Laundry services in hospitals –linen handling
During any given hospital stay, patients spend most, if not all, of their time in bed.
•That means they are surrounded all day with hospital linens.
•From their gown to their sheets and blankets patients have more contact with these items than anything else in the hospital.
•Adequatesupplyofcleanlinensufficientforcomfortandsafteyofpatientandpersonalappereance&pleasant,neatlyattiredemployeesattendingpatientsinfreshcrispuniformdomuchsellthehospitaltothepublic
•Thereforeitmakessensetoensurethattheyareproperlycleaned,driedandtransportedtoavoidcrosscontamination
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
You will be able to have a brief idea about CSSD from this ppt
Thanks
Process flow, CSSD IS A SERVICE UNIT IN A HOSPITALTalal Albudayri
CSSD IS A SERVICE UNIT IN A HOSPITAL THAT
PROCESSES, ISSUE & CONTROLS THE STERILE
STORES SUPPLY TO ALL DEPARTMENTS OF THE
HOSPITAL.
CSSD IS THE DEPARTMENT WHICH DEALS WITH
RECEIVING, CLEANING, PACKING,
DISINFECTING, STERILIZING, STORING AND
DISTRIBUTING ALL SURGICAL INSTRUMENTS
AND EQUIPMENTS AS PER WELL-DELINEATED
PROTOCOLS AND STANDARDIZED PROCEDURES.
Laundry services in hospitals –linen handling
During any given hospital stay, patients spend most, if not all, of their time in bed.
•That means they are surrounded all day with hospital linens.
•From their gown to their sheets and blankets patients have more contact with these items than anything else in the hospital.
•Adequatesupplyofcleanlinensufficientforcomfortandsafteyofpatientandpersonalappereance&pleasant,neatlyattiredemployeesattendingpatientsinfreshcrispuniformdomuchsellthehospitaltothepublic
•Thereforeitmakessensetoensurethattheyareproperlycleaned,driedandtransportedtoavoidcrosscontamination
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
You will be able to have a brief idea about CSSD from this ppt
Thanks
Process flow, CSSD IS A SERVICE UNIT IN A HOSPITALTalal Albudayri
CSSD IS A SERVICE UNIT IN A HOSPITAL THAT
PROCESSES, ISSUE & CONTROLS THE STERILE
STORES SUPPLY TO ALL DEPARTMENTS OF THE
HOSPITAL.
CSSD IS THE DEPARTMENT WHICH DEALS WITH
RECEIVING, CLEANING, PACKING,
DISINFECTING, STERILIZING, STORING AND
DISTRIBUTING ALL SURGICAL INSTRUMENTS
AND EQUIPMENTS AS PER WELL-DELINEATED
PROTOCOLS AND STANDARDIZED PROCEDURES.
CENTRAL STERILE SUPPLY SERVICES CSSR & CSSD.pdfTalal Albudayri
Central sterile supply room (CSSR):
• It is a unit or service dealing with the supply of
professional sterile and non sterile supplies to
different departments both to specialized units
as well as general wards and OPD.
• It is an integrated place in hospital that
performs sterilization & such actions.
Other Names:
Sterile Processing Department (SPD)
Central Supply Department (CSD)
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
1. CENTRAL STERILE & SUPPLY
DEPARTMENT
IN A QUATERNARY CARE HOSPITAL
Understanding Process & SWOT analysis
Dr. Sudha Pathak & Mr. Omkar More
2. CSSD is a service unit in a hospital that processes, issue
& controls the sterile stores supply to all departments of
the hospital.
Or
CSSD is the Department which deals with receiving,
cleaning, packing, disinfecting, sterilizing, storing and
distributing all surgical instruments and equipments as per
well-delineated protocols and standardized procedures.
3. FACTS
o First CSSD was set in India at Jaslok Hospital in
July, 1973 by Nalini Gaithonde
o Analysts say that 85 per cent of most of the
upcoming hospitals have a well-equipped CSSD.
4. WHY CSSD ???
• By having separate CSSD, we can decrease the cost of
sterilizers through centralization of equipment in one
department. Besides, this would also ensure that a dedicated
staff can effectively monitor the sterilization process as per
the Standard Operative Procedures (SOPs).”
Ganesh Devadiga, Head, CSSD, Dr L H Hiranandani Hospital,
Mumbai.
• “CSSD requires technical competency, which implies that the
department controls all the activities of asset management
pertaining to selective procurement of general and
specialised surgical instruments and other inventory.
Vishwanath Kokitkar, CSSD and Laundry In- Charge, S L Raheja
Hospital.
