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16

Central Sterile Supply Services (CSSD)

Procedural and support · Licensed in-scope service

Criterion
Self-rating
Surveyor rating
Divergence
Evidence
Person in charge
Last updated
16.1.1Core StandardSafety Standard

CSSD Zoning and Unidirectional Workflow

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-15
16.2.1Core StandardSafety Standard

Sterilisation Monitoring and Biological Indicators

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-17
16.3.1Safety Standard

Instrument Traceability and Tracking to Patient

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-19
16.4.1

Sterile Pack Storage and Expiry Control

Fully met——NonePn. Zainab binti Sulaiman2026-01-21
16.1.1.11

Decontamination Processing Protocol 1.1

Partially metPartially met—NonePn. Zainab binti Sulaiman2026-01-11
16.1.2.12

Packaging Integrity Protocol 1.2

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-12
16.1.3.13

Sterilisation Batch Release Protocol 1.3

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-13
16.1.4.14Core Standard

Instrument Tracking Protocol 1.4

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-14
16.2.1.15

Clean Storage Protocols Protocol 2.1

Not applicableNot applicable—NonePn. Zainab binti Sulaiman2026-01-15
16.2.2.16

Decontamination Processing Protocol 2.2

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-16
16.2.3.17

Packaging Integrity Protocol 2.3

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-17
16.2.4.18

Sterilisation Batch Release Protocol 2.4

Partially metPartially met—NonePn. Zainab binti Sulaiman2026-01-18
16.3.1.19

Instrument Tracking Protocol 3.1

Partially metPartially met—NonePn. Zainab binti Sulaiman2026-01-19
16.3.2.20

Clean Storage Protocols Protocol 3.2

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-20
16.3.3.21

Decontamination Processing Protocol 3.3

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-21
16.3.4.22

Packaging Integrity Protocol 3.4

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-22
16.4.1.23

Sterilisation Batch Release Protocol 4.1

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-23
16.4.2.24

Instrument Tracking Protocol 4.2

Fully metFully met—NonePn. Zainab binti Sulaiman2026-01-24