...Preparation Practices A. Select a perioperative procedure (e.g., routine shaving of the surgical site) that you would commonly find on a surgical floor. 1. Describe the process or procedure you have chosen and why you think it needs change. Surgical site infection accounts for forty percent of all hospital-acquired infection (Griffin, 2005). The Association of Operating Room Nurses (AORN) recommendations provide guidelines for achieving skin preparation of the surgical site. These are practices are achievable and represent what is believed to be an optimal level of practice (Association of Operating Room Nurses, 2002). Variation of the area where the surgical procedure is to be performed may occur, but the recommended procedures for this preoperative skin preparation remains the same. The AORN has recommended seven practices that should be followed for skin preparation prior to surgery. Recommended Practices for Skin Preparation of Patients (Association of Operating Room Nurses, 2002). I. The surgical site should be assessed before skin preparation. II. Whenever possible, hair should be left at the surgical site. I it is determined that hair should be removed; removal should be performed according to policies and procedures in the practice setting. III. The surgical site and surrounding areas should be clean. IV. When indicated, the surgical site and surrounding area should be prepared with an antiseptic agent. V. Personnel who are knowledgeable about...
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...Peri operative nursing care includes nursing care given before (preoperative), during (intraoperative) and after surgery (post operative) (Crisp J &Taylor C 2005:1660). Peri operative nursing is a fast paced, changing and challenging field. Skin preparation is one of the important peri operative procedures. Evidence based practice provides a helpful framework for health care providers in peri operative settings to use research in practice settings (Beyea S 2004:97). In this essay exploration of research evidence around skin care preparation will be discussed. Based on the findings from the research material, conclusion will be drawn. Surgical site infections are reported to be the third most frequently occurring nosocomial infection among hospitals patients. It can increase the length of stay up to 7.3 days, and increase the cost by prolonged postoperative stay as well as increase morbidity & mortality ( The impact of Preoperative 2003:1). SSIs can occur both peri and postoperatively, and skin is a potential source of microbial contamination. Therefore, it is important to prepare peri operative skin preparation. Skin preparation is a pre-operative procedure, which is performed to reduce the risk of postoperative wound infection and to prepare patient for surgery by removing soil and transient microorganisms from the skin. Peri operative skin preparation involves two processes- the first is physical cleansing, the physical removal of bacteria and dirt by washing with soap, detergent...
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...preoperative Chlorhexidine as an antiseptic solution to reduce the risk of postoperative surgical site infection C1369366-MET319 Word count: 3546 Contents: Introduction: 3 Objective: 4 Methods: 4 Table 1: Search strategy 5 Critical appraisal of the literature: 5 Discussion: 17 Conclusion: 17 References: 18 Introduction: Surgical Site Infection (SSI) is a common complication in surgical practice. The incidence depends on multiple factors including the type and location of surgical procedure ranging from 2%-4% in simple skin lesions (Rogues et al., 2007) to 36% in cases of reversal of stoma (Liang et al., 2013). Incidence of SSI can be kept low by simple measures such as rescheduling elective procedures in presence of infection; e.g.: Urinary Tract Infection, Respiratory Tract Infection which can seed Bacteria to surgical wounds (Ollivere et al., 2009). Prophylactic Antibiotics given prior to elective surgery remains debatable and of questionable value considering the risk of side effects, emergence of Multi-drug resistant Pathogens and Anaphylaxis, and therefore should be used according to guidelines like in patients with higher risk for developing SSI (Wright et al., 2008, Dixon et al., 2006). Also, procedures at certain body sites and those involving surgical reconstruction are better covered with prophylactic Antimicrobial agent (Rosengren and Dixon, 2010). Use of antiseptic scrub has been shown to reduce...
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...Page 1 page 2 Page 3 page 3 Page 4 Cover Page Index Definition Principles of Aseptic Technique Procedure Page 4 Clean Technique (Medical Asepsis) Page 5 Page 6 Page 6 Page 7 Page 8 Sterile Technique (Surgical Asepsis) Maintaining Asepsis Other Recommendations to Maintain Asepsis Recommendations for Health Care Workers regarding Hand and skin Preparation Reference 2|8 Aseptic Technique Study Module Prepared By: AEA 1 January 2015 Nursing Education Department Definition 1. Aseptic technique refers to practices designed to render and maintain objects and areas maximally free of microorganisms. This may consist of aid in the prevention of surgical site, urinary tract, bloodstream, and pneumonia infections that may be device or procedure related. Clean technique (medical asepsis) refers to practices that reduce the number of microorganisms or prevent/reduce transmission from one person (or place) to another. Sterile technique (surgical asepsis) refers to practices that provide the maximum reduction of skin microorganisms without damaging tissues. It involves the use of barrier techniques to decrease the transmission of microorganisms from personnel to patients. Both sterile and clean techniques are elements of this infection method, although both have distinct similarities and differences. 2. 3. 4. Principles of Aseptic Technique A. Staff undertaking aseptic procedures adhere to the Hand Hygiene Policy and the Dress Code policy. (Please read the Hand Hygiene study...
