REPORT PRESENTATION

ON
CENTRAL STERILE SUPPLY DEPARTMENT
(CSSD)
CRH,5th MILE TADONG

PREPARED BY:
GROUP- 3
REG NO:201909051-201909075
 INTRODUCTION

• CSSD stands for Central Sterile Supply Department

• CSSD is the backbone of the hospital

• CSSD is also called as Sterile Processing Department (SPD).

 DEFINITION

• It is defined as the services within the hospital

catering for sterile supplies to all departments, both
to specialized unit as well as General Wards and Out
Patient Department

• The CSSD is that service, catering to the needs of a

hospital or a group of hospital for the supply of
sterilized articles to all the department including the
wards, Out Patient Departments, other special units
and the operation theatre if there is no Theatre
Sterile Supply Unit.
 HISTORY AND DEVELOPMENT
• The development of concept of sepsis was coined by Lister
and Koch

• As a result of discovery of microorganism, the need for

aseptic technique in handling and sterilizing the equipment
used in surgery and medicine was felt for the care of
patient.
• THE MODERN CONCEPT OF CSSD WAS
DERIVED DURING SECOND WORLD WAR

• 1928- American college of surgeon-CSSD

• 1942-World war II, Cairo, British SDS unit

• 1955-Cambridge military hospital-Regular CSSD in UK

• 1965- first CSSD in India- Safdarjung hospital(New Delhi).

 OBJECTIVES
• To know the purpose or the usefulness of CSSD in the hospital

• To enumerate the equipment and articles used in CSSD

• To know the process of autoclaving

• To know the personnel involved in the operation of CSSD

• To know the transportation of equipment from the Hospital to

CSSD and CSSD to Hospital.
 AIMS OF CSSD
• Centralizing the activities of receipt , cleaning, assembly ,
sterilization, storage and distribution of sterilized
materials from a central department

• To provide an efficient, economic, continuous and quality

supply of sterilized materials to various area 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.
PURPOSES OF CSSD IN HOSPITALS
• To provide optimum services to all departments that
requires sterile supplies of instruments

• To train all employees in order to assure optimal sterile

techniques and aseptic handling of all sterile items

• To avoid duplication of costly equipments, which may be

frequently used

• To record the effectiveness of cleaning, disinfection and

sterilization process.
• To monitor and enforce controls necessary to prevent cross
infection

• To maintain an inventory of supplies and equipments

• To stay updated regarding developments in the field

• To provide safe environment for patients and staff

• To take some of the work of the nursing staff so that can

devote more time to their patients

• For fulfilling the hospitals requirements by sterilizing all the

items used except syringes.
EQUIPMENTS TO BE USED IN CSSD
AS PER THE NORMS:
• Steam sterilizer

• Flash sterilizer
• Bulk sterilizer
• ETO sterilizer

• Steam autoclave medium capacity

• Steam autoclave small capacity
• Steam autoclave large capacity

• Ultrasonic cleaner

• Trolley washer

• Heat scaling machine

• Gauge cutting machine

• Drying cabinet.
 CENTRAL STERILE SUPPLY
DEPARTMENT IN CRH
• CSSD was established in CRH on 22/10/1991
• It is located in the basement of CRH
• There are four zones in the CSSD of the CRH and they are
as follows:
 Washing zone
 Packing zone
 Sterilization zone
 Storage zone.
 FLOOR DIAGRAM
Packing Room 3 Autoclave II

Store

Packing Room 2 Autoclave I

ETO Room
Packing Room 1

Office Restricted AHU

Area Room
Washing Room

Men’s Changing
Toilet
Room Receive Issue Room
Women’s Changing Room
 LIST OF THE ARTICLES
STERILIZED IN CSSD, CRH
• Gauge

• Cotton

• Linen

• OT Instrument

• Cardio Instrument

• Neuro Instrument.
 STERILIZATION:
• It is a process of freeing an articles from all living
organisms including bacteria , fungal spores and viruses
• A material is pronounced sterile if it achieves 99.99% kill
of bacterial spores. This process is carried out through
sterilizers
1) Heat sterilization
Dry heat
Steam sterilization
2) Chemical sterilization
3) Radiation sterilization
4) ETO(Ethylene oxide sterilization).
 Steam sterilization

• It is most commonly used sterilizer because it is safe,

inexpensive and time saving. There should be proper

coordination between pressure, temperature and time.

