The Combined pharmacycentral sterile supply room

Khurram Afzal

Combined pharmacy- central sterile supply room

Definition Centralized unit, which provides professional supplies and equipment to all specialized department Function Early stages, majority of items dispensed by central supply room consisted of re-usable material

 Now a days, consist of disposable drapes, syringes, urine collection sets ,IV administration sets, needles, gloves and blood bags Modern CSSR involved in cleaning, storage and dispensing of specialized equipment, suction pumps, cardiac catheters, surgical dressing carts

 Preparation of IV fluids, surgical irrigating fluids Management function of CSSR First group opinion that procurement, storage and distribution of supplies ,and preparation of sterile solutions

 Second group contents that majority of items dispensed are ultimately use by nurses in case of their patients Third group accept, CSSR dual function ,cleaning, packaging, distribution of medical equipment

CSSR in the hospital organization Unlike pharmacy, CSSR is sub department Surgical care ,operating room, recovery room Manufacture of sterile inject able or irrigating solutions in CSSR Prepare solution in bulk, transport to the CSSR for sterilization

 Prepare in concentrated solution ,diluted, packed, sterile in CSSR Qualification of hospital pharmacist Modern pharmacy ,provide the student with exposure to bacteriology, accounting and management. Pharmacist duties consist of

1. 2. 3. 4. 5.

Interviewing sales personnel Meeting with medical staff Distributing of supplies to pavilions Receiving and storing of supplies Teaching or lecturing to various groups 6. Manufacturing in bulk 7. Manufacturing both sterile and non sterile products

CSSR PERSONNEL
Trained in principle of sterilization, operating gas sterilizers, identification of surgical instruments and basic bacteriology testing Location of CSSR CSSR should be centrally CSSR must be able to receive large quantities of surgical dressing from store room and large number of sterile iv and irrigating fluids

Planning the CSSR

Laminar flow hoods Many hospitals prepare large number of sterile iv fluids, irrigating fluids, require sterile technique to micro filtered air Standard committee Committee in hospital, which is commissioned with responsibility to investigate to develop and standardize procedure and equipment

 This group is also known as current practice committee Director of pharmacy and central sterile supply services can assure the hospital administration to reduce duplication of inventory and produce standardization of procedures