BridgeERP

Bridge HMS Suite · health

CSSD

$0.15 per user/mo

Central Sterile Services Department: instrument tray tracking, autoclave cycles, biological indicators, sterility chain of custody, recalls.

01

Instrument & Tray Registers

Track every loose instrument with name, barcode, serial number, manufacturer, model and photo across 20 instrument types.

20 surgical instrument typesClassify instruments as forceps, scissors, retractor, scalpel, hemostat, needle holder, drill, saw, rongeur, osteotome and more.
12 surgical specialty categoriesGroup instruments by specialty from general, ortho, neuro, cardiothoracic, gyne, ENT, ophthalmic, dental, plastic, urology, pediatric and emergency.
Instrument lifecycle statesMove instruments through 11 states from in-use, contaminated, decontaminated, assembly, sterilization, ready, in-repair, lost and retired.
Instrument condition gradingRate each instrument excellent, good, fair, poor-repair-needed or broken to flag replacement needs early.
Unique serial and barcode enforcementSQL constraints guarantee no duplicate instrument serial number or barcode across the register.
02

Sterile Chain-of-Custody Workflow

Drag trays across Decontamination, Assembly, Packaging, Sterilization and Sterile Store columns grouped by state.

9-stage tray state machineTrack trays through in-use, contaminated, decon, assembly, packaging, sterilization, ready, expired and lost/damaged states.
One-click tray workflow buttonsSend to decon, start assembly, send to sterilization, mark ready, issue to theater or mark contaminated from the form header.
Assembly sign-off captureRecords who assembled a tray and the timestamp when it is marked ready for use.
Tray assignment to operating roomsLink each tray to a specific theater room for allocation and readiness visibility.
Tray cycle historySmart button opens the full list of sterilization cycles a tray has passed through.
03

Sterilizer & Cycle Management

Catalog each sterilizer with model, serial, chamber volume, max temperature and installation year.

6 sterilization methodsSupport steam pre-vacuum, steam gravity, EtO, hydrogen peroxide plasma, ozone and peracetic acid units.
Sterilizer state trackingFlag units as operational, idle-cooling, in-use, in preventive maintenance, broken or retired.
Validation and PM schedulingRecord last/next validation and last/next preventive-maintenance due dates per sterilizer.
Lifetime cycle counterComputes total cycles run by each sterilizer across its service life.
Sterilizer cycle smart buttonJump from a sterilizer to all its cycles with the correct default context pre-filled.
04

Biological & Chemical Indicators

Log spore-test BIs against each cycle with incubator ID, lot number and BI expiry date.

3 spore organism typesTrack Geobacillus stearothermophilus (steam/H2O2) and Bacillus atrophaeus (EtO) indicator strains.
Rapid and traditional incubation trackingSet required incubation hours for 3h rapid fluorescence or 24h/48h traditional readout.
3 BI readout methodsRecord readout by visual color change, fluorescence rapid readout or ATP bioluminescence.
BI result workflow buttonsMark a BI negative-pass, positive-fail or indeterminate with automatic readout timestamp.
Positive control BI verificationTrack whether a positive control BI was incubated alongside and its expected growth result.
05

Recalls & Sterility Assurance

Auto-create a recall event when a cycle fails, capturing triggering cycle and BI.

Recall state machineDrive recalls through initiated, contained, investigation-complete and closed stages.
Affected load containmentContaining a recall flags all affected trays as expired/re-sterilize to prevent use.
Affected instruments and theater casesLink the recall to affected instruments and the specific operating-theater cases involved.
Patient notification trackingFlag whether patient notification is required and record when it has been completed.
Root cause analysis captureDocument sterility recovery actions and root cause analysis narrative on each recall.
06

Theater Usage & Repairs

Record issuing a tray or instrument to a theater case with issued-at and issued-by details.

