Reorganization of the Central Supply Sterile Department: Nursing Staff’s Contributions

Abstract

Objective: to analyze the strategies used by nurses for organization and planning in the centralization process of the Central Supply Sterile Department at a General Hospital. Method: this is a qualitative study of the history of the present time, carried out through an interview with 8 nursing professionals, such as nurses and nursing technicians at a hospital in the city of Petrópolis, state of Rio de Janeiro, Brazil. Data collection took place between September 2017 and August 2018. For analysis and interpretation of the documentary corpus, pertinence, sufficiency, completeness, representativeness, homogeneity and organization of documents in chronological order of the events during the investigated period were considered. The historical context was triangulated, with social structures and the symbolic universe resulting from interviews and documentary analysis. Thus, the categories of analysis emerged. Results: the strategies used by nurses occurred through organization and new work practices, enhancement of the Central Supply Sterile Department, hiring new nursing technicians, staff training and insertion of new technologies before, during and after centralization from the Central Supply Sterile Department. Conclusion: material sterilization at Hospital Santa Teresa continued with fractional nursing care among surgical patients and material processing. The strategies to centralize the sterilization unit contributed to a correct sterilization of hospital materials, resulting in expressive gains for nursing, Hospital Santa Teresa, society and control of Infections Related to Health Care.

The Perception of Nursing Professionals Working in a Central Sterile Supplies Department regarding Health Conditions, Workload, Ergonomic Risks, and Functional Readaptation

“…It can be said that the movement of professionals to the CSSD and the growing technological advancement of instruments and products used in the sector—which requires professionals with technical knowledge and vast experience—are factors that could have positive repercussions in this scenario. Even though it is classified as indirect care, with routine and repetitive activities, the importance of the work of CSSD professionals is reflected in the delivery of a contamination-free product for hospital use [ 18 ]. A recent study showed that CSSD can successfully form closed-loop management of sterilization effectiveness, improve standardized management of sterile article storage in clinical departments, ensure sterile article safety, and reduce the cost of consumption caused due to loss of sterile packaging [ 19 ].…”

Desafios dos enfermeiros que atuam em centro de material e esterilização: revisão integrativa.

“…A Central de Material e Esterilização (CME) é uma unidade funcional e específica, destinada ao processamento de produtos para a saúde (PPP´s) que consiste em um conjunto de ações e boas práticas relacionadas à organização do serviço nesse espaço tão específico. Esse conjunto de ações abastecem os setores assistenciais com materiais utilizados pelos profissionais de saúde nas unidades consumidoras, garantindo a qualidade e a quantidade suficiente para uma assistência segura à saúde (1) .…”