Sterile supplies to all departments , both to specialized units as well as general wards and OPDs. To provide sterilized material from a central department where sterilizing process is carried out under properly controlled conditions To alleviate the burden of work of the nursing personnel, there by enabling them to devote more of their time to patient care . Assurance of adequate supply of sterile products immediately and constantly available for sometime as well as emergency use. prepared by: DR PRINCE C P Associate Professor in Microbiology Mother Teresa PG& RI of Health Sciences Puducherry

1. DR PRINCE C P
Associate Professor in Microbiology
Mother Teresa PG& RI of Health Sciences
Puducherry

2. CSSD
Central Sterile Supply
Department

3. .
Sterile supplies to all departments ,
both to specialized units as well as
general wards and OPDs

4.  Infection Control—The process by which health
care facilities develop and implement specific
policies and procedures to prevent the spread of
infections among health care staff and patients
 Nosocomial Infection—An infection contracted
by a patient or staff member while in a hospital or
health care facility (and not present or incubating
on admission)

5.  Disinfection—The process of microbial
inactivation that eliminates virtually all recognized
pathogenic microorganisms, but not necessarily all
microbial forms (e.g., spores)
 Sterilization—The use of physical or chemical
procedures to destroy all microbial life, including
large numbers of highly resistant bacterial
endospores. Procedures include—
 Steam sterilization
 Heat sterilization
 Chemical sterilization

8. AIMS
 To provide sterilized material
from a central department where
sterilizing process is carried out
under properly controlled
conditions
 To alleviate the burden of work
of the nursing personnel, there by
enabling them to devote more of
their time to patient care .

9. 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.

10. 5. Conservation of trained staff.
6. Better quality control
7. Better good of material flow
8. Prolonged life by proper care of
equipment

12. EQUIPMENTS IN CSSD
1.Jet water cleaning gadgets.
2.Ultrasonic Washers
3.Glove sharpener
4.Needle sharpener.
5.Gas, Chemical or steam autoclaves.
6.Testing apparatus for efficiency of
sterilization

13. OTHERS
1.Maint & Repair EQPT
2.Adequate number of cabins &
Furniture
3.Telephone or intercom.
4.Adequate no of syringes &
procedure sets.

14. STAFFING :CSSD
SUPERVISORS (sister/male ward masters) 4
STAFF NURSES 5
TECHNICIANS (ORA) 6
ATTENDANTS 24
SWEEPER 4
CLERK 1
TOTAL 44
CENTRALISED SUPPLY (RULE OF THUMD 2PER 100 BEDS)

15. FLOW PROCESS : CSSD
WARDS/DEPTS BULK STORES
DIRTY RECEIPT CLEAN RECEIPT COTTON & GAUGE
DISASSEMBLY
INSTRUMENT GLOVES RUBBERWARE
WASHING AREAS
ASSEMBLY
PRE – STERILE STORAGE
INSPECTION
STERILISATION STERILESTORAGE
DISTRIBUTION

16. A SUGGESTED LAYOUTOF
CSSD
INTRA MURAL COMMUNICATION LINE
RAMP
ASSEMBLY
(PARKING)
CLEANING&
WASHING
AUTOCLAVE
ROOM
GLASS PARTITION
STERILE
STORAGE
STERILE
ISSUE
clean
recept
ion
Clean
storage
Supervisors
office
Verandah
disass
embly
Dirty
rece
ptio
n
° ° °
° 0 °
° ° °

19. Thank you
 ‘However beautiful the strategy you should
occasionally look at the results…’
 (Winston Churchill)