FundsW1Ticket to Lab

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Chamberlain University College of Nursing *

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NR224

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Chemistry

Date

Jan 9, 2024

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docx

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Ticket to Lab-Week 1-Hand Hygiene and Sterile Procedure Kira Browhow Step to Perform-Hand Hygiene (Soap) Rationale from Textbook Removes all jewelry Provides complete access to fingers, hands, and wrists. The skin underneath jewelry may carry a higher bacterial count (AORN, 2020). (pg. 483) Turns faucet on or uses foot control to start flow of warm water throughout hand washing Knee pads within operating room and treatment areas are preferred to prevent hand contact with faucet. Faucet handles are likely to be contaminated with organic debris and microorganisms (AORN, 2020). Warm water removes less of protective oils on hands than hot water. (pg. 483) Wets both hands completely Hands are the most contaminated parts to wash. Water flows from the least to most contaminated area, rinsing microorganisms into sink. Rinsing mechanically washes away dirt and microorganisms. (pg. 483) Applies 3-5 mL of soap to hands Ensure that all surfaces of hands and fingers are cleaned. (pg. 483) Rubs hands vigorously together for a minimum of 20 seconds covering all surfaces of the hands & fingers: 1) Points fingers down while cleaning 2) Starts with fingers 3) Moves towards wrist in a circular motion 1) Keep fingertips down to facilitate removal of microorganisms. (pg. 483) 2) Friction and rubbing mechanically loosens and removes dirt and transient bacteria. (pg. 483) 3) I nterlacing fingers and thumbs ensure that all surfaces are cleaned. (pg. 483) Rinses all surfaces of hands pointing fingers down, removing all soap from surfaces of hands Rinse mechanically washes away dirt and microorganisms. (pg. 483) Dries all surfaces of hands completely with fingers pointing up, using a dry disposable towel Drying from cleanest (fingertips) to least clean (wrist) avoids contamination. Drying hands prevents chapping and roughened skin. Do not tear or cut skin under or around nails. (pg. 483) Turns water off using a new dry disposable towel or by foot control Wet towels and hands allow transfer of pathogens from faucet by capillary action. (pg. 483) Discards towel in trash receptacle Prevents transfer of microorganisms. (pg. 483) Step to Perform-Hand Hygiene (Alcohol-Based Rub) Dispenses 3-5 mL of alcohol-based rub into hands Use enough product to cover hands thoroughly. (pg. 483) Rubs vigorously covering all surfaces of both hands and fingers Ensures even bacteriostatic action. (pg. 483) Allows time to dry Provides enough time for product to work (CDC, 2021c). (pg. 483) BSN Skills Return Demonstration Page 1 of 2

Sterile Gloving Practice Gather equipment and apply PPE as needed PPE controls microorganism transmission. (pg. 485) Complete priority care tasks as needed. Provide for patient comfort and privacy Anticipates patient’s needs so that patient can relax and avoid any unnecessary movement that might disrupt procedure. Provides patient privacy. Surgical preparation often includes full or partial skin exposure before draping. (pg.485) Select clean, dry work surface above waist level in a place where you will not turn your back on the sterile field A dry surface is needed for a sterile field. A sterile object placed below a person’s waist is considered contaminated. Sterile items placed below waist level are considered contaminated. (pg. 486) Assemble equipment. Check expiration dates and condition of packaging Ensures more efficient procedure. Inspection of packaging ensures that sterile fields are not contaminated (AORN, 2020). (pg.485) Perform hand hygiene Hand hygiene protects health care provider from contamination resulting from any unseen tears or pinholes in gloves. (pg.494) Place inner sterile packaging on clean, dry surface A dry surface is needed for a sterile field. Outside of kit is not sterile. Inner kit remains sterile. (pg.486) Open inner sterile packaging using 1-inch folded margin There is a 2.5-cm (1-inch) border around any sterile drape or wrap that is considered contaminated and can be touched with clean fingers. (pg. 486) Pick up dominate hand glove by placing non-dominant thumb inside glove and index and middle finger on outside of cuff The inner edge of cuff will lie against skin and thus is not sterile. (pg. 493) Place dominant hand inside glove without touching outside of glove  Keep hand up and away from body and surface  Keep hands above waist  This hand is now sterile If the outer surface of glove touches hand or wrist, it is contaminated. Contact of gloved hand with exposed hand results in contamination. Ensures smooth fit over fingers and prevents contamination. (pg.494) Pick up non-dominate hand glove by placing the dominate hand inside the outer cuff sleeve  Slide 4 fingers of dominate hand under cuff and lift to open the inside of the glove  Keep up and away from body and surface  Insert non-dominant hand into glove without touching outside of glove  Do not use thumb during this process  Both hands are now sterile Cuff protects gloved fingers. Sterile touching sterile prevents glove contamination. Contact of gloved hand with exposed hand results in contamination. (pg.494) Remove gloves: Using the dominate hand grab the palm side of the non- Procedure minimizes contamination of underlying skin. (pg.494) BSN Skills Return Demonstration Page 2 of 2

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