 ETO STERILIZATION
• It is carried out by use of
ethylene oxide as biocides

• This method was developed by

American army for sterilizing
articles

• It is used for those materials

that are heat and moisture
sensitive.
 AUTOCLAVE
• The name autoclave is derived from Greek auto-, ultimately
meaning self, and Latin clavis meaning key—a self-locking
device

• It was invented by Charles Chamberland in 1879, a

precursor known as the steam digester was created by
Denis Papin in 1679.

• An autoclave is a device used to sterilize equipments and

supplies by subjecting them to high pressure saturated
steam at 121°c for around 15 to 20 mins depending on the
size of the load and the contents.
 BIG AUTOCLAVING MACHINE
• Capacity is 120 litres

• Maximum capacity of sterilization is done in this machine

by the process of Autoclaving

• Initial temperature is 300 Celsius

• Final pressure is 28 pound (2kg/cm2)

• Final temperature is 1210 Celsius.

BIG AUTOCLAVE MACHINE
 SMALL AUTOCLAVING MACHINE

• It is a quick method and is usually used during emergency

• Capacity of vacuum is 80 litres

• Initial temperature is 30˚C

• Final pressure is 30 pound(2.1kg/cm2)

• Final temperature is 134˚C.

SMALL AUTOCLAVE MACHINE
 AUTOCLAVING

Untitled 4_720p.mp4
 PROCESS OF AUTOCLAVING
• Fill water in the tank up to the mark

• Put on the machine

• Wait until the pressure reaches 20 pounds in the pressure gauze

• Load the autoclave item and close the door

• Turn the operating knob to sterile till the temperature reaches

1210Celsius

• Wait for half an hour after the temperature reaches 121 0

Celsius.
• Turn the operating knob to fast exhaust till the pressure to
0 pound

• Turn the operating knob to dry for 30 min

• Switch off the machine .

 QUALITY ASSURANCE

• PHYSICAL INDICATOR- they check instrument’s control

parameters like temperature, time and pressure

• CHEMICAL INDICATOR- Heat sensitive autoclave tape

an indicator of successful sterilization, useful to keep
track of autoclave and unautoclaved items.
 BOWIE-DICK TAPE

BEFORE STERILIZITION AFTER STERILIZATION

 INDICATOR

BMS(Batch Monitoring BI Indicator (Geobacillus

System) Stereo Thermophilus
Bacteria)
PERSONNEL INVOLVED IN THE
OPERATION OF CSSD
• HEAD INCHARGE: Mr. Biman Chakraborty
• TECHNICIANS: Induir Paira
Biswajit Sau
• ATTENDER: Sujit Maeti
Binod Rai
Bhim Maya Gurung
Kumar Basnet
Shova Rai
Lakhi Lepcha
Tashi Bhutia
• HOUSE KEEPING: Padam Bahadur
 TRANSPORTATION:
• Sterile Trolley and Stretcher is used to transport
sterile articles via common lift.
 NURSES ROLE IN CSSD
• Nurses should packed and wrap the articles and the
instruments properly

• The settings of the instruments and the articles should be

arranged properly

• Nurses should be alert of their instrument that they have

issued

• Proper documentation should be done by the respective

nurses on duty before sending and after receiving the articles.
 CRITICAL OBSERVATION:
• The CSSD should have been close to the causality,
operation theatre and wards which are the largest
consumer of the sterilised material.

• In multi-storeyed buildings CSSD could be planned in the

lower floor right under the operation theatre where
vertical movement will be the quickest possible movement
of the material.

• Room temperature

• Congested space.
 CONCLUSION

• Central Sterile Supply Department plays an important role

in hospital. Visiting CSSD has helped us to learn many
things like the method of sterilization with the help of
autoclave machine. We could also witness the preparation
and packing of different articles required in hospital
setting.
THANK YOU