18-Jun-2022: Cancellation of Notice Inviting Tender # 19053 for Provision of Security Services to MTI MMC Mardan

06-Jun-2022: BER(Financial) Procurement of Orthopedic OT Table

06-Jun-2022: BER(Financial)-Anesthesia workstation

06-Jun-2022: BER(Financial)-Endoscopic system for Gastroenterology

25-May-2022: BID SOLICITATION DOCUMENTS "FOR PROCUREMENT OF Color Doppler Ultrasound (Portable) Machine"

25-May-2022: BID SOLICITATION DOCUMENTS "FOR PROCUREMENT OF 01 x C-Arm for Cardiology 01 x C-Arm for Neuro surgery"

25-May-2022: BID SOLICITATION DOCUMENTS "FOR PROCUREMENT OF Color Doppler Echo Ultrasound (Portable) Machine"

25-May-2022: BID SOLICITATION DOCUMENTS "FOR PROCUREMENT OF 02 x Portable DR X-Ray Machine"

25-May-2022: Minutes of Pre-Bid Meeting “For Goods of Medical Equipments”

20-May-2022: Financial bids of the respective equipment shall be opened on 25-5-2022 (Wednesday) at 11.30 hrs in presence of the qualified firms.

12-May-2022: Invitation For Bids of Medical Equipments

22-Apr-2022: Bid Evaluation Report (Financial) Procurement of Arthroscopy Hand Instruments

22-Apr-2022: Bid Evaluation Report (Financial) Procurement of OCT (Optical Coherence Tomography) System

22-Apr-2022: Bid Evaluation Report (Financial) For FESS

29-Mar-2022: Invitation For Bids 'Repair & Maintenance works at MMC Hospital'

27-Mar-2022: ADVERTISEMENT FOR DEAN/CEO BKMC, MEDICAL DIRECTOR, HOSPITAL DIRECTOR & SECRETARY TO BOARD OF GOVERNORS

18-Mar-2022: BKMC ADVERTISEMENT FOR PROFESSORS, ASSOCIATE PROFESSORS AND ASSISTANT PROFESSORS

23-Feb-2022: BID SOLICITATION DOCUMENTS "ENDOSCOPIC SYSTEM FOR GASTROENTEROLOGY"

23-Feb-2022: Pre-bid Minutes of Meeting regarding "Endoscopic System for Gastroenterology"

21-Feb-2022: Pre-bid Minutes of Meeting regarding "BSDs OT Tables MMC after pre-bid"

21-Feb-2022: Pre-bid Minutes of Meeting regarding "BSDs FESS MMC - after prebid"

21-Feb-2022: Pre-bid Minutes of Meeting regarding "BSDs Colposcope MMC after Prebid meeting"

21-Feb-2022: Pre-bid Minutes of Meeting regarding "BSDs Arthroscopy Instruments after pre-bid"

21-Feb-2022: Pre-bid Minutes of Meeting regarding "BSDs Anesthesia MMC - After Prebid"

21-Feb-2022: BID SOLICITATION DOCUMENTS "OPTICAL COHERENCE TOMOGRAPHY (OCT) MACHINE"

21-Feb-2022: Minutes of Pre-Bid Meeting “OT Tables”

21-Feb-2022: Minutes of Pre-Bid Meeting “OCT Machine”

21-Feb-2022: Minutes of Pre-Bid Meeting "FESS System"

21-Feb-2022: Minutes of Pre-Bid Meeting “Colposcope System”

21-Feb-2022: Minutes of Pre-Bid Meeting “Arthroscopy Hand Instruments”

21-Feb-2022: Minutes of Pre-Bid Meeting “Anesthesia Workstations”

11-Feb-2022: Minutes of Pre Bid Meeting "Procurement of General Items"

09-Feb-2022: Invitations For Bids 'Medical Equipment's'

07-Feb-2022: Corrigendum for 'Pre-Bid Meeting shall be held on 11-02-2022 (Friday) at 10 AM Instead of 10-02-2022'

01-Feb-2022: Invitation For Bids 'General Items'

31-Dec-2021: Notice Inviting Tender 'To Run the canteen having area (3000 sqft) located in the premises of Institution'

03-Nov-2021: NOTICE INVITING TENDER 'For the Procurement of Surgical & Disposables Items For Sehat Sahulat Program'

20-Oct-2021: Medical Furniture - Technical Evaluation Criteria

20-Oct-2021: Technical Evaluation Report –Medical Items/Disposables

20-Oct-2021: Technical Evaluation Report –Medical Equipment

20-Oct-2021: Technical Evaluation Report –General Furniture

11-Oct-2021: Technical Bid Evaluation Report (Medical Furniture)

