this is the introduction to CSSD using AAMI Standards

1. American National Standards

2.  Sterilization process
 Facility Design
 Staff Training
 Quality Improvement Plan from Point of use
to the reuse
 Documentation and reporting process

3.  Seen in all aspects discussed previously
 Environmental Restrictions
 Facility Funding
 Set difficulties Need to allocate resources

4.  Sterilization Preprogrammed
 The user select the option according med device
manufacture written Instructions
 Load Configuration (porous material…)
 Items usually Unwrapped
 Single Wrapper may be used IF:
 Rigid Containers IF:
 Items are assumed to be wet

5.  Items must be transferred immediate to the
point of use
 Respect aseptic tech
 No storage or half life
 Removal of gross soil is essential before
any method of sterilization
 Decontamination is to protect the worker
 Documentation is essential

6.  The transfer tech:
 Worker Safety: hot wet items
 Sterilizer once opened: contamination Occur
▪ Recommendation: HEPA Filter + Laminar Flow Area
 Way to deliver the items:
▪ Stop Hand Washing / Scrubbing
▪ HEPA Filter Area
 If these Not Present: Once Sterilizer Opened, Grap the
item By Sterile Cloth and put them in the Rigid Container
 Idea: Flash Sterilizer near the Operating Room
 Important Concept: Longer time opened  Greater
Number of Particles   Contamination
 Infection Control Audit is mandatory

7.  Implantables Should not be Flash Sterilized
 Risk of failure increase  Greater risk of
infection
 BI Must be used  even though should not
be used

8. Patient In Surgery

10.  Infectious Dose
 Improper Cleaning

12.  Complexity of items that need to be
resterilized
 Manufacture written Instruction
 The Rationale Approach
 The presence of educational Speakers
(Sterilization Team)