Central Sterile Supply Department - CSSD, SPD service

1. Central Sterile supply
department
Presented by: T.Nivedha Prakash, M.Indumathi, Barath Kumar Babu, S.P.Kameshwari, K.V.Visali
Guided by:
Dr.A.Bhooma Devi,
Associate Professor

2. Introduction
š CSSD is a supportive service unit in a
hospital that processes, issues, and
controls the sterile stores supply to
all departments of the hospital

3. Objectives
š To collect soiled equipment's from all the department, sterile and supply them on time
under aseptic conditions
š To reduce Hospital Acquired Infections (HAI)
š To establish and maintain sterile processing and distribution standards

4. Functions
š Provide supplies of sterile items used in patient care.
š Maintain effectiveness of cleaning, disinfection and sterilization process.
š Monitor and ensure controls necessary to prevent cross infection.
š Maintain supplies & equipment inventory.
š Training to be given periodically

5. Highlights
š Radium Opaque lines embedded in surgical
gauze to ensure they are not left behind during
surgery.
š Separate entrance to washing, packing and
distribution area to ensure asepsis.
š Check list used to ensure loss/mishandling of
equipment's
š Bar code labels are used for cross verification
š Everyday checks being done using biological
indicators

6. Quality indicators
Mechanical
• Autoclave register
• Print out paper
Chemical
• Bowie dick test
• Process Challenging Device (PCD)
• External/Internal indicators
Biological
• Biological spores – Geobacillus Thermophilus

7. Receiving
area
From OT &
Wards
Wash area
Rinse
Washer
disinfect with
built in dryer
Ultrasonic
cleaner
Air gun
Packing
and
assembling
Labeling
Loading
Auto Clave
Gas
sterilizer
Plasma
sterilizer
Unloading
Issuing
Operation
theatre through
lift
Wards & Other
departments by
pass through
Process Flow

8. Roles & Responsibilities
š Maintaining register for equipment's which
are received, steriled and distributed.
š Quality check using indicators
š Providing PPE based on work location
š Inventory management
š Packing of sterilized equipment's with bar
code labels

9. Policies & Procedures
š Following different protocols for different
equipment's
š Preventive maintenance
š Monitoring the performance evaluation
š Training
š Using quality indicators

10. Equipment list
š Hazmat box
š Autoclave
š Gas Sterilizer
š Plasma Sterilizer
š Air gun
š Ultrasonic cleaner
š Washer disinfect with built in dryer

11. Workplace safety
š Personal Protective Equipment's (PPE)
š Air respirator mask
š Chemical resistant gloves
š Fire extinguisher and sprinklers
š Gas leakage detectors
š Smoke exhaust placed about 8 ft. above the 7th
floor
š Eye splash and body shower for spillage

12. Terminologies
š Hazmat box – Contains hazardous substances
š Bowie dick test – Chemical indicator to check steam
penetration
š PCD - Process Challenging Device – To check steam
penetration in hollow devices
š EO gas sterilizer – Ethylene Oxide gas sterilizer

13. Conclusion
š Central Sterile Supply Department (CSSD) is known as Heart of Hospital as they plays a key
role in providing the items required to deliver quality patient care.
š A well planned, well managed and well staffed CSSD can ensure an infection free
environment of hospital and save valuable life and money.

14. Quality tool – Fish bone diagram

16. 5W2H
š Why #1: Why are we frequently using Immediate Sterile Supply Service?
š Answer: Because surgery needs instruments urgently.
š Why #2: Why does surgery need instruments urgently?
š Answer: Because the patient is on the table.
š Why #3: Why is the patient on the table without available instruments?
š Answer: Because SPD does not know when cases are added to the schedule.
š Why #4: Why doesn’t SPD know when cases are added to the schedule?
š Answer: Because the electronic schedule does not show surgery cases added after 4:00 p.m.
š Why #5: Why doesn’t the electronic schedule show surgery cases added after 4:00 p.m.?
š Answer: Because the surgery scheduling office closes at 4:00 p.m.
After asking why five times, we learn that the root cause is no one is in the scheduling office to
add the patient to the electronic schedule that is viewed by SPD.

17. Thank You