Purchasing

Purchasing

Content

       Advantages,
sources, procedures and methods involved in purchasing

       Importance
of central sterile supply department

Objective

After completion of this lecture, student will be able
to:

       Explain
purchasing of drugs

       Describe
Central Sterile supply Department

Purchasing

Definition

The service, with in the hospital, catering for the
sterile supplies to all departments, both to specialized units as well as
general wards and OPDs”

Aim

       Centralizing
the activities of receipt, cleaning, assembly, sterilization, storage and distribution
of sterilized materials from a central department

       Safe
sterilization is done under controlled conditions with adequate managerial and
technical supervision at an optimum cost

       To
provide an efficient, economic, continuous and quality supply of sterilized
material to various areas of the hospital to deliver quality and infection free
patient care

       Contributes
to reduction in hospital infection rate

Functions & Activities

Advantages

Planning of CSSD

The CSSD can broadly
be classified into two parts

Central unit Responsible for receiving dirty Utilities
cleaning, processing, Sterilization, storage and supply

Peripheral unit – Mainly responsible for distribution to
various areas of hospital.

                            – TSSU (Theater
Sterile Supply Unit)

Planning a Department

Lay Out Designing Principle

       There
is no back tracking of sterile goods

       One
way movement from receiving counter to issue counter

       Sterile
area should be prior to sterile storage and issue

       The
receiving counter must be away from the issue counter

       Separate
receiving and issuing counter

There should minimum six basic division in CSSD

Structural Designing

       The
Central Unit comprises of three zones, separated by two distinct barriers

       One
collection window

       one
supply window on the other end

Equipment

Cleaning area:

       High
capacity pass through washer disinfector at 800C to 900 C
having various shapes and sizes

       Cold
and hot water streams

       Detergent
Solution

       Steam
when available

       Hot
air ovens for drying instruments

       Wall
fixtures for drying

Sterilization area

       Autoclaves
using dry heat, moist heat

       Ethylene
oxide sterilizers

       Testing
material to check effectiveness of sterilization

Storage and
Distribution

       Cup
boards, selves, tables, chairs, racks

       Trolleys,
instrument trays, wire baskets and containers

Other Equipment

       Cleaning
and decontamination devices

       Hot
air Oven for drying & heat sterilization

       Glove
processing unit for surgical gloves

       Instrument
sharper e.g.. Needle sharper

       Testing
apparatus for emergency sterilization

       Others
:- trolleys, work surface, telephones

       Maintenance
and repair of equipment’s

       Material
: chemicals for washing and cleaning

       Steam
Boiler

Articles to
be sterilized

Staffing

Staffing should be planned based on following factors:-

1. Three shift working

2. Messenger service

3. Maintenance service

4. Staff for 6 areas

Leave and off duty

       Average
02 technicians for 100 beds and one technical supervisors

       One
clerk for keeping records, accounting and supply/ shift

       Average
04 attendants per 100 beds in all shifts

       Adequate
number of cleaning attendants and transporters

       One
technician and two attendants should be stationed at each zone

Organogram

CSSD

Sterilization

       It
is a process of freeing an article from all living organisms including bacteria
,fungal spores and  viruses                   

       A
material is pronounced sterile if it achieves 99.99%  kill of bacterial spores

METHODS OF
STERILIZATION

Types of Autoclaving Machines

         
Downward
Displacement

         
Vacuum
Assisted.

         
Pulsed
Steam Dilution

Storage

         
After sterilization the sterilized items are
kept in different racks as per labeling

         
Supplied as per the demand of different area

         
To ensure continuous availability of sterile
supply five times of daily requirement should be available in storage

 

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