+------------------------------------------------+ | CPNE NOTES - LAB SIMULATION MNEUMONICS & STEPS | +------------------------------------------------+ STATION 1: WOUND STATION MNEUMONIC: TIGR Open - Soak Gloves - PAT dry STEPS: *** WASH THY HANDS BEFORE STARTING *** (A) T - Tape (4 strips) - date/time/initial last strip. I - Inspect the dressing & Id the patient. (C) G - Put on non-sterile gloves. R - Remove old dressing & gloves (via one swoop).…
Emmanuel is a new nurse graduate who has been hired by the local hospital to work in the ambulatory surgery centre. Emmanuel is required to attend the hospital orientation to learn about facility policies and procedures. Of particular importance are the protocols that surround patient safety.…
In an interview with the infectious disease nurse, the wound care nurse and the OR manager, it was discussed if infections may have been caused before the operation or post operatively. The patient is prepped on before taken into surgery. This may consist of hair clipping and an antiseptic bath. The patient is then wheeled into the surgery room where they are further prepped on the operating table. At this point, the infection risk should be low.…
Lewis, S. L., Dirksen, S. R., Hietkemper, M. M., Bucher, L. R., & Camea, I. M. (2011). Meducal Surgical Nursing. St. Louis, Missouri: Elsevier.…
Target 4 – Analyze the factors that led to Texas becoming independent from Mexico and how and why the Texas issue became so controversial in the United States.…
Complete time-out procedure prior to surgery. Assist the surgeon during surgery while maintaining a sterile field. Chart nursing notes. Give nursing report to recovery nurse during patient hand-off.…
My role now is to give personal care to all the residents. We assist with their mouth care, washing either done in bed or getting out and having a shower or bath and grooming. Some clients have catheter bags, so I have to empty these as well, also, some clients have specific creams they have applied after washing and some have wounds that I need to check making sure that the dressing is clean and tidy, if not then we need to get a nurse to re-do them. I make sure that whilst doing personal care that the client is treated with dignity i.e.- curtains are remained closed and the door is shut. I then assist with dressing the client, some clients can move independently or for those who cannot we use hoists or serita’s- which is a standing hoist. I have to make sure I use the right sling for the individual to hoist them into their wheelchairs or chairs, we also have handling belts for those able to weight bear. Each time you leave a client’s room when you have finished you must dispose of your gloves in the yellow bins provided and wash your hands and make sure any saturated pads are put into an outer bag and into the yellow bins. If you are doing any personal care to a client with MRSA or any infectious disease then you must always use ppe i.e. gloves and aprons and masks which you dispose of in an…
Dunscombe,A. (2007) ‘Sutures, needles and instrument’,in Rothrock J (ed)Alexander’s care of the patient in surgery. 13th edn. Missouri: Mosby. pp. 158 - 181.…
It is vital that all equipment is clean and safe before being used so that infections are prevented. Also an ODP must ensure the safety and comfort of a patient at all…
Sanitation –To me the importance of cleanliness, infection control, and hospital acquired infections have made a huge difference in nursing care. I have noticed over the years the emphasis on hand washing, using hand sanitizer, utilizing gloves, glasses, and masks for protection and infection control…
The patient comes in and says “Doctor! I just cut my foot open and I need emergency surgery done or else I will loose the ability to use my foot again!” The Doctor replies “Well if you had any Medicare from your job or any kind of rights I would be able to perform the surgery for you so you could keep working. But then again you could be replaced because you will be inactive for a while too.” “Yeah your right!” replies the patient. Work in the 1890s was tough many people didn’t have a choice but to go to work injured or sick. Many people were killed during the 1800s due to working with out and sort of benefit; over 3,000 deaths a year were reported . People who…
Description of what happened.On the day we were firstly introduced to hand decontamination, using a power point presentation. This presentation introduced the topic, looking at my it is important in clinical areas, when hand washing should be used, where I should be washing my hands and we was also shown the correct technique that should be used for effective hand decontamination. After looking at the theory behind the topic we went into a mock clinical setting to practice the technique. We were separated into smaller groups, in these groups we took it in turns to wash our hands, following the correct procedure that we will use out in the practice areas. After being put into groups and practicing the technique, we used UV gel on our hands to show up the areas we had missed, under the UV light. What were you thinking and feeling?During this I was feeling excited about the prospect of learning a new and my first clinical skill, as a student nurse. As well the feeling of excitement, I was also feeling nervous as I was thinking about working in groups with people I was not completely familiar with yet and having to practice the technique in front of these people. Also thinking about learning my first skill made me nervous as this was one of many clinical skills I will be learning…
They may also prepare patients by washing incision areas and putting patients on operating tables. In addition, techs help surgical staff put on sterile clothing, such as gowns and gloves. During operations, techs listen to instructions, pass instruments and supplies to surgeons, and take care or dispose of any specimens for laboratory analysis. After surgery, techs keep the patient sterile and transfer him to recovery rooms. They can then clean the operating room, restocking supplies and preparing for the next procedure.…
To be able to minimise the spread of infection in the environment, all members of staff have to be trained in all aspects of infection control and the methods of waste management. National standards apply to all areas of infection control and the hospital environment by providing the staff with updated training, carrying out cleaning schedules using the correct methods and materials for each task. All staff members are responsible for reducing the risk of infection and contamination…
After observing my mentor and other nurses performing various dressing changes using the Aseptic Non Touch technique (ANTT), and practicing the procedure under supervision a number of times I was asked to change the dressing on a patients leg ulcer. The patient was an elderly lady, who I had visited in her home to change her leg ulcer dressings previously. After introducing myself to her again and gaining permission for the procedure I washed my hands and opened the sterile dressing pack onto the floor. This was now my sterile field to put any new sterile dressings or other equipment onto in order to minimise the risk of the wound becoming contaminated and possibly infected. Within the dressing pack there are a pair of sterile gloves and an apron, some sterile gauze and a plastic bag to put any waste into. I put on the sterile apron and gloves taking care not to touch the outside of them in order to keep them sterile. I could then touch anything on my sterile field without contaminating it and so placed a second sterile sheet underneath the patient’s leg to prevent any debris from the wound from spreading across the floor. I then started to remove the dressings that were already on the wound. I did this and then disposed of them in the plastic bag provided in the dressing pack. I then used sterile water to clean the wound, taking care to only use each piece of gauze once before…