Why Do We Perform The Injection Bevel Up?

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.

In this reflection I am going to discuss a procedure that I have carried out whilst I have been on placement and the importance of infection control using the Aspetic Non Touch Technique (ANTT). The procedure I am going to discuss is a dressing change to a leg ulcer which took place during a routine home visit with the community nurse. I am going to use Gibbs Model of Reflection (1988), to reflect on the experience and evaluate my thoughts and feelings of the procedure, and to outline what I have gained from the experience for my future practice.

The assessment of the patient’s care needs is based on the type of infection. As such, nurses have the responsibility of providing a high quality health care to the patients. The postoperative assessment involves assessing the patient’s perceptions related to behavior and physiologic responses. It also involves the monitoring of the pain from the patient during the treatment period based on the operations performed. In postoperative assessment, the patient’s wound is monitored in relation to the healing frequency, pain felt, and the availability of some foreign substances like the body discharges. Obtaining the information relating to post operative assessment ensures that the patient is well taken care of by the nurse after operations, and avoids incidences of other circumstances that might hinder quick healing (Grocott, 2007). Once the patient gathers the information concerning the postoperative assessment, then a decision is made whether to seek medication from the same hospital or look for other alternatives. In the case of Sophie, it was clear that the nurses were not keen in following the postoperative assessment, therefore, causing the wound to obtain infections.

20). Further, the presence of pressure ulcers places a burden on patients and their family (Grinspun, 2005, p.21). As recommended by Grinspun (2005), pillows and foam wedges to separate prominences of the body and lifting devices have been beneficial to avoid friction (p. 32). Research suggests that the majority of pressure ulcers can be avoided. Although, the population at risk likely suffers from the possible contributors, as stated repositioning at least every 2 hours or sooner was effective (Grinspun, 2005, p. 32). When practicing I will reposition patients at appropriate times to reduce the risk of damage to the skin. Additionally, when moving a patient up in bed, I will request adequate assistance from other nursing staff to use a lifting device. This will help to avoid friction while the patient is being moved, ultimately reducing the development of pressure

Outcome 1 Understand the anatomy and physiology of the skin in relation to pressure area care:

Ask the patient to lay on their back. The patient's legs should be spread and their feet should be together. The patient laying on their back relaxes the bladder and urethra, making easier to insert the catheter.  You can even assist the patient getting into the supine position.

Gloves, goggles, masks and gowns are minimum recommended requirements of PPE in any clinical environment where contact with blood or bodily fluid is likely (HSE 2011). Although wearing gloves does not prevent injury. It minimises exposure and cross contamination, reducing the risk of infection (AFPP 2011). The healthcare professional in the diary decided not to wear gloves because they catch on her rings and tear. This suggests that the rings have jagged edges or stones, which potentially could cause injury to the patient and also pose as an infection risk. Professional guidelines also dictate that staff should be bare below the

The nurse must highlight the importance of subcutaneous injection technique including skin pinch, ninety degree angle insertion and the

Local wound infiltration is an attractive method since it is efficacious and adverse actions are minimal (12). However, this route is limited by the fact that duration of analgesia is limited to the duration of action of local anesthetic. Efforts are being made to increase the duration of action of

According to John Hopkins Medicine (n.d.), pain is an uncomfortable feeling that tells you something may be wrong. It can be fixed, throbbing, stabbing, aching, pinching, or described in many other ways. Pain is categorized as either acute or chronic. Acute pain is usually severe and brief, and is often a signal that your body has been injured. Chronic pain can vary from mild to severe and is there for long periods of time (John Hopkins Medicine, n.d). This paper will discuss a scenario that entails which person is experiencing the most pain, how two people can have the same procedure experience different levels of pain, factors that contribute to each person’s pain level, and two complementary/alternative methods of pain control.

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

Occasionally tissue forceps are used to insure the tissue is closed during suturing. A needle is used to penetrate overlying soft tissue with the addition of sutures. The needles most often used in this type of surgery are curved. The curvature of the instrument allows the operator to cleanly sure up the area without intrusion of the underlying bone. The needle point should be a “cutting” type so the needle’s journey through the mucosa is smooth. A needle driver holds the curved needle and insures proper angulation and penetration of tissue. Once the suture is through, ends of the suture are used to create a proper surgeon’s knot. The tied suture should be snug against the tissue, not too tight and not too loose, so that proper healing is accentuated. Once tied, the suture ends are cut with a suture scissor. Sutures may either be interrupted or continuous. The simple interrupted suture is the most universal technique used for wound closure. Both absorbable and non-absorbable sutures are routinely used in oral surgery. Once the wound is fully closed, the patient’s surgery is complete and the healing process can begin. It is important that proper pain control medication is provided post-operatively so the patient is more comfortable during this time. The prescriber should be aware of the addictive properties in opioids and prescribe the correct type of analgesic accordingly to the

The clinical skill I have chosen to reflect on within this essay is the administration of Intramuscular (IM) injections. I have chosen this as within my first clinical placement this was a widely used method of drug administration and I became involved in the process of IM injections. I therefore researched the topic of IM injections and my knowledge within this area developed.

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.

Intramuscular injection is used for the delivery of certain drugs not recommended for other routes of administration, for instance intravenous, oral, or subcutaneous. The intramuscular route offers a faster rate of absorption than the subcutaneous route, and muscle tissue can often hold a larger volume of fluid without discomfort. In contrast, medication injected into muscle tissues is absorbed less rapidly and takes effect more slowly that medication that is injected intravenously. This is favorable