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Registration and Billing System &CSSD

The document discusses the planning and design of a Central Sterile Supply Department (CSSD) in a hospital. It outlines key areas that should be considered like location near operating theaters, minimum required space based on hospital size, functional zones for clean/dirty/sterile areas, floor/wall/ceiling materials that are washable and impermeable, window placement, door sizes for equipment passage, shelving heights and materials for sterile storage, and work surfaces and hand washing stations. Proper planning of CSSD structure and zones is important for efficient processing, cost-effectiveness, and patient safety.

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Sthitapragyan senapati
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140 views

Registration and Billing System &CSSD

The document discusses the planning and design of a Central Sterile Supply Department (CSSD) in a hospital. It outlines key areas that should be considered like location near operating theaters, minimum required space based on hospital size, functional zones for clean/dirty/sterile areas, floor/wall/ceiling materials that are washable and impermeable, window placement, door sizes for equipment passage, shelving heights and materials for sterile storage, and work surfaces and hand washing stations. Proper planning of CSSD structure and zones is important for efficient processing, cost-effectiveness, and patient safety.

Uploaded by

Sthitapragyan senapati
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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REGISTRATION AND BILLING SYSTEM

RECEPTION AND ENQUIRY COUNTER


 AS THIS IS THE AREA OF FIRST CONTACT OF PATIENT WITH THE
HOSPITAL, LOCATION OF OPD, IDENTIFICATION AND FUNCTIONS ARE
IMPORTANT.

 STAFF MEMBERS POSTED IN THIS AREA MUST BE FULLY AWARE


OF ALL THE AREAS, FUNCTIONS AND SCHEDULE OF DIFFERENT
SERVICES AS WELL AS THEY SHOULD BE ABLE TO COMMUNICATE THE
SAME IN SIMPLE & SYMPATHETIC LANGUAGE.

 WHEELCHAIRS & TROLLEYS ARE ALSO ARRANGED NEAR


RECEPTION IN THE SPECIFIC SPACE ALLOTTED FOR THE BAY. THIS
ARRANGEMENT ENABLES EASY & FAST TRANSPORTATION OF PATIENTS
WHO HAVE DIFFICULTY IN AMBULATION OR THOSE WHO ARE NON-
AMBULATORY.

REGISTRATION COUNTER
 IT IS LOCATED IN THE VICINITY OF RECEPTION COUNTER. ALL
THE PATIENTS WHO COME TO HOSPITAL OUTPATIENT SERVICES
NEED TO REGISTER THEMSELVES, OBTAIN OPD PAPER / CARD
CONTAINING NAME & REGISTRATION NUMBER.
 IN SOME HOSPITALS, CASE RECORDS ARE STORED IN THE
REGISTRATION DEPARTMENT & PATIENTS ARE HANDED OVER A
SMALL CARD CONTAINING THE REGISTRATION NUMBER. EVERY
TIME THE PATIENT VISITS HOSPITAL THE PAPER IS ISSUED BY THE
DEPARTMENT.

CENTRALIZED STERILE SUPPLY


DEPARTMENT (CSSD)
 THE CENTRAL STERILE SUPPLY DEPARTMENT IS RESPONSIBLE FOR
PREPARING MEDICAL/ SURGICAL SUPPLIES AND EQUIPMENT SO
THAT THEY ARE STERILE AND READY FOR USE IN PATIENT CARE.
 WITH THE CENTRALIZATION OF THE PRE-DISINFECTION, CLEANING,
PACKING AND STERILIZATION OF ALL ITEMS IN ONE DEPARTMENT, IT
IS OF PARAMOUNT IMPORTANCE TO PROVIDE CONSISTENTLY HIGH
STANDARDS IN THE STERILIZATION TECHNIQUES AND PRODUCT
QUALITY. 
AS THE NUMBER AND VARIETY OF SURGICAL PROCEDURES AND THE TYPES OF

MEDICAL DEVICES ARE CONSTANTLY GROWING, AN OPTIMIZED PROCESSING IS

VERY IMPORTANT FOR EFFICIENCY, ECONOMY, AND PATIENT SAFETY.

PLANNING & DESIGNING OF CSSD


STRUCTURE OF CSSD DEPARTMENT
1. Location
For minimizing distance for transportation & also for saving time, CSSD should be located as
near main user areas as possible like Operation Theatres, intensive care areas etc. Therefore,
CSSD should be on the same floor or the floor immediately above or below.

