Hand wash facilities should be available but segregated to prevent splashing Quality Assurance Checks Monitoring the environment temperature up to 24 c, humidity up to 70% and room pressure regularly + and documenting the results • Is there a regular schedule cleaning environmental • ventilation and air conditioning (HVAC) units serviced Airflow at least 4 air exchanges per hour

1. ALL YOU NEED
TO KNOW ABOUT
CENTRAL
STERILE SUPPLY
DEPARTMENT

2. STERILE
STORAGE AND
TRANSPORT
Sterilization technicians
Talal Albudayri

3. Hand wash facilities should be available but segregated to prevent splashing
Quality Assurance Checks
Monitoring the environment temperature up to 24 c, humidity up to 70% and
room pressure regularly + and documenting the results
• Is there a regular schedule cleaning environmental
• ventilation and air conditioning (HVAC) units serviced
Airflow at least 4 air exchanges per hour
Storage of sterile instrument under control environment to prevent contamination

4. AT LEAST
25- 30CM
45C
M
5CM
Should be correct
size and design
to hold items
safely and the
top and bottom
solid or covered
to reduce or
prevent dust
accumulation
Correct shelving

5. Harbor moisture
ruptures to closures
, Difficult to detect.
Never store or
transport food or drinks
Food or
drinks
Corrugated
boxes
FORCE OR
STACK ON
SHELVES
SUN LIGHT
Do not exposed to
direct sun light
Not located near
windows

6. Jarring and compression
from landing forces dust
and micro organism into
package , Dirt from floor can
be carried onto shelf and
contaminate the next pack
Dropped items considered
contaminated and removal
even no damage is apparent
Items Must not stored near or under
sinks ,pipes , sewage lines drains
MOISTURE
DROPPED
ITEMS
May seep into packages
Damage the surface
Force or compress packages
BALL PEN
RUBBER BANDS

7. Correct handling
Do not drag or push items
against surfaces causing
friction or abrasion this
damages the packaging
and compromises sterility.

8. CASE CART SYSTEM
system uses a Pick List that lists all the specific
CSSD sets, consumables and equipment
needed for an individual surgical procedure.
CONSUMABLE INVENTORY MANAGEMENT
PERIODIC AUTOMATED REPLENISHMENT ( PAR ) OR 2 BIN - USES A
DEFINED MINIMUM AND MAXIMUM LEVEL OF SUPPLIES FREQUENTLY
WITH 2 BINS SO THAT AN ORDER IS PLACED WHEN ONE BIN IS
empty.
Exchange cart - a cart with determined levels is exchanged at a regular interval with a new
fully stocked cart This system is commonly used for laundry or areas with high usage as it
allows a cart to be filled in a central location and simply exchanged with the depleted cart.
For reusable items processed in CSSD we have a fixed number of items and rely on a ' first
in- first out' out method to ensure items are used on a rotational basis Consumables are
used and disposed of and require replenishment systems to ensure they are available
when needed A lack of consumables can pose a risk to patients . Consumables are also an
additional cost to a facility so it is important to maintain correct levels so there isn't an
overstock or
risk of waste if items expire before use , we will focus on the top three management
systems :.

9. Sterile Supply
Expiration
Time Related Expiration package remains
sterile until a specific expiration date is reached".
Time date
This method is particularly important for perishable items like
food
that can spoil or grow
dangerous levels of bacteria and relies on the ‘first in - first out’
principle where items with
the shortest expiration date are always used first.
Event Related Expiration
“items are considered sterile unless the integrity of the
packaging is compromised or damaged, regardless of the sterilization date".
Events are the interactions that can cause a negative impact on sterile
products and occur
from both storage and handling

10. EVENT-RELATED STERILITY
many events that can compromise sterility.
Product Life
Some products and packaging material will degrade over time. Using
these items once they have expired is unsafe. As items begin to degrade
an event has occurred that can affect the items sterility.
Rough handling, poor storage practices, moisture, dust
and poor transportation procedures are some of the events that can occur to damage
a package. Once a package is damaged, the items inside must be considered unsterile.
Storage/Transportation Conditions
Clean, dry shelving in the storage area or in the transportation carts is required to
keep items sterile. Whether the shelving or carts are opened or closed can affect item
sterility. Open
shelving allows for greater chance of contamination from the environment or
personnel working in the area
Temperature and humidity must be monitored, and ensuring the absence of dust and
insects helps maintain package integrity.

11. after the sterilization process :
Cooling 30 minutes but longer times for
larger and heavier sets.
Biological Monitoring the first full load of the day and with all
implant loads. 1-48 hours of incubation
Chemical Monitoring inside and external indicators
challenge device (PCD) run with the cycle
for assurance
Physical Inspections
• correctly placed small and lighter items on top and heavier
on bottom
• Correct packaging and sterilization methods were used , low
temperature steam
• Identification labels are correctly attached
• No residual moisture on outside of package
• Tapes and identification labels are attached
Product release

12. Product Rejection:
For all release check failures, the item must go through the
full reprocessing
starting from decontamination- no short cuts can be made.
Product Recall
There is always a possibility that items have been released
but later recognized as items that
should have been rejected. Some reasons for this include:
• Biological or chemical indicator wasn't used or didn't pass
• Documentation wasn't correctly completed
• Manufacturer recalled a defective item
When any of these things occur, it is critical to use your
process documentation to identify all
items that are affected by the error and carry out an
immediate recall. Your facility should
have a procedure for recall that includes at minimum,
notifying all users impacted and documenting
all actions in an adverse occurrence report.

13. Safety Checks when Handling
• Tears or abrasions
• Tracks, or fuzzy or worn areas
from dragging
• Dents or punctures
• Dirt
• Moisture or evidence of
moisture-like spotting
• Sterilization label with date
• Chemical indicator inside set
or view pack

14. Closed cart, or
minimum covered
Protect the sterile
items from us and
environment
Correct size
and weight
Should be appropriate size with
adequate shelves to hold items ,
with out stacking , stuffing , over
To protect sterilefilling all impact sterility.
items fromSize ,For users safe visibility
contaminationwhen moving and the weight for
also reduce thecontrolled manner ex. larger
and chance of itemsheavier may need 2people
to
fallingmove safely
Sterile transportation
washable
Should be
compatible
with a cart
washer or
manual
cleaning and
disinfection
servicing
Constructed
from robust
materials for the
daily use
Doors, shelves
and wheels
must be
maintained to
ensure safety
and ease for use

15. When travelling through the facility make sure
you : • Take care to follow correct hand hygiene
to reduce the chance of contaminating items in
the
cart .
• Do not leave sterile transport carts unattended
particularly if they cannot be locked as other
staff or patients could open them and
compromise sterility of the items .
• When deliveries are complete , bring your cart
back to CSSD for decontamination .
• Empty carts should be processed through a
cart washer if available or manually cleaned
and disinfected if not , as per local policy .

16. THANK
YOU