The document discusses the Central Sterile Supply Department (CSSD) at King Georg's Medical University. The CSSD aims to provide sterile supplies to hospital departments through centralized sterilization activities. Key functions of the CSSD include receiving, cleaning, sterilizing, storing, and distributing instruments and supplies. The CSSD follows strict procedures and uses various sterilization methods like steam, ethylene oxide and dry heat. Quality control measures like sterilization indicators help ensure sterility is achieved. Proper facility design, equipment, and management are necessary for the CSSD to efficiently provide sterile items and reduce infection risks.
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 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
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 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
Complete Information and knowledge about the selection criteria for packaging material and different test used for them .
All this material data is , Collected for seminar in QA SEM 2 , in the Subject of Pharmaceutical Manufacturing Technology .
Which also explain the How Quality control for Filling an pharmaceutical equipment is done.
Industrial sterilization will help you to get more information about sterilization in pharmaceutical industries. how the process of sterilization are selected for different product.
MANUFACTURING OF PARENTRALS
1. Formulation and Raw Materials:
Concept: The process begins with the formulation of the parenteral drug, determining its composition and concentration.
Raw Materials: High-quality pharmaceutical-grade raw materials, including active pharmaceutical ingredients (APIs), excipients, and solvents, are selected based on their compatibility and purity.
2. Sterilization of Raw Materials:
Concept: Due to the sterile nature of parenteral products, all raw materials, including the API and excipients, must undergo rigorous sterilization.
Methods: Common sterilization methods include autoclaving, filtration, and aseptic processing to ensure aseptic conditions throughout the manufacturing process.
3. Manufacturing Process:
Preparation: The formulation is prepared, and various components are weighed and measured precisely.
Mixing: The ingredients are mixed under controlled conditions to achieve a homogeneous blend, ensuring uniform distribution of the API and other components.
Filtration: The solution is then filtered to remove any particulate matter and ensure clarity.
Filling: The sterile drug solution is filled into vials, ampoules, or other suitable containers in a controlled environment, maintaining sterility.
4. Sterilization of Final Product:
Terminal Sterilization: The final product, in its container, undergoes terminal sterilization methods like autoclaving or gamma irradiation to eliminate any microbial contamination that may have occurred during the manufacturing process.
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
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Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
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1. King Georg’s Medical University
KGMU Institute Of Paramedical Sciences
Lucknow
CSSD
Central Sterile Supply Department
Presented By
Drx Prashant Kumar
Operation Theater Technician
KGMU
D.Pharmacy UPBTE
Lucknow
1
2. 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. 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. 4
AIM
Centralizing the activities of receipt, cleaning, assembly,
distribution of sterilized
department where
sterilization, storage and
materials from a central
sterilization is done under controlled conditions
safe
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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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