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...handling of all the equipment and supplies used each procedure. Generally, the infection that occurs from the bacteria Nontuberculous Mycobacteria, also known as NTM at the hospital is due to the weakness of the immune system that cannot protect it against other pathogens. The CDC says that nontuberculous mycobacterium is a pathogen that is opportunistic. Otherwise, this bacteria is not harmful to the human body. It is found in soil and water. Some symptoms that may occur are fever, weight loss, joint pain, and loss of energy. This may cause death if not treated correctly. The machine they were using is known as a heater-cooler device. This device basically uses water to regulate temperature through closed circuits which have blankets of warming and cooling abilities. The only way a patient can become ill is from potential contamination of the water that probably entered from other parts of the device. It was also discovered that two patients in California had succumbed to this illness as a result of a drug-resistant version of this bacteria. It was also discovered by an epidemiologist named Joseph Perz that NTM was unknowingly infecting patients for decades during treatment. Until this summer, it was unknown that NTM was able to infect patients through heater-cooler devices. NTM is a slow growing bacteria and the symptoms that occur take a long time to appear so it makes it very hard to find the problem for the health care procedure. As for myself going into the healthcare field...
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...Aratilis (Muntingiacalabura) Leaves Extract as Anti-BacterialLiquidHand Soap Ellen May G. Adenic Iloilo City National High School March 2016 Problem The study intends to find out the Effectiveness of Aratilis Leaves as Liquid Anti-Bacterial Hand Soap. Specifically, the study would like to answer the following questions: 1. Can I make hand soap from Aratilis leaves extract? 2. Is there a significant difference between Aratilis leaves and commercial product soap? Hypothesis Null Hypotheses 1. There is no significant study that aratilis leaves extract can be effective as anti-bacterial liquid hand soap. 2. There is no significant difference between Aratilis leaves and commercial product soap anti-bacterial property. Alternative Hypotheses 1. There is a significant study that aratilis leaves extract is effective as anti-bacterial liquid hand soap. 2. There is a significant difference between Aratilis leaves and commercial product soap anti-bacterial property. Introduction There are many Aratilis Tree planted all around us but not known as anti-bacterial agent, so the researcher has decided to make the aratilis leaves as anti-bacterial liquid hand soap.Aratilis tree is well known in our country, for many people have been planted it in some places whether the soil is healthy or not, it still grow as an ordinary tree. People thought that the only use of tree is to bear fruits to be eaten... but this tree is also extra-ordinary for it...
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...Prospective Randomized Trial of 3 Antiseptic Solutions for Prevention of Catheter Colonization in an Intensive Care Unit for Adult Patients Author(s): By J. Vallés , MD; I. Fernández , RN; D. Alcaraz , RN; E. Chacón , RN; A. Cazorla , RN; M. Canals , RN; D. Mariscal , MD; D. Fontanals , PharmD; A. Morón , PharmD Source: Infection Control and Hospital Epidemiology, Vol. 29, No. 9 (September 2008), pp. 847853 Published by: The University of Chicago Press on behalf of The Society for Healthcare Epidemiology of America Stable URL: http://www.jstor.org/stable/10.1086/590259 . Accessed: 30/09/2013 10:14 Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp . JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org. . The University of Chicago Press and The Society for Healthcare Epidemiology of America are collaborating with JSTOR to digitize, preserve and extend access to Infection Control and Hospital Epidemiology. http://www.jstor.org This content downloaded from 115.165.210.196 on Mon, 30 Sep 2013 10:14:09 AM All use subject to JSTOR Terms and Conditions infection control and hospital...
