Chest Tubes Also called: Thoracostomy tubesĭrain the intrapleural space and mediastinum Only properly trained personnel should suction the pt. Technologist must be sensitive to the pt's unmet and inexpressible needs, and keeping the pt's anxiety lvl low.ĭo not touch the tracheostomy except under conditions of sterile technique to minimize the possibility of infection. Tracheostomy: Technologist's duties Communicate w/ these pts as they may have high anxiety. Provides for an airway during upper-airway obstruction.Įmergency procedure only. Involves incising the skin over the trachea followed by a surgical incision in the trachea. Tracheostomy Operation performed under sterile technique. Cover the pt, discard the waste according to institutional policies. Remove gloves and secure the dressing with the adhesive tape.Ĩ. Place the cut tape near but not on the sterile field - unsterile.Ħ. Open the dressings and place onto the sterile field.Ĥ. Wash hands and open sterile towel to use as a sterile field to place sterile instruments on.Ģ. Explain the technique used for the sterile application of dressings 1. Follow a sterile technique for reapplication. Wrap the dressing and place in the plastic bag.Ĩ. Remove the dressing using forceps/gloved handsħ. Remove adhesive tape surrounding the dressing.Ħ. ![]() ![]() All dressing treated as if infected = don't touch w/ bare hands.ĥ. Explain the procedure to the pt and obtain consentģ. Explain the technique used for removal of dressings 1. Physician responsible for ordering a dressing change and reapplication. To inhibit rapid rebound growth of microorganisms Dressing changes Best changed in a team setting w/ another HP around. To reduce the resident microbial count to a minimumģ. To remove debris and transient microorganisms from the hands, nails, and forearmsĢ. What is the purpose of the surgical scrub? 1. Surgical scrubbing Consists of scrubbing w/ an antimicrobial agent and involves 2 basic methods. Must first confirm the package is sterile - expiration passed, or opened = unsterile How should the sterile contents be dropped onto a sterile field? The sterile contents should be dropped gently and close to the field at a slight angle, ensuring the package wrapping does not touch the sterile field at any time. Surgical and medical aseptic techniques encompass similar strategies such as hand hygiene but with distinct differences.Sterile draping Establishes sterile field. Insertion and maintenance of invasive devices are guided by published evidenced-based recommendations supporting education, training, and standardized care for patients with central lines, surgical sites, ventilators, and urinary catheters. You do not have permission to view this object. A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals. Clean technique leads to a decrease of the overall number of microorganisms present rather than the absence of microorganisms as is found in surgical asepsis.Ref 30-3 Yokoe DS, Mermel LA, Anderson DJ, et al. Clean technique, or medical asepsis, is another practice to prevent or reduce the risk of transmission of organisms from one person to another or from one place to another. Situations in which surgical asepsis technique is applied include surgery as well as other areas where invasive procedures are done such as placement of intravenous lines, urinary catheters, chest tubes, and any other indwelling devices. You do not have permission to view this object.Īseptic techniques, defined as the process for keeping away disease-producing microorganisms, may be used in any clinical setting. Guideline for hand hygiene in health-care settings: Recommendations of the Healthcare Infectio. ![]() You do not have permission to view this object.Īseptic technique improves patient safety and prevents healthcare-associated infections that may negatively impact outcomes including: increasing patient morbidity and mortality, increasing healthcare costs for patients and their families, prolonging length of stay, increasing resistance of microorganisms to antimicrobials, and increasing physical and mental discomfort for the patient.Ref 30-2 Centers for Disease Control and Prevention. Following observations of Ignaz Semmelweis and others over 100 years ago, the practice of aseptic technique is an infection prevention method that is recognized as an important factor in the prevention and transmission of healthcare-associated infections.Ref 30-1 Association of Perioperative Registered Nurses (AORN).
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