Healthcare Associated Infections (HAI’s) are the most common complication affecting patients in Hospitals. Patient safety and best practice start in the CSSD. Many SSIs can be prevented with practices that help mitigate the numerous risk factors contributed by the patient or the environment. A surgical care process provides a systematic approach to support implementation of evidence-based, effective strategies to manage modifiable risk factors and improve surgical outcomes.
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The role of Infection Preventionists in the CSSD is to "Conduct infection control rounds periodically in high-risk reprocessing areas and ensure reprocessing instructions are current and accurate and are correctly implemented. Document all deviations from policy. All stakeholders should identify what corrective actions will be implemented."
Medical device reprocessing is a process that includes many steps that include:
Each step takes place in different zones starting in the OR and ending in the Storage Zone in the Central Sterilisation Department.
Step-By-Step Guide to Instrument Cleaning, Decontamination, Sterilisation and Storage Process of Medical Instruments
In a CSSD department, there are numerous risks such as improper cleaning, steriliser loading, cycle selection, or even a steriliser malfunction. Extended steam sterilisation cycles still trouble many CSSDs, as do loaner sets. The decontamination process is constantly becoming more difficult. A CSSD is faced with instrumentation that is difficult to clean because of long narrow lumens, intricate designs, inaccessible lumens and new materials. In CSSD a risk analysis should be performed to prevent infections and enhance patient safety.