Sterile Vs Clean Technique In Care

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.

In contemporary times, lots of registered nurses practice wound dressing based upon expertise of sequential step-by-step actions as opposed to comprehending the concepts underpinning the most efficient strategies to wound dressing. Presently 2 leading dressing techniques, aseptic (clean hand/dirty hand) method and wound industry, are being instructed to undergraduate nursing pupils. Jointly and relatively, both methods have actually stimulated some debate relating to the most suitable and efficient method to use (Gillespie and Fenwick, 2009).

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

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

There are numerous evidence-based practice interventions that have become standard nursing practices across the country. Hand hygiene is a nursing practice intervention that is currently evidence (research) based. It is one of, if not the most, important interventions practiced in providing standardized care. The rationale behind that statement refers to the high percentage of hospital acquired infections; hand hygiene practices are measures used for maximum effectiveness in reducing the spread of these infections. Compared to the various health care professionals who come in contact with patients when providing care, nurses are by far the largest faction that implements the highest quantity of direct patient care in health care. That said, of all the asepsis precautions, techniques, and interventions that are currently in place, hand hygiene is the single most effective intervention used by nurse to prevent themselves from infection and the cross-infection to their patients. Although this evidence-based intervention is of utmost importance to implement at all times, research shows the difficulty in influencing nurses and other health care professionals to practice hand hygiene as often as recommended.

The hospital is compliant with infection control protocol according to the CDC standard guidelines. “Hand hygiene, contact precautions, as well as cleaning and disinfecting patient care equipment and the patient’s environment are essential strategies for preventing the spread of health care–associated infections. Hand hygiene is addressed in NPSG.07.01.01. Contact precautions for patients with

Patients have observed several physicians and nurses not washing their hands before interacting with patients. Hand hygiene is one of the largest tactics to combat nosocomial infections. The hospital should adopt a culture of 100% compliance with hand washing. The first step would be to increase handwashing stations and have more quick-dry alcohol-based antibacterial soap dispensers. Making access easier and decreasing the time taken to wash one’s hands would encourage adherence the policy. Furthermore, each floor should track hand washing and report data of potential nosocomial infections caused by improper handwashing. Keeping patients protected from bacteria is important especially when most are in an immunocompromised

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

According to Reeve et al. (2015), one of the most frequently performed procedures in the emergency department is wound cleansing of acute lacerations. The goal of cleaning a

Since the immune systems of some patients are a factor, it all comes back to the use of proper hand hygiene; following aseptic protocols when necessary, falls back on the claim that hospital acquired infections are resulted due to the lack of education for healthcare workers, patents, and also patients’ family or visitors to health care facilities; not following proper hand hygiene and lastly following protocols for surgical patients and also when using invasive devices. Among other things, the use of chlorhexidine on patients who patients and the incidence of MRSA and VRE according to the author there is no change in MRSA rates, however there is a decrease in VRE (Daily chlorhexidine bathing and hospital-acquired infection,

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

Healthcare associated infections have an impact on patients - how? Can be prevented greatly with compliance to hand hygiene protocols (REF).

* 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

One of the CQI I am currently involved in is focusing on surgical site infection prevention. Use of aseptic technique when changing dressings is key in prevention of surgical wound infection. I observed my team perform dressing change and in 43% of the procedures, there were gaps on maintaining sterility throughout the procedure and