CENTRAL STERILE SUPPLY DEPARTMENT





The main objective of CSSD is to ensure supply of sterilized material to the hospital. The department is located on Level-II, Cobalt Block, Nehru Hospital and works 24 x 7 throughout the year.

Functions of CSSD

1. Provides supply of sterile instrument sets and all other sterile material used in patient care.

2. Maintain effectivness of cleansing, disinfection and sterilization processes.

3. Monitor and ensure controls necessary to prevent cross infections.

4. Maintain supplies and equipment inventory.

5. Stay updated with development within the field.

6. The department also provides training to B.Sc. O.T. students, nursing students and sponsored candidates from other hospitals under in service programs.


Organizational Structure

Medical Superintendent-cum-Prof. Hospital Administration

Deputy Medical Superintendent-cum-Officer In-Charge CSSD

Superintendent CSSD

CSR Assistants Gr I

CSR Assistants Gr II


Supportive Staff


Ministerial Staff

                                            Storekeeper                           LDC                                             



Engineering Staff

Technician



Group C Staff (Erstwhile Group D Employees)

Hospital Attendant                      Sanitary Attendant



Sub-Sections

The CSSD is divided into four functional Sections:

1. Procedure Sets Section

2. Dressing Section

3. Vials Section

4. Autoclaving Section


I) Procedure Set Section

This section provides procedure set services to the entire hospital including wards and OPD's, following sets are prepared in the section.

a) Cut Down Set

b) Catheter Set

c) Lumbar Puncture Set

d) Suture Set

e) Tracheostomy Set

f) Delivery Set

g) P V Examination Set

h) Haemodialysis Set

i) Dressing Pack Set

II) Dressing Section

Following types of Dressings are prepared in this section :-

a) Small Dressing

b) Burn Packs

c) Burn Gathri

d) Gynae Pad Pack

e) Gauze used in operation theatre

III) Vial Section

Following type of vacutainers are distributed to the entire hospital:-

a) EDTA

b) Oxalate

c) Plain

d) Heparin

e) PTI (Coagulagram)

IV) Autoclaving Section

This section provides service of sterilization of instruments/ materials required in the hospital. Sterilization is done by two ways:-

1) Steam Sterilization

2) E.T.O. Gas Sterilization

To ensure that appropriate sterilization cycle parameters have been achieved. Sterilization is monitored by following ways:-

a) Chemical Indicators

b) Biological Indicators

c) Mechanical Indicators

d) Bowie Dick Type Test

CHEMICAL INDICATORS :-

These are monitoring devices that respond with a characteristic chemical/ physical change to one or more physical conditions in sterilizing chamber. They are intended to detect potential sterilization failures that may result from personal errors or sterilization error. These usually consists of sensitive chemical or ink that changes colour in specificed parameters. At the time of completion of cycle, the indicators are examined for appropriate colour change.

=> ETO Indicator Tape ( Turns from Yellow to Copper Red ), Steam Indicator Tape ( Turns from Yellow to Black)

 

 

=> Class VI Indicator ( Turns from Blue to Green)

 

 

BIOLOGICAL INDICATORS :-

These are calibrated population of bacterial spores (of high resistance to the mode of sterilization being monitored) in a carrier, put up in a package which maintains the integrity of inoculated carrier. These are used to test the ability of a sterilization cycle to kill microorganisms. It is done on weekly basis for steam sterilization and with every batch for ETO Sterilization.

B.I. used for steam sterilization contains spores of Bacillus Stearothermophillus.

B.I. used for E.T.O. Sterilization is Bacillus Atrophaeus.

 

 

MECHANICAL INDICATORS :-

Physical/ Mechanical Indicators monitors include real time records of chamber temperature and pressure, displayed on various types of recording chartd, computer printouts and gauges. Mechanical monitoring is useful for the early detection of malfunctions, so that alternative procedure can be used in the event of sterilization failures. Mechanical monitors must be checked before, during and after each sterilization cycle to verify that appropriate parameters for sterilization have been reached and maintained for the correct exposure time. The recording chart or computer printout is signed by the operator. These charts and printouts are maintained with sterilizer records.

 

 

BOWIE DICK TYPE TEST :-

This test is performed weekly. The objective of Bowie Dick Type Test is to assure that the air removal device is working properly i.e. air is completely removed from the chamber and during sterilization process if any air leak occurs it could be detected by this test. 

 ----------------Before Sterilization ---------------------  After Sterilization--------------

 

 

HUMAN RESOURCE DEPLOYMENT 

Name of Post

Total Sanctioned Posts

Total filled Posts

Total Vacant  Posts

Superintendent CSSD

1

1

0

Supervisor CSSD

3

0

3

Store Keeper

1

1

0

Lower Division Clerk

1

1

0

CSR Assistants Gr I

6

5

1

CSR Assistants Gr II18162

CSR Assistants Contractual

13

13

0

Hospital Attendants

35

27

8

Sanitary Attendants

6

5

1


 51st Annual Report (2017 – 2018)

NEHRU HOSPITAL CSSD


Sr. No.

Articles

Quantity




1

Dressing small

9,01,325

2

Dressing Large

1,49,419

3

Gynae Pads

37,194

4

Dressing Drums

2,177

5

O.T Gauze

22,157

6

Eye Pad & gauze Drums

1,844

7

Procedure Sets

78,703

8

Sterilization (Steam ) in cuft

2,81,951

9

Sterilization (gas) in cuft 

1,953

10

Articles Sterilized (Steam)

13,66,945

11

Article Sterilized (Gas)

8,016


COMPARATIVE STATEMENT FOR LAST THREE YEARS

NEHRU HOSPITAL CSSD


Sr. No.

Articles

2014-15

2015-16

2016-17






1

Dressing small

8,68,500

9,17,400

10,47,920

2

Dressing Large

1,30,602

1,42,112

1,60,302

3

Gynae Pads

30,848

31,514

33,715

4

Dressing Drums

3,085

2,959

2,721

5

O.T Gauze

20,846

23,067

27,451

6

Eye Pad & gauze Drums

1,368

1,594

2,096

7

Procedure Sets

83,828

86,262

88,745

8

Vials (Sample)

8,41,815

6,92,349

1,43,650

9

Sterilization (Steam ) in cuft

2,69,270

2,66,791

2,78,683

10

Sterilization (Steam ) in cuft

270

360

1,158

11

Articles Sterilized (Steam)

12,84,643

13,29,741

15,02,329

12

Article Sterilzed (Gas)

1,709

3,298

8,488