central supply in pharmacy

1. The pharmacy central sterile supply room
Central sterile services department (CSSD)
An integrated place in hospitals and other
health care facilities
Performs sterilization and other actions on
Medical Devices Equipment and consumables
For subsequent use by health workers in the
operating theatre
Other aseptic procedures, e.g.
catheterization, wound stitching and
bandaging in a medical, surgical, maternity or
paediatric ward

2. • The sterile supply room (SSR) is dealing with sterile
supplies to special departments
• The supplies are
• Single use disposable
• Syringes
• Tubing
• Urine collection sets
• Intravenous administration sets
• Needles
• Gloves
• Blood bags

3. • Special department supplied with these items include
• Nursing caring area
• Physician clinics
• Laboratories
• Operating room
• Initially it was like equipment washroom with
autoclaving facilities.
• Currently modern production line techniques with
automatic control
• Washing, drying and powdering equipment for
surgical gloves as well as taking an active role in
development of various sterilization techniques.

4. • 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 / noncritical items
• Sterilization of critical items (high risk for
infection)
• Supply of sterile materials

5. Aim
• Centralizing the sterilized materials from a
central department under controlled
conditions
• 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, thereby enabling them to devote
more of their time to patient care.

6. Functions of CSSD
• Receiving and sorting 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 equipment
and supplies

7. • Inspecting and testing instruments,
equipment
• Assembling treatments trays, instrument
sets, etc
• Packing all materials for sterilization
• Sterilizing
• Labeling and dating materials
• Storing and controlling inventory
• Issuing and distributing.

8. Advantages
Bacteriological safe sterilization
Less expensive
Assurance of adequate supply of sterile
products immediately and constantly
available for some time as well as emergency use
Conservation of trained staff
Better quality control
Better good of material flow
Prolonged life by proper care of equipment

9. Purpose
• To provide centralized system for total
decontamination in order to provide
professional support
• To provide professional support and service for
improved patient care
• Direct operating room supply.
• Cleaning and sterilization of hospital items
• Preparation, packaging and sterilization of items
received from pharmacy for this purpose, if the
pharmacy and sterile service is not under one
management.

10. • Preparation of procedural trays and sets
used in the care and treatment of
patients
• Maintain accurate and current
inventory of supplies and equipment in
the department
• Maintain an accurate record of the
effectiveness of various processes for
cleaning, disinfecting and sterilization

11. Organization and management of supply room
• Administration scope
• Central sterile supply room
• Operating not under the pharmacy control
• Involved in cleaning, storage and dispensing of
specialized equipment's such as suction
pumps, dressing carts
• Not a separate department and considered as
a sub department
• Operates under the control of a division of
surgical care established under control of
general nurse and services

12. Management control of supply room
Pharmacist Control
• Preparation, Storage, distribution of
preparation of various sterile solution same as
in pharmacy
• Management of a sterile room are the same as
pharmacist undertakes in pharmacy
Nurse control
• Nurse in patient care ultimately use majority of
sterilized items dispensed
• Nurse has full understanding of intended use of
these products

13. Pharmacist-nurse Dual Control
• Has dual function such as cleaning, packaging,
distribution of medical equipment and supplies
and manufacture of sterile solution
Operating Supervisors Control
• In some institutions, the supply room has not
accorded a full department status and is
considered as a sub-department of any major
department
• Under this situation

14. • Staffing of personnel in sterile room
• Skillful and trained personnel are required, having
the knowledge of Sterilization
• Use of autoclave
• Identification of surgical equipment's, dissembling
and assembling the equipment's,
• Decontamination

15. • Bacteriology and Biological testing
• Training of these personnel by
pharmacist director of sterile supply
room
• In case of unavailability of such
personnel, individual with scientific
background may be recruited and given
on the job training

16. Hospital pharmacist as manager of sterile room
• Purchasing of supplies
• Receiving and sorting of supplies
• Dispensing of supplies in small lots
• Dispensing of supplies to pavilions
• Charging, inventory and accounting
procedure
• Practicing the principles of standardization
• Manufacturing in bulk
• Manufacturing in small lots, both sterile
and non-sterile products

17. Planning of CSSD department

18. Location
• Must in areas frequently requiring its services
• Selecting its location, consideration must be
given to easy receipt of
• Large quantities of linen from the laundry
• Surgical dressings from storeroom
• Large shipments of sterile intravenous and
irrigation fluids
• If ideal central location is not possible
• Conveyor and pneumatic tube systems

19. 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

20. Structural design
• The Central Unit comprises of three zones,
separated by two distinct barriers.
• One collection window
• One supply window on the other end

21. • Equipment in CSSD
• Cleaning and decontamination devices
• Hot air Oven for drying & heat sterilization
• Glove processing unit for surgical gloves
• Testing apparatus for emergency
sterilization
• Others: trolleys, work surface, telephones
• Maintenance and repair of equipment
• Material: chemicals for washing and
cleaning

22. 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

23. 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 cycles
• Record keeping and data analysis
• Optimal utilization of manpower and equipment
• Motivation of staff and training
• Inter departmental coordination

24. • 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