Reflective Assignment

To do this we must first briefly consider the current role of the ODP in relation to the multi-professional team, within the operating department. ODP’s work alongside surgeons, anaesthetists and theatre nurses for the anaesthetic, surgical and recovery stages of an operation. Their duties include assisting with equipment and instruments and post-operative monitoring of patients using specialist equipment.

Choosing of this dissertation among ED staff especially AMO so that they will be able to perform the procedure correctly, safely and practice according to current research based recommendations, to ensure effectiveness and patient safely. Cases of wound infection from T&S procedure can be reduced and increase patients trust in the provided services. Staff will be able to implement the procedures properly and safe in accordance with the recommendation, based on studies of wound infection from the patients.

The aim of this reflection is to describe my personal experience in wound care and its management. Gibbs (1988) reflective cycle has been adapted in order to provide structure to the reflection process.

Researchers will decide to select wound infections that occur after open heart surgery as a topic for their study, because it is significant for staff nurses to know the effect of wound infections that occurs with the adult patients. Researchers will obtain permission from the cardiac surgery center so that they could collect information from adult patients. They will also contact and meet with staff nurses in cardiac surgery center. Nurse educators will provide the form to all staff nurses working in the operating room. The form includes the title of the study, the purpose of the study, place of the work, duration of the study, potential benefits, potential risks, participant signature, and date. The reader can follow that consent

One of the best methods of reducing infection in patients with any type of wound is sterile technique with dressing change. Heavy colonization of infected sites is a risk factor for infections associated with any type of wound but mostly for wounds that penetrate deeper into the skin. Sterile site dressing is advocated to protect the open wound from contamination because it will come in to direct contact with the wound, and sterility is required in order to execute the application of the dressing successfully. The nursing process is an important principle to use when examining, treating, and maintaining any type of wound or applying wound

Objective data collected regarding surgical site infection as wound swab cultures were obtained four times during the follow-up period. Additionally, the SAAS score was used to assess changes in the body image of patients.

During this talk, Dr. Shah discussed his experience identifying and diagnosing prosthetic infections. Then he starts pointing out the current challenges he has been able to identify and presented a thoughtful literature review about common practices during the identification of join infections. The overall conclusion was that there is no test that allow to accurate identify join infection and this also affects treating the patient. Patients that undergo join surgery and get back with swelling, change in color in join area, and pain are part of the group easy to diagnose yet with a significant infection difficult to treat. However, when patients get back to the doctor early on during the infection when the signs are not that obvious, all comes down to clinical judgement.

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

This was a retrospective cohort that evaluated 300 patients who underwent elective hip or knee replacements that received cefazolin, vancomycin and gentamicin or cefazolin and vancomycin for perioperative antibiotic prophylaxis. The RIFLE classification was utilized to

As I searched through several journal articles, I collected strong evidences towards importance of surgical scrub and it was more than suffice to have me convinced. One of my findings suggested that poor surgical

Reflective Practice, according to Howatson – Jones (2013), is “defined as a process that develops understanding of what it means to be a practitioner and makes the link between theory and practice through the practitioner consciously thinking through the experience (Howatson – Jones, 2013, p8). Reflective Practice is useful tool for health professionals to help them continue learning career and enable them to learn and improve from their own professional experiences (Bright Knowledge, 2014 p1). This essay will give an overview of the benefits of implementing Reflective Practice and how it improves patient care and outcomes and how it promotes nurses to keep up to date with current professional skills. The essay will look at some possible limitations

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).

Over three hundred thousand hip replacements were performed in 2010. A two hundred percent increase from 2000. The number of replacements has continued to grow as recovery from the surgery has become much faster. Although recovery time has decreased, patients are still at risk of infection from their bodies rejecting the metal replacement hip. Infection from the bodies’ reaction to the metal hip will soon become a problem of the past as researchers have begun making replacement hips out of bone-like material infused with antibiotics. These new replacements will allow the body to heal with the new structure instead of fighting the foreign material. Patients will recover even faster with less chance of infection. Each patient’s hip will be custom-made to model the patient's bone with a new technique called Fused Filament Fabrication

NATA states that “woven and nonwoven gauze for clinically infected abrasions, avulsions, blisters, incisions, lacerations, or punctures. Woven, nonwoven, and impregnated gauze for puncture wounds that have cavities. Wound-closure strips with superficial, linear lacerations and postoperative incisions under minimal static and dynamic tension. Woven gauze with superficial to full-thickness abrasions, avulsions, blisters, incisions, and lacerations to achieve wet-to-moist debridement. Woven and non-woven gauze, non-adherent pads, and adhesive strips or patches for superficial to partial thickness abrasions, avulsions, and blisters and superficial-thickness incisions, lacerations, and punctures as a temporary dressing and on irregular body surfaces.” Once the dressing is completed, it is important to observe the wound for any signs of infection such as fever, foul-smelling wound drainage, swelling, redness, warmth and delayed wound healing. According to the NATA’s position statement, “the patient should be monitored for the development of adverse reactions stemming from the use of some cleansing solutions, topical antimicrobial agents, and non-occlusive and occlusive dressings. The individual must also be observed for rash, eczematous reaction, vesicles, white discoloration, tenderness, nodularity, burning, pruritus, or systemic reactions such as urticaria and anaphylaxis”. To

Doctor Warren V. Ayers is one of the orthopedic surgeons at Maui Memorial Medical Center making a big push for the ERAS protocol because of the known benefits. Teeuwen et al. (2010) explaining that ERAS protocols “aim at reducing the surgical stress response and optimizing recovery, thus reducing the length of hospital stay” (p. 89). Maui Memorial Medical Center (MMMC) has taken in this new approach to preoperative care because it is currently being practiced at outpatient centers at Kaiser Permanente on Maui and Oahu. Current evidence based studies had shown that ERAS protocols result in shorter lengths of stays (LOCs) as well as reducing hospital acquired infections (HAIs) and surgical site infections. Grant, Yang, Wu, Makary, and Wick (2017)