Centralized sterilization department

Contacts

+ 7 (7172) 51 57 02
+ 7 (7172) 27 20 15
+ 7 (7172) 50 62 71

66 Koshkarbayev Ave,
Astana

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CENTRAL STERILIZATION DEPARTMENT

The main task of the central sterilization department is to provide medical facilities with sterile medical devices, as well as continuous improvement of methods used at all stages of sterilization treatment and control at all its stages.

Sterilization of medical products in health facilities is a complex multi-stage process, consisting of several stages, each of which determines the quality of sterilization:

preliminary disinfection and processing of products at the places of use (in procedural, operating, dressing rooms, etc.);
pre-sterilization cleaning of products;
packaging;
sterilization;
storage and transportation to the places of use of sterile products.

CSD works 24/7.

The following functions are assigned to the CSD:

Reception of instruments and medical devices for the hospital.
Preparation of pre-sterilization cleaning (washing, drying) with subsequent setting of samples for quality.
Sorting, collection and packing of tools.
Sterilization of products using test-indicators for determining the quality of sterilization.
Documenting and strict accounting of goods receipt and delivery.
Manufacture of dressings.
Distribution of sterile products in the hospital.

With the goal of preventing intrahospital infections, all medical products must undergo disinfection in the departments after being used. Pre-sterilization cleaning and sterilization of products is carried out in the CSD.

Reception of medical devices is performed strictly on schedule. We accept the instruments on the account, write it down in the "Journal of the reception of instruments from the department," put it into the marked mesh in disassembled form and load it into the washing-disinfecting machine where the cleaning, rinsing and drying of the tools is done. We strictly follow the operating instructions for the detergent-disinfecting machine .

The quality of pre-sterilization treatment is assessed by the absence of positive samples: azopiramic test for the presence of blood; phenolphthalein test-on the presence of detergent. The sample is held in a packing room on a special table. The table is equipped with reagents, gauze balls, sample trays, and a pipette.

For sampling, 1% of the lot of washed and dried instruments is taken.

With a positive reaction, the processing of the products is repeated until a negative result is obtained.

After pre-sterilization cleaning and control of its quality, the sets are collected from the operating instruments according to the list compiled by the department.

Sorting, collection and packing of medical devices is carried out in a packing room. For packaging, crepe paper, combined rolls, intended for steam and plasma sterilizers are used. When wrapping products in crepe paper, two layers are used, wrapping the product separately in each layer, fixing with a sticky indicator tape. Combined rolls are sealed with a thermo-weld method.

The control indicator of the required mode (134 * -5 minutes and 121 * -20 minutes) is placed in all packages, bixes. The shelf life of sterile packaging of crepe paper and in bills with a filter is 20 days, in combined rolls -1 year.