The Dressing Of A Medical Assistant

I have significantly developed my skill in wound care assessment and dressing, in developing this skill I now recognize the importance of documenting each dressing. Morison (2001) supports this in saying that by detailing pressure ulcer assessment it provides a basis for deciding the effectiveness of the current treatment.

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

abdominal dressing. The nurse rolls R.T. side to side to remove the soiled surgical linen,

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.

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).

This report is presented as coordinated multidisciplinary approach. Persons involved would be representatives from board of directors, Materials Management, Physician and a Quality and Improvement team. Purpose of the presentation is to implement use of Mepilex Border Dressing throughout the hospital in order to prevent hospital acquired pressure ulcers.

To remove your VAD dressing and put on a new dressing, take the following steps:

Just about every medical office that I have been to is dressed and acts very professional. There professional presentation was very neat and clean. Every employee in the office wore the same colored scrubs. All of the exam rooms looked very clean and was very organized.

Whether you work in a hospital, a private medical practice or a nursing home, maintaining a personal sense of style in the medical arena might be a little challenging. Sure, there are those medical professionals who wear suits, ties, pumps and silk blouses. However, for the most part, the attire seems to be heavily dominated by hospital scrubs and dickies lab coats. If you are a woman who is particular about her style and really still wants to convey a sense of personal fashion in the medical workplace, don't lose hope. There are still ways to add fun pops of fashion into your medical wardrobe.

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

Usually wrapping the gauze around your finger makes cleaning easier, or you can purchase terrycloth finger cots at the drugstore.

Remove your dressing as told by your health care provider. Make sure you wash your hands with soap and water before and after you change the dressing. If soap and water are not available, use hand sanitizer.

* 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

Following a small group session, the student will be able to recognize the eight signs of when a sterile dressing needs to be

Maintaining the sterile field requires constant vigilance from everyone on the surgical team — the circulator, the scrub person, the surgeon, the assistants, the anesthesiologist — everybody that is involved in that patient’s care needs to maintain constant vigilance and they need to function as a team in order to maintain it. Anybody who knows that a break in technique occurred should be able and feel perfectly free to point it out so that correction can be made immediately.