The document provides an overview of the Central Sterile Supply Department (CSSD) in a hospital. It discusses the mission, activities, definitions, aims, functions, advantages, planning, equipment, sterilization processes, storage, and role of the manager of the CSSD. The CSSD is responsible for cleaning, sterilizing, storing, and distributing sterile surgical instruments, supplies and linen in a timely, efficient and cost-effective manner to reduce infection rates and ensure quality patient care.
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
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
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 nursing technique by which a patient with an infectious disease is prevented from infecting other people is called barrier nursing.Hand hygiene is the simplest, most effective measure for infection control.Contact Precautions
Airborne Precautions
Droplet Precautions
Three more elements have been added to standard precautions. They are:
4.1 Respiratory hygiene/cough etiquette
4.2 Safe injection practices
4.3Use of masks for insertion of catheters or injection into spinal or epidural areas
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 nursing technique by which a patient with an infectious disease is prevented from infecting other people is called barrier nursing.Hand hygiene is the simplest, most effective measure for infection control.Contact Precautions
Airborne Precautions
Droplet Precautions
Three more elements have been added to standard precautions. They are:
4.1 Respiratory hygiene/cough etiquette
4.2 Safe injection practices
4.3Use of masks for insertion of catheters or injection into spinal or epidural areas
THE CENTRAL STERILIZATION & SUPPLY
DEPARTMENT (CSSD)
MISSION OF CSSD (CUSTOMER ORIENTED)
Timely delivery of sterile goods
Quality (according to European Standards – EN)
Efficiency (line process)
ACTIVITIES OF THE CSSD (SPAULDING)
Cleaning
Disinfection of semi- / non critical items (mucosa – non intact
skin contact)
Sterilization of critical items (high risk for infection)
Supply of sterile materials
Industrial sterilization will help you to get more information about sterilization in pharmaceutical industries. how the process of sterilization are selected for different product.
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The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
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The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
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Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
2. THE CENTRAL STERILIZATION &
SUPPLY DEPARTMENT (CSSD)
Mission of CSSD
Timely delivery of sterile goods
Quality (according to European Standards – EN)
Efficiency (line process)
Activities of the CSSD
Cleaning
Disinfection of semi- / non critical items
Sterilization of critical items (high risk for infection)
Supply of sterile materials
3. DEFINITION
Service, with in the hospital, catering for the
sterile supplies to all departments , both to
specialized units as well as general wards and
OPDs.
4. AIM
Centralizing the activities of receipt, cleaning, assembly,
sterilization, storage and distribution of sterilized
materials from a central department where safe
sterilization is done under controlled conditions with
adequate managerial and technical supervision at an
optimum cost.
To provide an efficient, economic, continuous and quality
supply of sterilized material to various areas of the
hospital to deliver quality and infection free patient care.
Contributes to reduction in hospital infection rate
To reduce the burden of work of the nursing personnel,
there by enabling them to devote more of their time to
patient care .
6. FUNCTIONS OF CSSD
• Receiving and sorting soiled materials used in the hospital.
• Determining whether the item should be reused or discarded.
• Carry out the process of decontamination or disinfection prior to
sterilization.
• Carry out specialized cleaning of equipments and supplies.
• Inspecting and testing instruments, equipments and linen.
• Assembling treatments trays, instrument sets, linen packs, etc.
• Packing all materials for sterilization.
• Sterilizing.
• Labeling and dating materials.
• Storing and controlling inventory.
• Issuing and distributing.
8. ADVANTAGES
1. Bacteriological safe sterilization.
2. Less expensive.
3. Elimination of unsound practices & establishment of
standard procedures.
4. Assurance of adequate supply of sterile products
immediately and constantly available for sometime as well
as emergency use.
5. Conservation of trained staff.
6. Better quality control
7. Better good of material flow
8. Prolonged life by proper care of equipment
9. PLANNING OF CSSD DEPT
The CSSD can broadly be classified into two parts
Central
unit
Peripheral
unit
-Responsible for receiving dirty
Utilities cleaning, processing,
Sterilization, storage and supply
- Mainly responsible for distribution
to various areas of hospital.
- TSSU (Theater Sterile Supply Unit)
12. LAYOUT DESIGNING PRINCIPLE
• There is no back tracking of sterile goods.
• One way movement from receiving counter to issue
counter.
• Sterile area should be prior to sterile storage and issue.
• The receiving counter must be away from the issue counter.
• Separate receiving and issuing counter
There should minimum six basic division in
CSSD
Cleaning
Area
Drying Area
Packaging
Area
Sterilization
Area
Storage
Issue
counter
13. STRUCTURAL DESIGN
• The Central Unit comprises of three zones, separated by two distinct
barriers.
One collection window
One supply window on the other end.