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...Bloodstream Infection Numbers Trouble Two Hospitals HCS/457 April 18, 2011 Bloodstream infections occur when catheters for delivering medicine and others fluids to patients, especially those in intensive-care units, become contaminated with bacteria. Up to one in four patients who acquire an infection die. Tennessee one of the state that begin releasing data on hospital infections in 2009 and the most recent report, shows that two known hospitals in Middle Tennessee scored less than 1.0. The SIR (standardized infection ratio) of 1.0 means the number of infections is equal to the expected number, guidelines of the National Healthcare Safety Network. A physician that heads infection disease prevention attributes the low scoring of these hospitals to the type of patients they treat. Both hospitals have large oncology units, treating patients with cancer therapies that can suppress their immune system, in addition to long periods of hospitalization put them at “high risk.” Whatever the reasons the community in which the hospitals service are putting patients at risk, because the data shows that the hospital are below the National Healthcare Safety Network in preventing bloodstream infections. Because rules have changed for reporting this sort of data from hospitals for reimbursement purposes, previous years could have yield more infections. There has not been strong reaction from the community that shows either of the two hospital admissions or patient seen, numbers...
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...povidone iodine. Any type of infection involving the incision site can cause complications that could be long term for any patient to deal with and may have financial consequences to any hospital. This particular hospital is considering a change to standardize the prepping solution and needs to determine the cost factor if it were to change to a new product or to add premixed applicators of particular type of surgical prep solution. At this hospital, the current standard is using a surgical prep cleanse that the primary surgeon chooses to use. The hospital’s policy has no set standard for a particular prep solution being used. The CDC, in 1999, listed guidelines for prevention of infections at the incision site, including the use of an antiseptic cleanser for prepping of skin (Jarral, McCormack, Ibrahim, & Shipolini, 2011). There has not been one solution used as a referral over any...
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...Effect of Antiseptic Handwashing vs Alcohol Sanitizer on Health Care- Associated Infections in Neonatal Intensive Care Units Introduction This article seeks to determine if alcohol hand sanitizers are as effective as antiseptic handwashing at reducing or eliminating health care associated infections in a neonatal intensive care unit. The Centers for Disease Control and Prevention, Atlanta, GA, recommends use of waterless alcohol hand products in lieu of traditional handwashing for patient care, but there is little data demonstrating the impact of this recommendation on health-associated infections. Protection of Human Participants 76.8% (119/155) of eligible nurses agreed to participate in the study and had one or more hand cultures performed. The primary reason nurses refused to participate was unwillingness to perform study procedures, such as completing diary cards. Over the course of the study, 12 nurses withdrew, 9 because they left the study NICU, and 3 because they no longer wanted to participate. Nurses completed 1070 daily dairy cards. No informed consent was obtained. Data Collection A clinical trial using a crossover design in two neonatal ICU’s in Manhattan, NY from 3-1-2001 to 1-31-2003, including 2,932 neonatal hospital admissions (51,760 patient days) and 119 nurse participants. Two hand hygiene products were tested, a traditional antiseptic handwash and an alcohol hand sanitizer....
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...Chlorhexidine gluconate and neonatal skin integrity: A research critique Grand Canyon University Introduction to Nursing Research NRS-433V-0101 November 01, 2013 Chlorhexidine gluconate and neonatal skin integrity: A research critique The goal of this research study was to “determine the effects of chlorhexidine gluconate (CHG) skin inflammation and stratum corneum barrier integrity at peripherally inserted central catheter (PICC) sites among patients in the neonatal intensive care setting” (Visscher et al., 2009, p. 802). The benefit of this study was decreased central line associated blood stream infections, the risks of the study were very limited data on the use of CHG on neonatal skin and possible skin irritation beyond dryness or erythema, but a burn. The researchers of this study did identify that the mean gestational age of the infants in this study was 32 1/7 weeks, + 4.7. There were very few infants < 29 weeks gestation, so the researchers were unable to include that age group in the study. Some risks that were not originally identified and became apparent throughout the study was the trauma or irritation caused to the skin with the repeated removal of the tegaderm and the repeated use of CHG. The Institutional Review Board approved this study, and the parents/guardians of the infants provided written informed consent. Although the actual subject did not have the option to participate or not, the parents/guardians of the infants had the choice to participate...