While planning location, supply location i.e. linen store, laundry & general store can be planned
in the vicinity of CSSD.

2. Area required for CSSD Department


Requirement of area depends mainly on work load, number of sterilizing equipments & turnover
of the material.

Minimum area requirement is 7sq.ft. per bed(Minimum area of 100 sq. ft. is required if hospital is
small).

Surface Area Calculation for CSSD:


 For >300 bedded Hospital: 7 m²/ No. of Beds
 For 300 to 600 bedded Hospital: 6 m²/ No. of Beds
 For <600 bedded Hospital: 5 m²/ No. of Beds
3. Functional Zones
Dirty Area (Area for soiled items)
Clean Area
Sterile Area
Support Area
The area within the CSSD can be sub-divided as follows:

4. Floors
 Carpet or similar soft flooring should be avoided.
 Impermeable, non-slip floor covering is recommended. PVC welded sheet vinyl
coved up the wall ensures a watertight hygienic surface which will withstand daily
cleaning.
 Small-diameter coving puts undue stress on the floor vinyl and is prone to cracking
over time. Larger diameter coving has the added advantage that in certain cases it prevents
trolley wheels from being pushed against the wall, acting as an added wall protection.
5. Walls
 Walls should be washable, preferably cladded by welded sheet vinyl. Durable
polyurethane wall finishes are rapidly appearing on the market and selected products could
also be suitable in certain circumstances.
 Walls should be adequately protected against damage by loose equipment and
wheeled traffic by buffer rails and corner guards, which should be appropriately sited to
reflect the specifications of trolleys in use. Protruding elements of different trolleys are of
varying height. This should be considered in the selection of wall protection.
6. Ceilings
A minimum below-ceiling height of 2 800mm is recommended. If ceilings are lower, precautions
must be taken with respect to the arrangement and number of air vents as well as to the
temperature of the air circulated. This below-ceiling height will have implications for the noise
level prevailing within the CSSD. Ceilings should be:

 washable, impermeable and non-porous


 sealed to prevent ingress of airborne particles or other contaminants from the
ceiling void
 resisstant to humidity in zones where steam and moisture may be encountered.
7. Windows
 The walls and partitions must feature as many glass panels as possible to facilitate
supervision, and also to create a feeling of spaciousness.
 Windows to the outside are highly desirable in the working areas. However, these
windows should be non-opening, sealed and preferably flush fitting, in order to prevent the
windowsills from being used as storing space. If this is unavoidable, the sills should be
angled.
8. Doors
 Doorways should be positioned to allow trolley movement, and doors and corridors
should be wide enough to accommodate trolley turning circles and protruding trolley
fittings.
 Door frames and door leaves should be designed and finished with protection
cladding and bumper rails to withstand the inevitable bumps by trolleys.
 Doors should be adequately sized to allow clear passage of current as well as
possible future equipment.
 Automatic/semi-automatic doors make it easier for collection and distribution of
trolleys. If not automated doors should be self-closing. If the design allows it, doors should
open towards the higher pressure side where possible to overcome problems with
weakening door closers, which may lead to lock-outs.
 Vision panels should be provided.
9. Sterile storage shelving
 Packs should be stored away from direct sunlight and water and should not be
stored next to or under sinks, or on the floor where they are likely to get wet or damaged.
Sterile packs should be stored at least 250 mm above the floor, and 450mm below the
ceiling or sprinkler heads and at least 50 mm from side walls to allow for air circulation in
the room and to prevent contamination during cleaning. The shelves should be 400mm
apart and be adjustable in increments of about 50mm.
 Shelving should be stainless steel, slatted, 375mm deep, easily cleaned and allow
air to circulate around stored packs. Freestanding or mobile shelving provides a practical
solution for handling the flow of products in and out of storage and cleaning. It allows staff
to access all sides of the storage area for rotation of sterile packs. Open shelving is more
commonly used as it allows dust to pass through making them easier to clean than solid
shelves.
10. Worktop furniture
 Work benches for standing activities should have a worktop height of 900mm and
be constructed of stainless steel. Furniture should be movable with height adaption
facilities.
11. Hand-wash basins
Hand washing remains one of the most significant ways in which cross-infection through contact
can be avoided. To enhance this, staff should be aware of its importance and hand-wash facilities
should be available in appropriate places and be accessible.

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