Application And Integration Of Knowledge

All areas that are being used for healthcare activities should be cleaned with either disinfectant wipes each morning and in between patients/procedures. Equipment should be all new out of the packets and clean. For things more major such as vasectomy’s, minor surgery or family planning clinics, areas should be cleaned everywhere with a disinfectant fluid and also with wipes, gloves should always be worn as well as other PPE such as aprons and hats. All equipment should be new from the packet and only touched by the person who is using

Once the dressings were securely on and the procedure had been finished, I removed my apron and gloves and disposed of them in the plastic bag, along with everything thing else I had used and then washed my hands again. After leaving the patients home I discussed my practical experience with the Nurse who informed me that I although I had carried out the procedure well it was actually carried out using a clinically clean technique rather than the Aseptic Non Touch Technique as I had thought. As I had used the same gloves to remove the dirty dressings from the leg ulcer and then apply new sterile dressings I had not maintained the Aseptic Non Touch Technique. The Nurse informed me that this was perfectly suitable for the procedure I carried out as the wound was still kept as clean as possible and dressings and equipment used were sterile.

Implementation of patient care practices for infection control is the role of the nursing staff. Nurses are responsible for maintaining hygiene, consistent with hospital policies and good nursing practice on the ward and monitoring aseptic techniques, including hand-washing and use of isolation. It is also in their scope of practice to promptly report to the attending physician any evidence of infection in patients under the nurse’s care and initiating patient isolation and ordering culture specimens from any patient showing signs of a communicable disease, when the physician is not immediately available. Limiting patient exposure to infections from visitors, hospital staff, other patients, or equipment used for diagnosis or treatment and maintaining

The standard precautions are implemented at all times to decrease the risk of transmitting infectious agents. Assuming that all patients could carry an infection, this minimises the potential spread of HAI’s. These standard precautions include routine hand hygiene, the use of personal protective equipment, safe handling and disposure of sharps and routine environmental cleaning.4,5 In this situation, where blood is present, this is considered a biohazard. Hand hygiene must be performed before touching the patient, before and after any procedures or exposure to bodily substances and after touching the patient or any of the patient’s surroundings. The use of Personal protective equipment should be used when attending to the patient. This includes protective eye wear, a surgical mask and an apron for protection from any splashes or sprays of blood generated by the patient. Gloves should also be worn for single use only when coming in contact with open skin and bodily fluids. To minimise the spread of blood, the bystander with visibly soiled hands should also be advised to thoroughly clean them with soap and

Health care providers and visitors are required to wear personal protective equipment (PPE) and follow strict hand hygiene procedures. Contaminated rooms, surfaces, and laundry items are properly disinfected to prevent the spread of MRSA. In addition to policy and procedures, patient teaching is also helpful for preventing exposure and spread of MRSA. As aforementioned earlier, hand hygiene is key to prevent exposer or transmission of the bacteria. To properly wash your hand effectively, first scrub hands rapidly for at least 15 seconds. Next, use a disposable towel to dry them and another towel to turn off the faucet. In addition, hand sanitizer that contains 62 percent or more of alcohol may be an adequate substitute when the individual does not have access to soap and water (Mayo Clinic Staff,

Hart (2004) states the principle of Aseptic Technique is to prevent the spread of micro organisms to wounds and to protects the nurse and patient from healthcare-associated infections (HCIA). The technique used for less invasive procedures such as intravenous drugs and wound care is the Aseptic No-touch Technique (ANTT) (Pratt et al 2007).

