CSSD

By

Dr. Kasim Khot

Mrs. Preeti Jadhav
CENTRAL STERILE SUPPLY
DEPARTMENT
 CSSD is the abbreviation of the Central Sterile
Supply Department
The objective of establishing a Central Sterile

Supply Department is to make reliably sterilized

articles available at the required time and place
for any agreed purpose in the Hospital as
economically as possible, having regard to the
need to conserve the time of users [especially
Doctors And Nurses].
 CSSD

 The Sterile Supply Department within a hospital

receives stores, sterilizes and distributes to all
departments including the wards, outpatient department
[OPD] and other special units such as operating theatre
[OT].
 Major responsibilities of CSSD include processing and

sterilization of syringes, rubber goods [catheters,

tubing], surgical instruments, treatment trays and sets,
dressings etc. it is also responsible for economic and
effective utilization of equipment resources of the
Hospital under controlled supervision.
 Receiving and issuing counter should be separate
ADVANTAGES OF CENTRALIZATION
OF CSSD:-
Administration
 Reduction in expenditure
 Reduction in recruitment
 Better control and supervision
 Improved quality and efficiency of performance
 Improved hospital image

Clinical staff
 Uninterrupted supply of sterilized items round the clock
 Reliability
 Less complications
Patients
 Safety
 Avoidance of complications like wound infection, fever, HIV, or
Hepatitis ‘B’ infection
The main objectives of the Central
Sterile Supply Department are:
 To provide sterilized material from a central department where
sterilizing practice is conducted under conditions, which are
controlled, thereby contributing to a reduction in the incidence of
hospital infection.
 To take some of the work of the Nursing staff so that they can
devote more time to their patients.
 To avoid duplication of costly equipment’s, which may be
infrequently used.
 To maintain record of effectiveness of cleaning, disinfection and
sterilization process.
 To monitor and enforce controls necessary to prevent cross infection
according to infection control policy.
 To maintain an inventory of supplies and equipment.
 To stay updated regarding developments in the field in the interest
of efficiency, economy, accuracy and provision of better patient care.
 To provide a safe environment for the patients and staff.
 AIMS OF CSSD

 The CSSD also aims at assuming total responsibility for processing hospital items thereby
assuring that all of them receive the same degree of cleaning and sterilization.

 It also contributes to the educational program within the hospital relating to infection control
and develops a cost-effective program by cost analysis of personnel, supplies and equipment.
 ORGANISATIONAL STRUCTURE
Central Sterile Supply
Department should be
under technical
supervision of a
responsible officer who
is concerned with the
day management of the
unit. The Central Sterile
Supply Department
manager will liaise with
the infection control
team, OT manager and
clinical departments.
The CSSD manager is
administratively
responsible to the head
of the health care facility
 
 ORGANISATIONAL STRUCTURE
CONTINUE:
HEAD OF HEALTH CARE
FACILITY

CSSD MANAGER

SHIFT SUPERVISORS

CSSD PERSONNEL
CSSD : -SERVICES OFFERED
The functional flow of activities in CSSD may be generally specified as
follows.

     RINSING: -Rinsing of articles after use should not be permitted in patient care areas
unless carried out by a trained member of the staff.
 CLEANING: - All reusable medical devices should be thoroughly cleaned prior to

disinfection or sterilization.
 DRYING: - all articles should be dried appropriately
 INSPECTION AND ASSEMBLY: - Each item should be inspected for functionality, defects,

breakage and then appropriately assembled.

 PACKAGING: - Articles should preferably be packed in porous material.
 LABELLING: - Each pack should be marked with nomenclature of the article, contents of

the pack, initials of the person who packed it, date and initials of the person who
carried out the sterilization.
 STERILIZATION: - The operation of the sterilizer should be entrusted to a responsible

and fully trained person. It should be kept in a state of good maintenance and repair.
 STORAGE: - Should be properly managed separately for sterile and non-sterile stores.

For sterile goods, clean room conditions should be followed.

 DISTRIBUTION: -Refers to clean and dirty articles exchange system. A program should

be established for the collection of used items from patient care areas and distribution
of sterilized goods.
        
EQUIPMENTS
The functional flow of activities in CSSD may be generally specified as follows :

            Equipment 1 Infection control nursing is a novel speciality in our country which is gaining
popularity. The infection control nurse with other members of the team monitors the infection rates
through out the hospital and is responsible  for making sure the infection control practises mandated
are followed. AIMS hospital with its number of inpatients,huge number of procedures and the
complexity of the disease conditions is an ideal place to develop your potential in this field.         

    Equipment 2 Infection control nursing is a novel speciality in our country which is gaining
popularity. The infection control nurse with other members of the team monitors the infection rates
through out the hospital and is responsible  for making sure the infection control practises mandated
are followed.           

  Equipment 3 Infection control nursing is a novel speciality in our country which is gaining popularity.
The infection control nurse with other members of the team monitors the infection rates through out
the hospital and is responsible  for making sure the infection control practises mandated are followed.
AIMS hospital with its number of inpatients,huge number of procedures and the complexity of the
disease conditions is an ideal place to develop your potential in this field.         

    Equipment 4 Infection control nursing is a novel speciality in our country which is gaining
popularity. The infection control nurse with other members of the team monitors the infection rates
through out the hospital and is responsible  for making sure the infection control practises mandated
are followed. AIMS hospital with its number of inpatients,huge number of procedures and the
complexity of the disease conditions is an ideal place to develop your potential in this field.
PHYSICAL LAYOUT OF CSSD