14. EQUIPMENT IN CSSD
• Cleaning and decontamination devices
•Hot air Oven for drying & heat sterilization
•Glove processing unit for surgical gloves
•Instrument sharper e.g.. Needle sharper
•Testing apparatus for emergency sterilization
•Others :- trolleys, work surface, telephones
•Maintenance and repair of equipments
•Material : chemicals for washing and cleaning
•Steam Boiler
•Hot air ovens for drying instruments
•Autoclaves using dry heat, moist heat.
•Ethylene oxide sterilizers.
•Testing material to check effectiveness of sterilization.
•Sealing machine
•Ultrasonic Washer
15. STERILIZATION
•It is a process of freeing an article from all living
organisms including bacteria ,fungal spores and
viruses.
•A material is pronounced sterile if it achieves
99.99% kill of bacterial spores.
16. TYPES OF STERILIZATION
• Dry Heat
• Steam High Pressure-Autoclaves operated by Gas, K.oil or Electricity (
Flash, Pulse)
• Ethylene Oxide Sterilization.
• Chemical Sterilization.
• Radiation Sterilization.
• Infra Red Radiation – Syringes
• Ultra Violet Radiation – Decontamination of Air
• Ionizing Radiation / Gamma Radiation
17. CHEMICAL STERILIZATION
CIDEX
•A Glutaraldehyde derivative is most effective as it destroys spores too.
•It is high level disinfectant. It kills spores within 12 hrs and viruses within 10
min.
•Widely used because of their excellent biocidal properties, activity in the
presence of organic matter, non corrosiveness and noncoagulation of
proteinaceous material
Hydrogen peroxide
•It is an effective bactericidal, fungicidal, viricidal and sporicidal.
•It is commercially available as 3% solution but can be used upto 25%
concentration.
•It is non corrosive and not inactivated by organic matter but irritant to skin and
eyes lutaraldehyde derivative is most effective as it destroys spores too.
18. STEAM STERILATION
The equipments are first cleaned & the packaged in muslin, linen or paper
which are easily penetrated by steam & then placed on shelf in the chamber.
Water Saturated Wet vapor Dry saturated Vapor Super Heated
Vapor / Steam
- Steam with <0.95 Dryness Factor is not useful for Sterilization.
- Superheated Steam acts like Dry Hot Air only . ( Strength Of Steam is its
Latent Heat)
Total time Required
Autoclave – 45 to 50 min
ETO(Ethylene Oxide) sterilizer – 11 to 12 hours
19. STERILIZATION INDICATORS
Mechanical Monitors:
Devices that record time, temperature &
pressure.
Biological Indicators:
They are standardized preparation of spores.
A positive biological indicator is indicative of
possible sterilization process failure.
They should be used atleast once a week but
Time needed for incubation is long.
E.g. spores of Bacillus Sterothermophilus.
20. STERILIZATION INDICATORS
Chemical Indicators:
These are more practical means & detect problems immediately.
The CDC & all major U.S organizations standards & guidelines advocate that a
chemical indicator be attached to every package that goes through a sterilization
cycle & within each package to be sterilized in what is expected to be the most
difficult-to-sterilize location.
These are divided into 6 classes, higher the class, more sensitive
the indicator
Class 1-
These are Internal & External Process Indicator
These inform that item has been exposed to sterilization process.
E.g. External Process Indicator – Autoclave Tape.
21. STERILIZATION INDICATORS
Class 2
E.g. Bowie-Dick test for vacuum steam sterilizer.
They only access Vacuum Pump efficiency & detect the presence of air leaks
&/or gases in steam.
Class 3
E.g. Temperature Tube.
Contains chemicals that melts & sometimes changes color when the
appropriate temp is attained.
Class 4
Respond to one or more sterilization parameters.
Contains Ink that changes color when exposed to correct combination of
sterilization parameters.
22. STERILIZATION INDICATORS
Class 5
Known as Integrating Indicators or Integrators
Respond to all parameters of sterilization over a specified range of
temperatures.
Class 6
These are emulating indicators.
These are designed to react to all critical parameters over a specified range of
sterilization cycles for which the stated values are based on the settings of the
selected sterilization cycles
23. STORAGE
• After sterilization the sterilized items are kept in different racks as
per labeling.
• Supplied as per the demand of different area.
• To ensure continuous availability of sterile supply five times of
daily requirement should be available in storage.
24. ROLE OF MANAGER
• Maintenance and repair of equipment
• Inventory management of supplies and consumable
• Ensure quality of sterilization
• Ensure proper distribution and transport
• Cost control measure, to analyze and reduce the number of cycle
• Record keeping and data analysis
• Optimal utilization of manpower and equipment
• Motivation of staff and training
• Inter departmental coordination