CSA stands for Centrale Sterilisatie Afdeling, which is Central Sterilization Division
in Dutch. While the widely known Operation Room Assistant gives the helping hand during
the surgery itself, the CSA is a division that remains unknown behind the curtains of
any hospital, albeit it supports the Surgery Operation Room
before and after the surgery.
Largely unknown to people outside, often it is traditionally looked down as "tweezers
washer" instead of a full profession that requires not only skills in knowing,
naming and setting the instruments of every specialism on surgeries faultlessly, but
also knowledge about deseases, bacteria, sterilization methods and conditions in order
to destroy the desease germs while at the same time carefully preserving the instruments from decay (caused
by contamination such as blood, part of bones, fat layers, albumen, acid and desinfection
chemicals) as well
as to create surgically clean and safe condition for both the surgeon and the patient
themselves. A small burr or bramble on a micro surgical instrument, for example, can already
lead to unwanted bleeding of the vein which is not ment to be cut and thus creating
larger problems and complications on the patient. This applies evenmore to unclean condition
of the instruments used.
It is not a bad idea, though, when everyone involved in the health care branch show up at
least once in their medical life at the CSA to gather some information how things are going
on in here. At least to prevent some misunderstanding like the other day - told by my own
Division Manager - when a group of surgeons pay a visit to the CSA and was surprised
to find out that the tray of instruments is packed before it gets sterilized and not
after the sterilization (the clue for those who does not get the idea: how can you maintain
its sterile - that is bacteria free - status if one packs the
instruments after being sterilized?). Well, you can not blame them for being the end users,
but a little bit basic knowledge of the matter is not a bad thing, either.
It is in fact a more
profession than just "tweezers washing" only. Working at the division myself I know that the
study for this profession is quite heavy and needs a clear logical mind to understand almost
about anything that's going on the medical world, beside the possession of accuracy and precise
mentality to do the work. It is a job of large scale of responsibilities, with one rewarding
aspect always stays behind one's head: you do a commitment to help others who are in
health needs. Maybe someday you will need the care yourself, too, and it is a soothing idea
to depend on others whose accuracy and responsibility you can count on.
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