Fundamentals of Nursing-15, 16, 29.docx

Includes procedures used to eliminate all

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Includes procedures used to eliminate all microorganisms, including pathogens and spores, from an object or area a. Use surgical asepsis in the following situations: b. During procedures that require intentional perforation of the patient’s skin such as insertion of IV catheters or central lines. c. When the integrity of the skin is broken as a result of trauma, surgical incision, or burns. d. During procedures that involve invasive procedures, such as insertion of a urinary catheters or surgical instruments into sterile body cavities, such as insertion of a wound drain. 3. Situations surgical asepsis is used 4. Patient preparation a. Avoid sudden movements of body parts covered by sterile drapes. b. Refrain from touching sterile supplies, drapes, or the nurse’s gloves and gown. c. Avoid coughing, sneezing, or talking over a sterile area. 5. Sterile field: an area free of microorganisms and prepared to receive sterile items
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a. Principles b. 1. A sterile object remains sterile only when touched by another sterile object. c. 2. Only sterile objects may be placed on a sterile field. d. 3. A sterile object or field out of the range of vision or an object held below a person’s waist is contaminated. e. 4. A sterile object or field becomes contaminated by prolonged exposure to air. f. 5. When a sterile surface comes in contact with a wet, contaminated surface, the sterile object or field becomes contaminated by capillary action. g. 6. Fluid flows in the direction of gravity. h. 7. The edges of a sterile field or container are considered to be contaminated. 6. Surgical Asepsis a. Performing sterile procedures b. Donning and removing caps, masks, and eyewear c. Opening sterile packages i. Opening a sterile item on a flat surface ii. Opening a sterile item while holding it d. Preparing a sterile field e. Pouring sterile solutions f. Surgical scrub g. Applying sterile gloves h. Donning a sterile gown f. Evaluation i. See through the patient’s eyes: 1. Have the patient’s expectations been met? 2. Document the patient’s response to therapies for infection prevention and control. ii. Patient outcomes 1. Measure the success of the infection control techniques. 2. Compare the patient’s actual response with expected outcomes. 3. If goals are not achieved, determine what steps must be taken. iii. Exposure issues 1. Patients and health care personnel, including housekeepers and maintenance personnel, are at risk for acquiring infections from accidental needlesticks. After administering an injection or inserting an IV catheter, place the used needle safety device in a puncture-resistant box. 2. All sharps must now be either needle safe or needleless. 3. Nurses should receive immunizations, as recommended by the CDC.
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  • Spring '17
  • Muka
  • Nursing, critical thinker, WBCs, Patient Transport, g. Nurse

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