook of hospital pharmacy by H.P
Tippins and Amritha Bajaj.
2. https://en.wikipedia.org/wiki/Central
sterile services department
3. https://www.ncbi.nlm.nih.gov › NCBI ›
Literature › PubMed Central (PMC)
3/13/2018 16VIGNAN PHARMACY COLLEGE, VADLAMUDI

17. 3/13/2018 17VIGNAN PHARMACY COLLEGE, VADLAMUDI