Central Sterile Supply Department
The Central Sterile Supply Department provides complex services including the preparation of sterile medical supplies for the surgery rooms and all other stations and centers of the University Hospital.
The scope of the tasks and responsibilities of this department places this centre as a unit which deals with the prevention of nosocomial infections and represents one of the core aspects of comprehensive health care. The Central Sterile Supply Department provides specialized hygienic operations ( complex pre-sterilization preparation, high-temperature sterilization, low-temperature sterilization) whose outputs are sterile medical supplies. In order to routinely supply the hospital with all necessary sterile material, the management of the department closely cooperates with the leading employees of the surgery rooms and inpatient and outpatient clinics. The main aim of the Department of Central Sterile Supply is to guarantee a high quality and level of sterilization for all medical supplies. Protection of all patients is critical to our work.
The Central Sterile Supply Department, as a specialized centre offers its services and provides sterilization of medical supplies for private subjects.
The Scope of Services
All services are performed continuously. In 2006 the department prepared 31 488 surgical instrument sets for the use of the surgery rooms and 8 685 590 liters worth of medical material was sterilized for all stations and centers of the hospital. The Central Sterile Supply Department, as a specialized centre, offers the following services:
- Disinfection, mechanical treatment, special treatment of all medical supplies
Disinfection, mechanical treatment, and special treatment of all medical supplies in automatic washers with adjustable and controlled parameters. The machine-controlled washing is carried out in a closed system and uses thermal-chemical or thermal disinfection. The quality of pre-sterilization preparation is checked and performed by means of smears taken from the medical material. The Institute of Public Health in Ostrava implements the evaluations of the smears.
- Organizing and completing surgical instruments
Surgical instruments are organized and completed into sets by qualified nurses.
- Medical supplies packing
Medical supplies are packed into special single-use or reusable sterile packs. The employees are qualified to choose and use the correct ones.
- Visual control of completeness, preparation and packing of surgery room cloths
The employees carry out a visual control and check if surgery room cloths are complete. They prepare and pack the cloths either in single item packs or set packs according to requirements of individual surgery rooms or other stations and centers.
- Moist heat sterilization
Moist heat sterilization is used for medical products that are made of metal, are porous, hollow or otherwise thermo stable. The sterilizing medium is saturated water vapor, which transmits thermal energy by condensing on medical products.
- Ethylene oxide sterilization
Ethylene oxide sterilization is used for thermo labile reusable medical supplies ( made of plastic ). The sterilization medium is a mixture of ethylene oxide and vapor that penetrates well. This moist sterilizing process requires a period of post sterilization aeration to remove toxic residues.
- Plasma sterilization
Plasma sterilization is used for thermo labile reusable medical supplies ( made of plastic ). The sterilization medium is a low temperature plasma created in a high frequency electromagnetic field that interacts with vapors of 58 percent hydrogen peroxide in a high vacuum. Plasma sterilization is a dry sterilization process.
All sterilization processes are carried out in modern machines with controlled parameters and written records providing details of the sterilization processes. All sterilization processes are rigidly monitored by both chemical and biological indicators.
- Final inspection
The employees of the department carry out final inspections, which are regulated by an employee´s code. The department takes care of the delivery of the sterile medical supplies.