The Way To CSSD

Objectives:

CSSD history.
Safety.
The methods for proper transporting,
endorsing and receiving of reusable medical
devices.
 History

The Sterile Processing Department (Central

Supply, or Sterile Supply as it is also known),
comprises that service within the hospital in
which medical/surgical supplies and
equipment, both sterile and no sterile, are
cleaned, prepared, processed, stored, and
issued for patient care.
 Until the 1940s, medical/surgical supplies
were, for the most part, processed and
maintained in the departments and patient
care areas in which they were to be used.
Under this system, there was considerable
duplication of effort and equipment, and it
was difficult to maintain consistently high
standards for sterilization technique and
product quality throughout the health care
facility.
 As the number and variety of surgical procedures
grew and the types of medical devices, equipment,
and supplies proliferated, it became apparent that a
centralized processing was needed for efficiency,
economy, and patient safety. The work of scientists
W.B. Underwood and J.J. Perkins was instrumental
in encouraging health care facilities to establish a
separate and distinct department, the Sterile
Processing Department, with specialized expertise
and direct responsibility for providing clean and
sterile medical/surgical supplies and equipment to
patient care areas.
 CSSD Service

• Patient is given service in the hospital or any

other healthcare facilities directly by the
doctor, nurse or health workers. However,
before the process starts, the doctor, nurse or
health workers need sterile supplies provided
by Central Sterile Services Department (CSSD).
 Safety

• CSSD process reusable instrument or medical

device from all areas such as the operating
theatre, wards, critical care, outpatient,
endoscopy, etc. The department also sterilises
supply such as gauze or linen. Even though
CSSD doesn’t meet the patient directly, the
finish products from them are directly used by
the patient.
• A culture of patient safety involves leadership,
teamwork and collaboration, evidence-based
practices, effective communication, learning,
measurement, a just culture, systems
thinking, human factors, and zero tolerance.
 CSSD First / CSSD Last

Point-of-use cleaning enables the device to

remain clean during the procedure. This step is
crucial and should be included in the
manufacturer’s instructions for use (IFUs).
 Point-of-use cleaning allows the instrument
to remain free of blood and debris and inhibits
biofilm or bioburden from building up on the
tool. Biofilm can start to form within minutes,
so instruments should be wiped off or rinsed
with sterile water periodically throughout the
procedure. Lumened instruments should be
flushed as much as practical during the
procedure and immediately after the
procedure.
 At the conclusion of the procedure, discard
disposable items such as scalpel blades and
suture needles, and sponges.  Prior to
transport, be sure to discard all liquids in
accordance with MOH and hospital laws.
 TRANSPORTING INSTRUMENTS :
When placing devices in trays, a good practice
is to separate clean and dirty instruments and
divide heavy items from delicate. Place light
or delicate instruments on top of heavier
instruments.
 Contaminated devices need to be transported
safely to the CSSD to be decontaminated.
Contaminated devices should be transported in a
manner that will ensure the safety of the staff and
other patients. For this reason it is best to transport
contaminated devices in closed, durable, and easy
to decontaminate trolleys. It is not acceptable to
transport contaminated items on open trolleys only
covered with a piece of linen. Linen is not
impermeable and will not contain pathogenic soils
and microorganisms. the container or cart must
contain a biohazard symbol to identify the contents
as contaminated.
 Deliver of instrument for
processing
• The departments representative checks the
items at the CSSD front desk, with CSSD staff.
• Count (proverb: good accounts make good
friends).
• Check list with two copy signed by the delivery
person and the receptor
• Mention any issue
• Report all accident to your department or
clinic responsible
 Pick-up area
• Check your items, count with CSSD staff
• Verify the quantity and condition of the item and all
damage items are returned to the CSSD. if the pack
is still sterile we should follow these:
• Holes or tears
• Wetness or stains
• no label date
• Dust
• Signe for receiving.
• the missing instrument should be reported
&recorded