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...help control bacterial growth and dispersement. Bacteria are a diverse group of unicellular organisms with the capability to rapidly grow and produce (Carroll 2014). Bacteria can be found nearly everywhere, even inside of our bodies. They serve many important functions, such as decomposition, protection for our bodies and contribution to food production (Carroll 2014). Because some bacteria pose as a threat, there has been the production of antiseptics, antibiotics and disinfectants, which are used to control bacterial growth. They intrude upon the cell walls (or cell contents) of the bacteria, and work to rid their existence. Although these have proven to be helpful and successful in these situations, some bacteria can become resistant, causing the need for improved agents. Today, we have many different antiseptics, antibiotics and disinfectants available. Antibiotics are naturally or synthetically produced, and are for specific use within the body. Antiseptics and disinfectants are both non selective; however, while antiseptics are used on surfaces (such as the skin), disinfectants are used on inanimate surfaces (Lichty 2002). Our experiment conducted the use of the 2 disinfectants, bleach and Lysol, to see which will be more effective in controlling the growth of the 2 bacteria, Escherichia coli and Bacillus subtilis. Because bleach is a more unadulterated reagent, it is hypothesized that it will be a better disinfectant against bacteria than its competitor, Lysol....
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...CHANGE USING EVIDENCE BASED RESEARCH Change Using Evidence Based Research Glenda Doctor Western Governor’s University Procedure, basis for practice, rationale and explanation The procedure for the use of povidone-iodine for surgical cite antisepsis is: skin preparation for surgery includes the use of sterile drapes to drape the patient and square off surgical area with sterile towels to absorb excess solution. The incision site is where the prep begins and proceeds outward from that point. Iodine soap or scrub, wet the skin with sterile water the iodine scrub will be added to the point of lather, the site is to be scrubbed for 5 minutes. Excess solution is to be blotted with sterile towels or sterile gauze. When iodine paint is used the iodine paint will be applied and allowed to dry before first incision. This practice of surgical skin preparation has been a standard for many years. At this facility povidone-iodine is used predominantly however a few surgeons do use chlorhexidine, it has typically been surgeon choice for skin preparation. Studies have shown that Chlorhexidine-alcohol is a superior product to povidone-iodine to reduce skin colonization and reduce surgical site infection, (Darouiche, Wall, Itani, Otterson, Webb, Carrick, & ... Berger, 2010). No specific use for either product was found in the policy and procedures for the hospital on the hospital web site. There were no available protocols involving the products that were found. It is...
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...1. Chew Mint Leaves Mint leaves are one of the best natural remedies to combat bad breath. Mint refreshes your mouth and gives off a pleasing smell. Chlorophyll present in leaves also absorbs odours and leaves you with a refreshing breath. 2. Gargle with Salt Water Rinsing and gargling with salt water can clear bacteria as well as food particles and debris on which the bacteria feed on. Put one teaspoon of salt in lukewarm water and swirl the mixture until the salt dissolves completely. Gargling with this mixture will also help you keep a healthy mouth. 3. Brush with Baking Soda Baking soda contains hydrogen peroxide which neutralized the acid present in your mouth. Acids make for a favourable environment for bacteria growth in your mouth. Simply wet you toothbrush and sprinkle some baking soda over it to brush your teeth. 4. Eat Apples Apples are often called as nature’s toothbrush as they are known to eliminate many kinds of bacteria in your mouth that can cause bad breath. Be sure to chew well on your apples while eating them. 5. Binge on Yogurt Yogurt can help you to get rid of bread breath permanently. Consume yogurt regularly up to a period of six weeks to effectively combat bad breath. 6. Go Vitamin-C Vitamin-C rich foods can help you to combat bacteria build up in your mouth as well as other diseases like gingivitis. Lemons, oranges and carrots are some of the foods that are high in Vitamin C. 7. Drink More Water Bacteria thrive better if your...
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...Bacteria can be found in plants and animals, in all habitats, on all surfaces and even in our bodies. To investigate the type bacteria existing in different locations, we took a culture from the inside of a mouth and the surface of a tabletop and let the bacteria grow in agar plates for one week. Separate agar plates were prepared for each of the two locations that also contained a small amount of two different cleaning solutions, Lysol and Green disinfectants, to observe which product worked better at killing bacteria. Both agar plates contained white and yellow bacteria growths. The bacteria in the agar plates was not evenly distributed throughout the surface, but rather was clustered in small areas. This was most like due to uneven distribution of the sample. It could also be attributed to the fact that bacteria grow in colonies. The plates with cultures from site 1 had slightly less bacteria coverage than the coverage from site 2. Although, this was really only the case for one of the cultures from site 2 while the other culture from the same site grew the same amount as the two cultures from site 1. It was observed that no bacteria grew on the portion of the agar nutrient where cleaning product was applied. It should be noted that the very minimal amount of bacteria that grew in the agar nutrient made it difficult to determine if this result was due to the effectiveness of the disinfectants. For this reason as well it is unclear which cleaning product out...
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