แนวทางการจัดหน่วยจ่ายกลาง สำหรับห้องผ่าตัด กรณีศึกษาโรงพยาบาลพระมงกุฎเกล้า / นวพร สุขแก้ว = Guidelines for organizing a Central Sterile Supply Department (CSSD) for operating room : case study of Phramonkutklao Hospital / Nawaporn Sukkaew
The Central Sterile Supply Department (CSSD) is responsible for receiving and cleaning all used medical instruments and equipments in the hospital with additional process for these medical instruments and equipments to be reused. Since the operating room is the first priority for its responsibility therefore CSSD should be located close or direct access to the operating room for convenience and minimize the loss of instruments and equipments upon delivery. The research found that The Phramongkutklao hospital provides the sterile supply unit for operating room apart from the Central Sterile Supply Department (CSSD) called the Theatre Sterile Supply Unit (TSSU). It locates on the 9th floor while the operating rooms are on the 8th floor of the same building. There are three zones for soiled, clean and sterile goods. The surgical equipments are delivered to operating rooms with separated clean corridor and soiled corridor. The sterilization processes are operate from the different department’s staff. The result from this research suggests that there should be a central sterile supply unit for operating room apart from CSSD of the hospital. This will be beneficial for the operation with many cases per day and will also serve the operation in an emergency crisis such as the outbreak of war, the act of terrorism or natural disaster. Moreover, the unit will help to reduce the problem of spreading diseases while cleaning the medical instruments and equipments in the operating room. However, an efficient organization does not rely only on the division of unit but also relies on specialists who run responsibilities together with the suitable system of delivery. The result of this research, as suggested, could be adopted as a guide for larger size of public hospitals to develop CSSD for their operating rooms.
