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A Complete CSSD is like a manufacturing plant for sterile items. The collection of soiled items from operation theaters, ICU's, wards, out patients department and other specialties are collected to the CSSD for processing, then returned to the end users. The CSSD centralizes the sterile processing activities, in which reusable medical devices and surgical instruments and equipment (excluding the operating theatre procedures) are processed and issued for diagnostic and patient care procedures. The layout of the Complete CSSD department, the placement of the disinfection equipment, and personnel movement within department are issues considered when a CSSD is to be made effective.