24-Sep-2021: Notice Inviting Tender for procurement of 'Laundry Machines' in MTI MMC Mardan

08-Sep-2021: Technical Evaluation Report for Janitorial Services at MTI-MMC Mardan

16-Aug-2021: Minutes of Pre-Bid Meeting “Procurement of Central Medical Gas Supply System”

11-Aug-2021: Notice Inviting Tender for the'Procurement of Medical & General Items'

06-Aug-2021: Latest Vacancies at MTI-MMC Mardan

30-Jul-2021: Invitation For Bids 'Installation of Central Medical Gas Supply System'

27-Jul-2021: Invitation For Bids (Medical & General Furniture and Medical)

19-Jul-2021: Interview Notice For House Job for Medical Graduates (MBBS) Session 2021

09-Jul-2021: Minutes of Pre-Bid Meeting “Procurement of Information Technology and Machinery Equipment”

09-Jul-2021: BID SOLICITATION DOCUMENTS “Information Technology and Machinery Equipment”

28-Jun-2021: NOTICE INVITING TENDER 'For the Procurement of IT Hardware & Machinery Items'

15-Jun-2021: Interview Notice 'Medical Graduates of BKMC for House Officers'

27-May-2021: Notice Inviting Bids for the provision of Janitorial/Cleaning Services in MTI-MMC

25-May-2021: Interview Notice 'Dental Graduates of BKCD for House Officers'

16-Mar-2021: Notification For Auction in MTI MMC Mardan

11-Mar-2021: LIST OF NOT ELIGIBLE CANDIDATES APPLIED FOR THE POST OF DEO (BPS-12) MTI MMC

18-Feb-2021: Notice Inviting Tender for 'The Procurement of Medicines & Surgical Disposable '

22-Dec-2020: Technical Bid Evaluation Report for Provision of Security Services MTI-MMC Mardan

12-Jan-2021: Tender Notice Invited for 'Renovation of Gynae & Labor Room at MTI MMC'

10-Dec-2020: Bid Evaluation Report (Technical) of Supply & Installation of Lift/Elevator at MMC Mardan

02-Dec-2020: Comparative Statement (Maintenance & Repair Works at MTI-MMC)

19-Nov-2020: Publication of Notice Inviting Tender for Sehat Sahulat Program in MTI-MMC

03-Nov-2020: NOTICE INVITING TENDER ' to improve performance, enhance effectiveness, efficiency and responsiveness for the provision of quality healthcare services to the people of the Khyber Pakhtunkhwa'

01-Oct-2020: Minutes of Pre-Bid Meeting "Procurement of Two (02) Lifts at MMC Mardan"

14-Sep-2020: MTI-MMC Notice Inviting Tender for Lift/Elevator

05-Sep-2020: Latest Vacancies at MTI-MMC Mardan

12-Aug-2020: Notice Inviting Tender For Medical & General Items

16-Jul-2020: Notice Inviting Tender

15-Jul-2020: Rigid Scopes Evaluation

20-Jun-2020: LIST OF NOT ELIGIBLE CANDIDATES APPLIED FOR THE POST OF MALE NURSE (BPS-16) MTI MMC

20-Jun-2020: LIST OF ELIGIBLE CANDIDATES APPLIED FOR THE POST OF MALE NURSE (BPS-16) AT MTI MMC

03-Jun-2020: Notice Inviting Tender "For Provision of Security Services"

13-Mar-2020: Interview Notice For House Job

24-Jan-2020: Advertisement No. INF (P) 359/20 for Clinical Posts

23-Jan-2020: Invitation For Bids at MTI-MMC Mardan

06-Jan-2020: Announcement Of Technical Bid Evaluation Report

01-Jan-2020: Invitation For Bids at MTI-MMC Mardan

24-Dec-2019: Minutes of Pre-Bid Meeting for Procurement of Equipment (Electric) and Miscellaneous Items

18-Dec-2019: Addendum in Advertisement INF(P) 5014/19

12-Dec-2019: Final Evaluation Report of Furniture & Fixture Items for MTI, Mardan Nursing College

12-Dec-2019: Final Evaluation Report for Furniture & Fixture Items for MTI, BKMC

05-Dec-2019: Application Form for current Advertisement (Dec-2019) Advertisement No. INF (P) 5014/19

09-Dec-2019: Advertisement for the post of Communication & Outreach Officer, Inventory Officer & Inventory Assistant

05-Dec-2019: Notice Inviting Tender For Bacha Khan Medical College (BKMC)

