Promoting Safe Iv Analysis

All equipment must be cleaned in between patients if it is re-usable and not for single use. There are three levels of risk High, intermediate and low, and three ways to decontaminate Cleaning, Sterilisation, and Disinfection.

Before I started the assessment I used alcohol gel to decontaminate my hand. NICE (2006) states that hand must be decontaminated before each and every episode of direct patient care. It is important to decontaminate my hand to prevent cross-infection of micro-organisms from staff to patient, for example Hospital Acquired Infection. I realised that I am going to have contact with body fluid and blood therefore I put on a pair of latex gloves and disposable plastic apron. Wandsworth Teaching Primary Care Trust May (2008) states that ‘Personal Protective Equipment is designed to protect the healthcare worker from coming into contact with potentially infectious body fluids. It may also protect the patient from the healthcare workers own microbial flora’.

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

Sterile Processing compromises a service of which the medical and surgical supplies of any medical facility’s equipment and instrumentation- sterile or non-sterile are cleaned, prepared, processed, stored, and distributed throughout the healthcare facility. There are several functions of this highly skilled team perform on a daily basis from decontamination to the sterilization of high risk medical implant devices. They are the first line of defense in infection prevention for any patient receiving medical treatment in healthcare facilities. Japp (2014) affirmed the importance of properly processing medical devices performed by Sterile Processing technicians for patient safety by stating a critical point “Not following the correct process can be detrimental to the patient as the device that we are assuming is safe for the patient may all actually cause severe illness or death” (p.

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.

It can also occur during blood transfusion or during dressing change. The insertion of central catheters can occur in the Interventional Radiology or sometimes at the bedside. Regardless of the where the insertion process occur, a sterile field must always be maintained and sterile techniques must always be employed to prevent any organisms from being introduced to the central line into the patient. According to The Joint Commission (2013), many organizations such as Michigan Keystone Intensive Care Unit Project and Institute for Healthcare Improvement are actually adhering to insertion bundles to reduce the CLABSI rates. The bundles include hand hygiene, maximal barrier precautions, chlorhexidine skin preparation, avoidance of femoral vein, and prompt removal of central catheter. Furuya et al. (2011) studied the effectiveness of the insertion bundle and how it impacts the bloodstream infections for patients in the Intensive Care Unit. As a result, lesser infection have occurred when the compliance is high. As mentioned, the site of the catheter also needs to be considered in the insertion process. Avoiding areas such as the groin to access the femoral artery is recommended because this area can be easily contaminated with urine or feces. In addition, after the insertion of a new central line, all the used IV tubing

Only when it is absolutely necessary should a catheter be inserted into a patient. Every patient is assessed for the need for a Foley catheter. If the Foley is inserted, assessments are also then done daily to see if the need is still valid. If the reason is not justifiable the catheter must be removed from the patient (Joint Commission releases new NPSG for CAUTI, 2011). Nurses must follow guidelines while inserting indwelling catheters as well. Aseptic technique is critical to maintain during this process. The use of sterile equipment and a sterile procedure helps to reduce the risk of CAUTI. If in any way the catheter becomes contaminated during the process of insertion, the nurse should discard of the entire catheter and start with a new, sterile kit. Proper hand hygiene is very important before and after contact with indwelling catheters to decrease risk of infection. Maintenance of a close drainage is system is also important that way bacteria are not able to get in and cause infection (Revello & Gallo, 2013). Decreasing the number of times Foleys are inserted and how long they stay in for can help reduce the risk of CAUTI since the longer a Foley stays in, the higher the risk of infection becomes. Nurses must keep the catheter line patent, with no kinks to allow urine to flow freely through into the collection bag. When a urine sample must be obtained it must be done in a sterile

The clinician demonstrated evidence based practice in his care. By informing the patient about the procedure and waiting for a clear approval. He demonstrated great communication skills as well as keeping the client’s values and circumstance at the core of his care throughout. In addition, the five moments of hand hygiene, aseptic technique and the rights of medication administration of current best practice were utilised. Furthermore, clinical expertise were demonstrated the clinician completed the task in a timely manner with good dexterity highlighting that he has been administering IV therapy for quite some time and is experienced in the way he handled the

Put used gloves and gown in to yellow infectious waste bin, which should be either just inside the room or outside the door before leaving the room.

Hand washing is a must on persons that come in contact with such in-patients in the hospital.

Lastly, non-adherence to Aseptic techniques for surgical patients and with the use invasive of devices such as urinary catheter and central lines can pose as a threat to patients. Bathing patients prior to surgery with a chlorhexidine solution rather than regular soap has proven to reduce the spread of hospital acquired infections. Following protocols with urinary catheters and central lines and also following the guidelines in the care and maintenance of such devices. Another factor is the importance of using chlorhexidine solution for patients who have central lines in an effort to prevent getting an infection in the blood stream. Finally, the importance educating patients on all lines and surgical site care. According to Lobley, “the National Institute for Health and Clinical Excellence found that surgical site infections (SSIs) accounted for 14% of all HAIs and affected 5% of all surgical patients” (Lobley, 2013). Surgical site infection which is another form of hospital acquired infection can

First, you clean your hands (either wash or use hand sanitizer) prior to entering patients room.

Another important nursing recommendation regarding PD training is to guide patients or caregivers perform appropriate assessment and cleaning skills of the PD catheter exit site. According to Mudge et al. (2016), early detection of exit site infections and initiate related management are essential to promote timely interventions and minimise potential progress to peritonitis. The signs and symptoms of exit site infections include pain, redness, crusting, oedema and drainage, normally caused by using inappropriate technique or omitting procedural steps (Schreiber, 2016). Rosendo da Silva et al. (2016) stated technical and behaviour measures such as hand hygiene affect the quality of health and the outcomes which aimed at the decrease of infection, related complications and costs. Therefore, nurses must provide ongoing educations to patients or caregivers regarding the importance of hand hygiene as an integral part of PD process.

Research shows that Surgical site infections are preventable. According to the CDC, hand hygiene is the simplest approach to preventing the spread of infections and needs to be incorporated into the culture of the organization. Ensuring the use of infection control prevention is an important component of nursing care. Infection control prevention policies must be communicated undoubtedly to all employees. Staffers who do not comply must be re-educated to ensure that all are complying. Speaking up and pointing out that a nurse forgot to wash his or her hands, or notifying the surgical team that surgical instruments were not adequately cleaned may seem like small issues; but at the same time, not acknowledging a break in a sterile technique could mean the difference between life and death for a patient. One hospital that was struggling with high levels of infection related to surgical procedures, implemented a pre-procedure huddle as a team. This innovate way decreased the spread of infection and was a great way to improve the quality of care for patients. As mandated by the Joint commission, infection prevention personnel should provide multidisciplinary education on SSI prevention, to all team members, including

In searching for a topic pertaining to my area of nursing specialty, I began my search in Google and searched “trends in I.V. therapy”. This topic is of interest to me because as a high tech infusion home care nurse, I currently have been seeing an increase in peripheral intravenous (PIV) infections. Due to insurance cut backs and their refusals to pay for hospital admissions patients are being discharged home to receive their IV antibiotic therapy or other peripheral medications. As a high tech IV infusion nurse myself, I am responsible for instructing and educating my patients on proper hand hygiene prior to any contact of their PIV and medication. Infection control is so important when dealing with peripheral intravenous lines, hand hygiene, aseptic technique and cleansing the area prior to placement are top priorities (Hadaway & Millam, 2007). This practice personally shocks me that patients are expected to learn, in only one or two visits, how to calculate IV drip factor rates and properly flush their PIV’s with saline prior and after medication administration.