Page 126 - policy and procedure infection control
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Policies and Procedures on Infection Control



                   6.6    Central Sterile Supply Department




                6.6.1 Introduction
                The objective of the CSSD is to provide efficient and effective central sterilization service and
                supply sterile items required by the wards, theatre and clinical departments in hospital so as to
                efficiently prevent and control infection. It is responsible for the processing, sterilization and
                quality control of all sterile supplies and equipment used in the hospital.


                6.6.2 Physical Layout of CSSU
                Central Service are divided into two 2 areas, designated as clean and dirty. These two areas are
                to be physically divided, and the integrity of each area to be maintained.

                • • • • •  The clean area is use for processing and sterilization of clean items, to include the
                      preparation and packaging of instrument and sets. The sterilizers are located in this
                      area.

                • • • • •  The dirty area is use for decontamination of all soiled items, including the washing and
                      drying of contaminated items.
                Only clean items will be taken into the processing area, and traffic will be strictly controlled. Only
                properly attired personnel will enter the clean processing area and decontamination area. Central
                Service personnel are responsible for maintaining each area as designated.

                6.6.3 Operational Policies
                      1.  General
                          •  Sterilizations of all instruments and material shall take place in the CSSU, except
                             o Pharmaceutical products

                             o Specimen container and media
                          •  All returned items shall be treated as potentially infectious /contaminated
                             regardless whether they have been used or not.
                          •  Sterile supplies shall be issued from the sterile issuing area according to
                             schedule.
                          •  All commercially packed items should have the outer cover eg. ‘soft good’ remove
                             before placing in the vicinity of packing / sterile area.
                          •  All work and materials must follow the specific direction to prevent contamination.

                      2.  Personnel
                          •   Staff should be trained in the field of sterilization and operating autoclave machine.
                          •  Staff should change to standard attire, including cap and foot wear.



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