05-Dec-2019: Notice For Pre-Qualification of Contractor/Firms

02-Dec-2019: Technical Bid Evaluation Report for Furniture and Fixture MTI-BKMC Mardan

03-Dec-2019: Invitation For Bids at MTI-BBCH Mardan

27-Nov-2019: Notice Inviting Tender "For Repair & Maintenance in existing building & Repair of Furniture & Fixture"

21-Nov-2019: Technical Evaluation of Physiotherapy

21-Nov-2019: Technical Evaluation of Library

19-Nov-2019: Notice Inviting Tender "For Medical Equipment/Surgical Disposable For Cardiac Surgery"

13-Nov-2019: 4th Annual all specialties symposium. 1st launch pharma meeting 27-Nov-2019 MMC Mardan

17-Oct-2019: Notice Inviting Tender "Civil Construction of Physiotherapy Department"

17-Oct-2019: NIT for "Civil Construction of Library"

11-Sep-2019: Minutes of Pre-Bid Meeting “Procurement of Two (02) Color Doppler Ultrasound”

07-Sep-2019: Procurement & Installation of Incinerator on Turnkey Basis (2nd Pre-Bid Minutes of Meeting)

26-Aug-2019: Procurement & Installation of Incinerator on Turnkey Basis (1st Pre-Bid Minutes of Meeting)

17-Aug-2019: Invitation for Bids (Digital Color Doppler Ultrasound System)

08-Aug-2019: Invitation for Bids (Procurement & Installation of Incinerator)

17-Oct-2019: Notice Inviting Tender for Construction of Physiotherpy-BSD

17-Oct-2019: Notice Inviting Tender for Construction of Library-BSD

17-Apr-2019: House Job Notice & Form at MTI Mardan

CSSD Department

INTRODUCTION

The central sterile services department (CSSD) is an integrated State-of-the-art facility that performs sterilization on medical devices, equipment and consumables; for subsequent use by health workers in the operating theatre of the hospital.

Infrastructure:  CSSD is typically divided into three major areas/zones.

  1. Decontamination area (Dirty Zone)
  2. Packing Area (Clean zone)
  3. Sterile storage area (Sterile zone).

Standard operating procedure of CSSD:

  • General:
    1. On entering the Central Sterile Service Department, all staff will change into departmental uniform provided in the changing area.
    2. Staff moving on to dirty zone will wear addition PPE (Macintosh, gloves and protective goggles) in addition to the departmental uniform
    3. No personal belonging is allowed inside CSSD
    4. Food and drinks are not allowed inside any zone
  • Decontamination Area (Dirty zone):
    1. Soiled instruments from all OT’s are first inspected against a list which is provided with sterilized set.
    2. No sets are received without list or if it incomplete
    3. Instruments are first manually cleaned in a two-bay sink wash station; the process combines the enzymatic solution and detergent solution in one bay. The second bay contains clean, treated water.
    4. A brush or flushing with pressurized water may be used to loosen soils on all instruments including suction tube.
    5. Lubricant is applied after manual cleaning.
    6. Ultrasonic cleaners are typically used to clean instruments that are sensitive to damage, and are too delicate for a traditional washer/disinfector; also instruments used on HBS/HCV etc. must go through the ultrasonic cleaner to guarantee removal of all gross
    7. Automated washer disinfectors are used after manual wash.
  • Packing Area
    1. All staff visitors and other personnel wishing to enter the preparation room will change into the uniform provided and will wear mask, head cap and shoe cap.
    2. After decontamination, all clean items are received into the packing area
    3. Items received in the packing area from washer disinfector are left to cool for 5 minutes.
    4. Any item that is rejected due to evidence of residual blood, body fluid, stains or water will be returned to wash area.
    5. Any item that is damaged or broken is sent for repair or will replaced if available in CSSD.
    6. Check if the instruments set tray is complete with indicator strip and check list, double-checked by supervisor or technician
    7. Lone instruments are packed in plastic pouches and is sealed using the heat sealing machine
    8. After performing the entire required test on the autoclave each set is given a special serial number and is loaded into the autoclave.
    9. Packages must not be in contact with walls or ceiling of chamber, package damage from heat or moisture may occur
    10. In the event of a cycle failure / cycle aborted, the entire load will need to go through the full reprocessing cycle
    11. Lenin should be packed outside of clean zone and will be sterilized in separate cycle.
  • Sterile Pack Storage
    1. Only CSSD staff are allowed access to the storage area
    2. Before opening the door, thoroughly wash hands according to Hospital Policy
    3. Temperature and air cycles should be controlled
    4. Put on heat resistant gloves and remove carrier from Autoclave.
    5. Do not touch hot packs
    6. Allow to cool for 10 – 20 minutes before storage or dispensing.
    7. Inspect packages to ensure integrity and external chemical indicators have changed.
    8. Surgical and medical supplies should be stored at least 25cms from the floor, 45cms from the ceiling and 5cms from outside walls to allow for air circulation in the room and to prevent contamination during cleaning of the zone.
    9. Follow a system of use the First in First out (FIFO) system.
    10. Rotate stock so that oldest items are used first.
    11. Do not squeeze packs into tight spaces as this can tear the packaging
    12. Shelf time of item packed in crepe sheet is one month while items packed in plastic pouches has a shelf time of 6 months.
    13. Sets or instruments will be reprocessed after expiry of shelf time
    14. Events that can compromise the sterility of a sterile item include:
      1. Holes or torn wrappers
      2. Securing tapes or locks that have been tampered with or removed
      3. Broken or incomplete seals on laminated pouches
      4. Items that have been dropped on a dirty surface
  • Equipment of CSSD:

