| 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.
(state the synonyms)
AIMS
To provide sterilized material from a central department where sterilizing process is carried out under properly controlled conditions
To alleviate the burden of work of the nursing personnel, there by enabling them to devote more of their time to patient care . | Central Supply Department
Also known as: CSSR;CSR and sterile supply
room |
| ITEMS COMMONLY HANDLED BY
CSSD STORES
1 Central Supply | .
1 Receives Purchase Request from Department Heads
2 Shops for the best price and best quality on items requested.
3 Awards Purchase Order to Company that met the above criteria.
4 Receives items on purchase order catalogs them into inventory and releases money
to pay for purchases.
5 keep records of supplies ordered , received, and
supplies sent out to patients or the floors of the hospital.
6 Inventories are done frequently to make sure the
items in the computer are on the shelves. |
| ITEMS COMMONLY HANDLED BY
CSSD STORES
1 Central Sterile | 1 Receives equipment from purchasing.
2 It is cleaned, tagged and placed in the clean storage area awaiting a request form.
3 Equipment is sent out of Central Supply to the floors after receiving a request
4 After patient who needed the equipment has been discharged or no long need it, the equipment is sent to the C.S. Decontamination room
5 When items come into the decontamination room or dirty side, they are cleaned and processed and sent to the clean side for storage
6 The Central Sterile “clean side” wraps instruments, surgical trays, etc.. And sterilizes them. They are then sent to the departments that uses them for storage |
| Central Supply Department
Management and Function
1 Should be handled by the Pharmacist>
2 Nurses>
Dual Function of Both
1 Nurse>
2 Pharmacist> | .
1 procurement, storage, distribution of supplies,
preparation of sterile solutions.
2 items are used by them
----------------------
1 cleaning, packaging distribution of
medical equipment
2 manufacture of sterile fluids |
| CSS Room in the Hospital
1 Considered as sub-department >
2 Manufacture of sterile injectable or irrigating
sol. > | 1 OR or Nursing service
2 “solution room” > Pharmacist |
| Responsibility of RPh and CSS | Prepares the sol. In bulk and transports the tank to the CSS room for bottling and sterilization
Prepares and packages the sol. For sterilization by CSS
Prepares a concentrated solution which is then diluted, packaged and sterilized in CSS room
Prepares a mixture of chemicals in the dry state which when dissolved in a specified volume of distilled water results in the desired product which is then packaged and sterilized by the CSS room personnel |
| Qualification of Hospital Pharmacist in CSS | Bacteriology, sterilization, accounting and
management
1 Interviewing sales personnel
2 Purchasing, Dispensing, Distribution
3 Receiving and Storing
4 Principles of standardization
5 Manufactures in bulk, sterile and non-sterile
I Purchase and Receive Principles of Manufacturers |
| Location of CSS Room | Centrally located
Pharmacy and CSS should be COMBINED or
ATLEAST ADJACENT |
| Planning the CSS | Dirty area is separated from clean area by
autoclaving and sterilizing equipments
All dirty equipments should enter on one end
of room > sterilizers > sterile storage area
Minimize cross contamination |
| Processing Sterile and Non Sterile Items | All items are received into the Central Sterile decontamination area for cleaning before being sent to the clean area.
In the clean area items are stored or processed if necessary sterilized.
Summary:
All items -> CS Decontamination -> cleaning -> clean area -> stored/ processed |
| is the term used for all procedures and techniques
performed to keep a sterile product
from becoming contaminated. | Aseptic Technique |
| IV fluid is in a large-volume parenteral (LVP), usually
more than __ | 100 mL |
| Basic IV Therapy | 1 Hang on an IV pole approximately 36 inches higher than the patient’s bed.
2 The LVP is usually a simple solution of dilute dextrose, sodium chloride or both.
3 Solution is infused continually to keep blood from clotting in the catheter and plugging the line. |
| 1 attaches to the LVP.
2 Most IV sets that flow by the force of gravity have several common features: | 1 Primary IV set
2)
1 Drip chambers (macrodrip or minidrip)
2 Electronic infusion devices |
| Drip chambers
1 deliver 10 to 20 drops/mL
2 deliver 60 drops/mL | .
1 Macrodrip
2 Minidrop or Microdrip |
| are usually USED IN FLUID RESTRICTED PATIENTS or when the LVP contains a drug that must be administered at a precise rate that cannot be monitored by using the gravity method. | Electronic infusion devices |
| drugs that are routinely delivered through the same basic IV setup are usually attached to a __ connected to the primary set. | Secondary IV set |
| 1 typically inserted into a peripheral vein (arm, leg, or hand) or a central vein (in the chest near the heart).
2 is MORE COMMON THAN CENTRAL INSERTION | 1 Catheters
2 Peripheral insertion |
| is MORE COMPLICATED AND RISKIER to insert and maintain, but has FEWER RESTRICTIONS with respect to type and rate of administration
can be temporary; used for days or weeks (such as during a hospital stay) or permanent, when used for months or years (such as home care or cancer patients)
gives DIRECT ACCESS INTO A VEIN that that has a high flow of blood. | central catheter |
| offers some of the BENEFITS OF BOTH CENTRAL AND PERIPHERAL CATHETERS.
INSERTED PERIPHERALLY it is a long flexible catheter that
travels through the vein and its tip ends near the heart
where there is a high volume of blood flow. | Peripheral Inserted Central Catheter (PICC) |
| Types of Peripheral Catheters: | a. Plastic – most common
b. Steel |
| Used in patients that require IV therapy
who are still CAPABLE OF EATING AND DRINKING, DO NOT REQUIRE SUPPLEMENTAL FLUIDS, and might be AMBULATORY.
A type of Peripheral Catheter | Steel
commonly referred to as a SCALP VEIN or
BUTTERFLY |