During this last visit, Dr. M made some mistakes which may have played a crucial role in Jacob acquiring an infection, or, in the least, contributed to negligence. After removing Jacob’s cast, Dr. M did not complete his examination of Jacob’s leg before he left the room to exam another patient, Sarah, in the room across the hall. Upon entering the room, he did not close the door. The most obvious mistake the doctor did was not washing his hands after his examination of Sarah, who has osteomyelitis, after which he returned to the first exam room to continue his examination of Jacob’s leg. Hand washing plays a major role in preventing cross-contamination when caring for patients. According to the Centers for Disease Control and Prevention (CDC, 2014), washing hands is an extremely important way to prevent the spread of infection from patient to patient or patient to health care professional. It is essential that all health care providers practice hand hygiene even if gloves are worn. There

To help the prevention of infection spreading is by knowing the method of washing your hand because we carry most bacteria sue to the open air that we come in contact with. For example we use are hands to shake hands with someone holding or touching objects. When you are performing any form of hand hygiene you will need to make sure that you have washed your hand with anti-bacterial liquid soap; this is to help prevent any bacteria which we already have on our hands. In all health and social care settings an automatic liquid dispenser should be placed so that when washing hands any individual doesn’t touch or need to even sneeze any part of the liquid

Health Care providers must implement infection control at all times. This is essential in order to avoid any sources of contamination that would put patients at risk for infection as well as all hospital personnel. There are two important aseptic techniques: Medical Asepsis, and Surgical Asepsis. The first one includes hand hygiene, use of gloves, masks, gowns and routine

| |Use of aseptic technique for wound |Reduces the risk of pathogens to the |

Hand hygiene is a general term that refers to any action of hand cleaning. This include disinfecting agent such as alcohol or soap and water. Hand Hygiene ought to be directed by healthcare professionals before seeing patients, after contact with organic liquids, before intrusive techniques, and in the wake of expelling gloves (Burns, Bradley, Weiner, 2012). The WHO offers a slight variety by suggesting five key moments when human services specialists ought to practice hand cleanliness: before patient contact, before an aseptic errand, after natural liquid presentation hazard, after patient contact, and after contact with patient environment. Intercessions included expanding sink or liquor based arrangement accessibility, instruction, and

The priority nursing diagnosis of hospital acquired infection is risk for any kind of infection. One of the main goals for each patient in the hospital is the patient will remain free of infection as evidence by absence of heat, pain, redness, or swelling in any area of the patient’s body during each nurse’s shift. (care plan book). Frequently hand washing is the best intervention for preventing infection. Hand washing reduces the risk of transmission of pathogens by inhibiting the growth of or killing the microorganisms. (cb)Proper sterile technique during urinary

I justify my thinking to someone who questions my conclusions by explaining the rationale behind my thinking process. I will use evidence-based research to support my conclusions. Most importantly, when I apply my intuition and judgment; I can explain my conclusion. In addition, with my experience, critical thinking skills and education in nursing, including my nursing education concerning the conceptual framework, and theories of nursing, I will be able to confidently justify my conclusions. It is very important to analyze patient information before reaching a conclusion. In a nutshell, justification of my thinking is done through using the standards and competencies

During my community placement I was given many opportunities to dress wounds, replace catheters and attend to PEG’s, all of which are done using the ‘Aseptic Technique’. For procedures such as pressure sores, leg ulcers, simple grazes’ removing drains or sutures, the ‘clean technique’ is used which is a modified aseptic technique and aims to avoid introducing micro organisms to a susceptible site and also to prevent cross contamination to patients and staff, it differs from an aseptic technique, as the use of sterile equipment and the environment are not as crucial as would be required for asepsis (Gough 2009).

* Hand washing is the most important method of preventing the spread of infection by contact (Ayliffe et al 1999). The Nottingham University Trust Policy on Hand Hygiene (2009) states that there are three types of hand hygiene, the first is ‘routine hand hygiene’ which involves the use of soap and water for 15 – 20 seconds or the application of alcohol hand rub until the hand are dry. The second is ‘hand disinfection’ which should be used prior to an aseptic procedure by washing with soap and water and applying alcohol hand rub afterwards. The third is ‘surgical hand washing’ which is the application of a microbial agent to the hands and wrists for two minutes. In addition to which a sterile, disposable brush may be used for the first surgical hand wash of the day although continued use will encourage colonisation of microbes. The third example is the most appropriate to any O.D.P undertaking the surgical role as it is the best way for the surgical team to eliminate transient flora and reduce resident skin flora (World Health Organization 2010). The first and second are important to any O.D.P undertaking any other role within the Operating Department as this is the best way to reduce the transient microbial flora without necessarily affecting the resident skin flora