Equipment

Model

Quantity

Capacity

Manual wash station

2 Bay sinks

2

1set/5min

Ultrasonic Cleaner

GETINGE 300

1

28L

Washer disinfector

WD 8666

2

312L

Washing trolley unit

Penguin

1

1unit/15min

Enclosed trolley

Closed transport trolley

4

9 stu

Heat sealing machine

GETINGE PRO SEAL

2

NA

Autoclave 1

GSS67F13 LTSF

1

609L

Autoclave 2

GSS67H13

1

609L

Backup Autoclave 1

Azteca AC470

1

70L

Backup Autoclave 2

Runyes

1

23L

Paper trolley

n/a

2

4 stands

Lenin Packing table

n/a

1

1unit/2min

Wall rack

n/a

2

25sets

Basket rack

n/a

2

150KG

Oil free air compressor

Hitachi air compressor

1

160L

Ro unit

n a

1

1500L/h

 

Utilization of Equipment:

Dirty zone

  1. Manual wash station:  We have 2 manual wash stations with a two bay sink setup in the dirty zone which is used for manual cleaning of 2 sets simultaneously.
  2. Ultrasonic Cleaner:  It is used to clean instruments that are sensitive to damage, and are too delicate for a traditional washer/disinfector.
  3. Washer disinfector: It is used to clean and disinfect instruments using high temperature up to 90c and enzymatic detergent. We have 2 units each with a capacity of 10 sets.
  4. Washing trolley unit: Used to wash enclosed trollies which are used for transportation of instruments set outside of main OT.
  5. Enclosed trolley: We have a total of 4 enclosed trollies of which one trolley is used to transport sterilize sets to Gynae OT and the rest are used to store CSSD items.

Clean zone

  1. Heat sealing machine: Used to seal lone instruments.
  2. Autoclave: We have two autoclaves each with a capacity of 8 sets.
  3. Paper trolley: We have two paper trollies rack each with 4 stands. One is used for packing instrument sets and other is used for packing of lenin
  4. Lenin Packing table:  Illuminated table used to inspect and pack lenin

Sterile Pack Storage

  1. Wall rack: We have a total of 2 wall racks used to store sterile sets each with a capacity of up to 25 medium size instrument boxes.
  2. Basket rack: We have a total of 2 basket racks used to store lenin packs and lone instrument pack.

Oil free air compressor:

Used to open and close doors of autoclaves and to manually clean and dry instruments in dirty zone.

RO unit:

Used to provide mineral, solid and ion free water to washer disinfector and autoclaves as tape water causes corrosion to surgical instruments and equipment chamber

Planned Maintenance Schedule of Equipment:

  1. A schedule of planned maintenance of all machinery and equipment used in the department is documented
  2. Service Engineers will carry out inspections under the planned preventative maintenance program according to the agreed schedule.
  3. At the end of the visit the Service Engineer will complete a Planned Preventative Maintenance (PPM) form for the equipment checked.
  4. The following information should be recorded in the maintenance logbook for each machine
  5. R O filters should be replaced after every 2 months
  6. Chemical level in washer disinfectors and R o should be regularly monitored
  • Action for Breakdown of Equipment
    1. All equipment breakdowns will be reported to the Supervisor
    2. The Supervisor will remove the equipment from further use by switching off (if appropriate), implementing the defect reporting procedure and attaching a clear label showing:- OUT OF ORDER - DO NOT USE”
    3. All breakdowns or repairs will be phoned into the relevant manufacturer if still under guarantee
    4. If equipment is still under guarantee NO-ONE must attempt to repair the equipment without the manufacturers permission
    5. Equipment on loan or used under service exchange must be returned to the relevant company for repair or replacement

Department Team