Final Reflection

A condition of my admission to the University of Illinois at Urbana-Champaign was the completion of my senior year courses. I admit that my grade in Math Techniques was an F. This fact is not what I wish to explain, as there is no way for me to skirt the fact that I received a failing grade in this class.

Cicconi, Claypool, and Stevens managed a quality improvement project to record data of how effective and beneficial the recommended practice of double gloving during surgery. The purpose of their quality improvement project is to decrease the amount of possible pathogen to skin contact from punctured gloves, reduce the amount of sharps injuries in the operating room, and to create awareness for healthcare clinicians of any potential biohazards in the workplace. Before the start of their project, their data in the year of 2006 showed that there were 26 surgery exposures out of 61 total hospital exposures (42.6% total exposure).

Improvements have been made in averting infection at surgical sites, however, infection continues to be a major cause of illness and death. Important reports emphasizing the need to accept certain evidence based mediations with central actions, were published between 2013 and 2014. According to Edmiston et al in addition to the proposals other factors that can be considered in addition are surgical attire and hand hygiene, antimicrobial sutures, preadmission showers and cleansing

Prepping of patients for surgery, as has been the practice, has involved removal of hair on and around the site of surgical incision. Research has shown that infections at surgical sites can be prevented through shaving the incision sites with several researchers revealing that the removal of hair from the surgical site also eliminates bacteria and other pathogens that thrive on the hair. Other researchers, however, revealed that shaving of the patient's skin before surgery increases the risk of infection rather than reducing it such as ADDIN EN.CITE Celik2007630Celik and Kara (2007)63063017Celik, S EKara, ADoes shaving the incision site increase the infection rate after spinal surgery?Spine (Phila Pa 1976)Spine (Phila Pa 1976)1575-732152007 HYPERLINK l "_ENREF_1" o "Celik, 2007 #630" Celik and Kara (2007) who found that postoperative infections occurred in 4 patients who had been shaved before surgery compared to 1 patient in the group that had not been shaved. Data collected by the Centers for Disease Control and Prevention (CDC&P) shows that infections at surgical sites are among the leading causes of complications for hospital patients and they account for 20 percent of infections associated with healthcare leading to thousands of deaths every year ADDIN EN.CITE Healthcare Infection Control Practices Advisory Committee2011631(Healthcare Infection Control Practices Advisory Committee, 2011)63163143Healthcare Infection

As research measures are applied to surgical procedures the evidence expands to additional practices that further reduce infection risk. This search included prevention guidelines to educate staff on consistent approaches to implementing practice outcomes. The prevention education enhances the clinician’s knowledge on data initiated in the Surgical Care Improvement Project (SCIP). These core measures include antibiotic selection, antibiotic prophylaxis, patient hair removal, and operating room temperature control. The research is consistent of SSI preventative interventions for preoperative, intraoperative, and postoperative care improving SSI risk, including frequency of staff education for all standards to

This essay is the final reflective essay. First, the model which is best aligned to my skill set will be outlined, complete with an explanation of how that model was decided upon. This model will be described, including how that model works. Examples for each part of the model will be given. Then, I will explain how this model can be used to assess my interpreting work, and how it matches both my personality and learning style. I will also explain a few brain-based strategies that can help me with the interpreting process. Finally, I will explain how this model can assist me with improving my interpreted work.

As I prepare for my final papers in my Generation Education course, Criminology, and my English Lecture course, Pre-English 101; on a scale from one to ten I feel an eight that I will achieve an B or better on my final papers. I feel so strongly about this because in the past few weeks I have been going to my teachers and tutors for extenuating insight concerning my final papers. Not to mention, I have taken the time the appropriate time to dissected the rubrics of my assignments, and extracted the main points my professor were looking for. Moreover, I spend a decent amount time with my peers on ways we can tackle the questions asked for our final papers.

In my final semester I felt a little stronger as a nurse as more blocks were placed upon my caring base. I felt more comfortable teaching patients about their illness and things that they could do to treat their illness such as medication therapy, diet, activity, and attitude. I felt like I was able to teach patients that they have some control over their health. This semester meant caring for and teaching three patients and learning how to prioritize and balance each one. It was also in this semester that I relied more on the patient care techs for tasks such as vital signs and help with their activities of daily living. In the past I liked to give my patients their bath because I felt as though I was able to obtain a thorough assessment.

As the semester at its closing point I found myself in intro to ethic class having personal, work value and skills growth over these past 12 weeks in the spring semester. As I read over my old reflections essays and the rereading the materials it appears I was reading and looking at a different person paper. These personal growths help me become better person for the next upcoming semester and life.

* 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

Patients come from a spectrum of personalities, leading to a spectrum of willingness or resistance to the multitude of requirements for cleaning and maintaining hygiene around the incision site. The efforts needed to maintain the incision site

The first semester was fantastic. This semester is beyond compare to any I have had till this point. I gave my utmost while talking every class, and as a result, my grades have shown to prove that statement correct. I have cultivated a three-point-seven grade point average. In my Civil Engineering & Architecture class, I have received a eighty-nine which bothered me for a while, but I learned to accept what I deserved. Something I am proud of this school is having perfect attendance, and being able to stay on task. This has helped me maintain great grades. For the rest of the semester I would like to improve is asking for assistance whenever it is needed.

A well-lighted and ventilated area was selected in a busy surgical ward treatment room for the preparation, followed by patient’s bedside for the procedure. Other staff members including the shift in charge were informed of the procedure to avoid interruption. Verbal consent was obtained from the patient.

Alcohol presents an important aspect necessary for human survival owing to its wide-ranging benefits in the clinical context. Ideally, alcohol acts as an effective germ killer owing to its great potential of coagulating a germ’s protein. Indeed, the use of alcohol is not new to the clinical setting as way back in the 1800’s, alcohol alongside specific herbs were in surgical operations used for the major purpose of reducing pain. As studies reveal, lately there has been an increasing trend of using alcohol in surgical operations in theatre to prevent the possible occurrence of infections. As Lobley (72) states, “this relates to the aseptic technique that comprises of practices that aim at ensuring patients do not acquire any infections when undergoing surgical operations.” Notably, clinical professionals use alcohol in various ways such as the sterilization of theatre linen and equipment, patient preparation, and theatre preparation alongside surgical team preparation. As Josephson (18) suggest, “dedicated surgery nurses should make the use of alcohol in line with the aseptic technique not only an everyday practice but rather a normal way of life implying that the process ought to become second nature.” The use of alcohol in theatre operations is sterilization, without alcohol, the essential need of sterilization would not result good safety measures.

Surgeries poses several stressed on the patient and their families and it made put the patient at risk for many different complications during and after surgery. When the patient is cut and their internal organs are opened, it is easy for bacteria to enter the body and also risk for infection. Also, it is very important to always be sure to keep a sterile field at all times during the surgery because if the sterile is broken that will put the patient at risk for Infection, MRSA, and many other life – threatening diseases, by allowing foreign bacterial or pathogens to easily enter internal organs parts of the body. ( Timby & Smith ,2017) p.589