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Central Sterile
Supply Department
“ No Stronger Condemnation of
any hospital or ward could be
pronounced than the simple fact
that ZYMOTIC DISEASE has
originated in it or that such
disease attack other patients than
those brought-in with ”
- FLORENCE NIGHTINGALE
BHATTA CHARJEE DEFINES –
CSSD
as that service, with in the
hospital, catering for the sterile
supplies to all departments , both
to specialized units as well as
general wards and OPDs.
1928 – American College Of
Surgeons – CSSD.
1942 – World War II .Cairo, British
SDS Unit .
1955 – Cambridge Military Hospital
2. Procedure Sets
Lumbar puncture ; sternal puncture ;
venesection ; paracentesis ; aspiration ;
catheterization ; tracheotomy ; suturing ;
dressing ; biopsy ; incision & drainage ;
aortography ; cardiac resuscitation ; etc
3. Needles
4. Gloves
5. I.V.Fluids.
6. Treatment Trays.
7. O.T Instruments.
8. O.T. Linen
9. Infusion Fluids for Renal Dialysis.
10. At times LINEN. (other than O.T)
1. Downward Displacement
2. Vacuum Assisted.
3. Pulsed Steam Dilution
TESTS FOR EFFICENCY OF
STERILISATION
1. Specially treated paper strip.
7. Thermo - couples .
ADVANTAGES OF STEAM
STERILISATION
1. Rapid heating & penetration of
loads.
2. Destruction of all forms of
microbial life
3. No residual toxicity.
4. No damage to supplies being
sterilised.
5. Easy Quality Control
6. Economical & Reliable
DISASSEMBLY
ASSEMBLY
INSPECTION
PRE – STERILE STORAGE
STERILISATION STERILESTORAGE
DISTRIBUTION
A SUGGESTED LAYOUTOF
CSSD
AUTOCLAVE
ASSEMBLY ROOM
(PARKING)
STERILE
CLEANING&
WASHING
GLASS PARTITION STORAGE
Supervisors
Clean disasse office
storage mbly
Verandah
Dirty ° ° ° STERILE
clean recep
recepti tion ° 0 ° ISSUE
on ° ° °
RAMP
INTRA MURAL COMMUNICATION LINE
Thermal Death Time (TDT)