5. WHY CSSD ???
• “The rise in incidence of nosocomial infection with
corresponding increase in mortality, length of stay
and cost can be brought down by establishing a
good CSSD set-up.”
Gopinathan T, Manager, CSSD, Amrita
Institute of Medical Sciences (AIMS), Kochi.
• CSSD was generally looked upon as an essential
part of an OT as the use of sterile supplies in a
hospital is maximum to the OT. However, all that
has changed. CSSD is considered today, integral
to the function of Out Patient Department (OPDs),
wards and other departments.”
Rekha Batura, Asst Medical Superindentent,
Tata Memorial Hospital (TMH), Mumbai.
6. COST OF INFECTIONS
• Prolonged stay in hospital
• Additional resources and burden on hospital.
• Loss of manhours - doctors and patients
• Mental agony
• Significant economical loss.
• Poor surgical results
7. FUNCTION OF CSSD
1. Receiving unsterile stores, instruments, equipment & linens from medical stores & various consumer
department of hospital.
2. Sorting out the items.
3. Washing, disinfection & drying.
4. Checking & packing of sets/trays/instruments.
5. Sterilization of all items received, by using the appropriate techniques as applicable to the items.
6. Storage & issue of the sterilized items to the consumer departments.
7. Maintaining records of the stores received, processed & issued.
8. Validation of the effectiveness of sterilization techniques.
9. Training of staff in techniques of sterilization.
10. Advice to consumer departments on sterilization of items of different nature
8. QUALITY MANAGEMENT OF SERVICES IN CSSD
Quality management of services in CSSD is
extremely important in view of its role
• In hospital infection control &
• The catastrophic effects the poor quality service
may have on patients.
However, quality of services can be judged from
level of satisfaction of the clientele.
The clients in case of CSSD are all internal
(Consumer departments/clinicians).
9. QUALITY MANAGEMENT OF SERVICES IN CSSD
High quality CSSD services to them means:
Hundred percent reliability of sterility of stores supplied by
CSSD.
Timely supplies in right time.
Contents of the trays/ sets are as per the standard list
provided by users & all the contents are in full operational
order.
Trays/ Sets are labeled correctly.
The sterile items supplied remain sterile up to their pre-
determined shelf life.
Quality of the items does not deteriorate by the sterilization
technique used.
(The quality of outcome, however, depends upon the
quality of infrastructure & process used in CSSD.)
10. SPACE, LAYOUT, SURFACE FINISH
The space requirement in CSSD is 7-10 sq. F/ bed.
The layout must follow the zoning concept & functional flow with
receipt (dirty) counter on one end & sterile issue on other end.
Inside CSSD there should be no criss crossing & area should be
divided by partitions into dirty, clean & sterile zones.
Similarly, gas & steam sterilization should be separated.
The entrance lobby should have….
o A changing room with toilet & hand washing facility.
The flooring should be non-skid type.
11. 2. ORGANIZATION & STAFFING
Department should be under overall control of HOD
of OT/Nursing.
Should be headed by trained & experienced
manager.
Should have trained staff(technicians, attendants)
on each shift at each zone irrespective of volume
12. 3. EQUIPMENT QUALITY /AVAILABILITY
• Ultrasound cleaners.
• Instrument washers
• Steel racks for storage of unsterile & sterile sets.
• Work tables
• Gas sterilizers
• ETO
• Autoclave machines fitted with sterimeters for temperature/time recording,
• Self recording pressure gauze for pressure/ time recording.
• Computer terminals.
13. 4. QUALITY OF MATERIALS
Quality of disinfectants, detergents, cotton-wool
gauze & other supplies should be of ensured.
14. 5. ENGINEERING SUPPORT SERVICES
• Stable & uninterrupted power supply.
• Running water of desired quality
• Temperature with comfort zone.
• Ventilation with 10 air change per hour.
• Humidity level 50-60 %
• Illumination level of 200 Lux
19. SHORT COMINGS
• Manpower.
• Instruments
• Door bell.
• Keys.
• Drying cabinet.
• Water jet in decontamination.
• Exaust fan in ETO room.
• Plastic crates
• Validation not done by IC
21. • Training Staff
• Physical
structure
• Structure
(Validation)
• Lack of trained staff
• Increased HAI
• Back up for packing
• Security
• Safety
• Untrained Staff
• Instruments
• Inappropriate
changing room
• Other essential
requirements
compromised.
• Technology
• Instrument
• Accessories
Strength Weaknes
s
Opportun
ities
Threat
22. IMPROVEMENT INITIATED
• Manuals & SOPS are ready.
• Key are provided to department.
• Backups have been planed.
• Safety is been considered.
• Checklist is provided.