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The Central Sterilizing Service Department - CSSD

The Central Sterilizing Service Department - CSSD

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The Sterile Processing Department (SPD), also known as the Central Sterile Services Department (CSSD)  is an integrated activity of the utmost importance in healthcare facilities. The purpose of the CSSD is infection control and safeguarding the health of patients undergoing diagnostic investigations or surgery and therapy. The Central Service, plays a vital role in all procedures and processes related to the activity of the operating theatres and wards of any hospital.

The Cssd Is Essential In:

the supply of sterile products, consisting of RMDs (reusable medical devices) needed in all healthcare activities.

the application of all possible strategies for increasing patient safety and ensuring a better prevention against healthcare-associated infections (HAIs).
the comprehensive tracking of the sterile process, so that it takes place in the correct sequence of implementation and that the history of each medical device can be traced at any time

Hospital Sterilization Process

The reprocessing of surgical instruments is the end result of a process that, through standardised, repeatable, documentable and traceable methods, allows to eliminate every microorganism from surgical tools and medical equipment after their use.

MANUAL PRE-TREATMENT

WASHING AND THERMAL DISINFECTION
PACKAGING AND STERILIZATION
STORAGE AND REUSE
In addition to the manual equipment present for pre-treatment and packaging of surgical instruments, a CSSD uses a wide range of washing and disinfecting equipment for reusable medical devices [link alla pagina lavaggio] as well as different types of machines for high temperature and low temperature sterilization link alla pagina sterilizzazione], the latter being reserved for all types of medical devices that cannot be sterilized with steam.

Details

A wide variety of surgical instruments and other dirty and used medical devices coming from the operating theatres (OT) of all hospital wards are transported inside containers and baskets to the CSSD’s Septic Area.  It is essential to implement a traceability software that tracks the journey of the surgical kits. 

The initial reprocessing stages of reusable medical devices may include manual pre-washing and other treatments prior to the washing and sterilization stages.

Automated cleaning and disinfection make the surgical instruments in the containers and baskets safe and easy to handle. In the Aseptic Area of the CSSD, reusable medical devices are sorted, inspected and packaged before undergoing the most appropriate sterilization cycle.

At the end of the sterilization treatment, the instruments arrive in the sterile area of the CSSD. Here the RMDs are stored in warehouses or transported back to the wards and operating theatres for reuse.

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