Usage event state trackingMove usage events through issued, in-use, returned and contamination-reported states.
Return condition captureRecord condition at return as clean, contaminated, broken or missing-components.
Auto-contamination on dirty returnReturning a tray as contaminated or broken automatically flags the tray contaminated for reprocessing.
Missing instrument loggingList specific instruments reported missing at return for count reconciliation.
Theater case linkageTie usage events to hms.surgery.booking theater cases for chain-of-custody traceability.
07

Expiry & Configuration

Computes tray expiry from last cycle end: 14d wrapped, 30d peel pouch, 180d dust cover, or immediate for flash.

Expired-tray detectionFlags ready-for-use trays whose sterile expiry has passed so they are pulled for re-sterilization.
4 wrapping/packaging typesConfigure trays as wrapped, peel pouch, rigid container with dust cover, or flash immediate-use.
CSSD physical locationsDefine decon, assembly, sterilization, sterile storage, dirty utility and OR buffer rooms with capacities.
Live location load counterComputes current tray and loose-instrument load at each location for capacity management.
Assembly QC checklist templatesBuild per-tray-type quality-control checklists with line items required for tray release.
08

Dashboards, Metrics & Automation

One row per facility per day of cycles completed/failed, BI failures, instruments lost/repaired and uptime.

Automated metrics aggregation cronNightly 23:30 cron rolls up cycles, BI fails, losses, repairs and Bowie-Dick pass-rate per facility.
Metrics pivot and graphAnalyze CSSD throughput and quality indicators via pivot table and line graph views.
Daily Bowie-Dick reminder cron6 AM cron schedules a to-do activity for any pre-vac sterilizer missing its daily Bowie-Dick test.
Pending-BI escalation cronHourly cron raises a warning activity for cycles held pending BI release beyond 24 hours.
Bowie-Dick pass-rate KPIComputes the daily percentage of passing Bowie-Dick tests as a sterilizer-quality indicator.
09

What it keeps

Tracked with facility, date and cycles completed. 85 in the live demo.

10

What it configures

Tracked with code, facility and building.

CSSD Tray Assembly QC Checklist TemplateTracked with tray type, checklist items and required for release.
CSSD Sterilizer / AutoclaveTracked with code, model and manufacturer.
CSSD Surgical InstrumentTracked with type, category and barcode.
CSSD Surgical Instrument TrayTracked with tray code, tray type and specialty.
CSSD Sterilization CycleTracked with cycle number, sterilizer and facility.
11

What it configures (continued)

Tracked with cycle, sterilizer and facility.

CSSD Tray / Instrument Usage EventTracked with tray, instrument and theatre case.
CSSD Instrument Repair TicketTracked with instrument, tray and facility.
CSSD Sterility Recall EventTracked with triggering cycle, triggering bi and facility.
12

Theatre

Tracked with tray code, tray type and specialty — shown as a kanban board, list or form.

SterilizersTracked with code, model and manufacturer — shown as a kanban board, list or form.
Instrument TraysTracked with tray code, tray type and specialty — shown as a list, kanban board or form.
LocationsTracked with code, facility and building — shown as a list or form.
Loose InstrumentsTracked with type, category and barcode — shown as a list, kanban board or form.
Checklist TemplatesTracked with tray type, checklist items and required for release — shown as a list or form.
Sterilization CyclesTracked with cycle number, sterilizer and facility — shown as a list, kanban board, calendar, pivot, graph or form.
13

It runs by itself

Runs every 1 days, unattended — nobody has to remember it.

HMS CSSD: Escalate cycles pending BI > 24hRuns every 1 hours, unattended — nobody has to remember it.
HMS CSSD: Aggregate daily metricsRuns every 1 days, unattended — nobody has to remember it.
14

Roles it ships

A role in BridgeERP HMS — enforced on every screen, report and API call, not just hidden from the menu.

BridgeERP HMS / CSSD SupervisorA role in BridgeERP HMS — enforced on every screen, report and API call, not just hidden from the menu.
BridgeERP HMS / CSSD ManagerA role in BridgeERP HMS — enforced on every screen, report and API call, not just hidden from the menu.

From front desk to discharge, on one system

One patient record across reception, clinics, wards, theatre, lab, pharmacy and the cash office — with billing and insurance claims built in.