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Health care Aseptic techniques may be adopted Essay on aseptic technique a number of environments including surgery, community and ward based nursing. There are many procedures which require asepsis such as inserting a catheter, suturing a wound Aziz or inserting a vascular access device NICE I will be looking at the use of aseptic techniques when dressing a wound in particular.
Wounds can be divided into two categories, surgical and traumatic. Surgical wounds are produced and closed under controlled conditions intended to prevent the access of microbes, healing by primary intention. Wound dressings are carried out frequently on wards and in the community and can involve leg Essay on aseptic technique, pressure sores and less superficial wounds healing by primary intention.
Wounds healing by secondary intention are left open to allow the free drainage of exudate and the formation of granulation tissue to fill the cavity 3M I will explain the importance of the techniques used, when it is required for them to be used and why it is relevant to contemporary nursing practice.
I will discuss the risks associated with the techniques, how they should be performed with a range of opinions from evidence based practice including the rationale behind the technique. It is adopted when attending to wounds which require aseptic conditions.
The procedure is comprised of four points which focus around timing, equipment, the patient and the technique Aziz Rowley describes aseptic non-touch technique as a method of changing a dressing without directly touching the wound.
Ayliffe et al concludes; by ensuring that only sterile fluids or uncontaminated objects make contact with the wound, an aseptic field can be maintained by preventing the contamination of susceptible sites. Firstly the nurse must make the decision about which technique to adopt, this may be dependent on a number of factors.
The location the procedure is being performed in may influence the nurse to choose one technique over the other. District and community nurses may choose the clean technique as it is believed that it is not always possible to achieve a completely aseptic field in a patients home.
The longevity of the wound will also contribute to the decision to use the clean or aseptic technique. Chronic wounds may be treated as infected and therefore a clean procedure will be used however an acute short-term wound may be treated aseptically Flores According to Aziz the technique is comprised of effective hand washing, maintaining an aseptic field and glove choice.
A clean, flat surface is required to place sterile equipment on, this should be a dressing trolley on a ward. In a patients home it may be a chair, table or even the floor. It should also contain personal protective equipment PPEincluding gloves, an apron and also alcohol hand rub.
A solution for cleaning or irrigation which may consist of sodium chloride normal salinesterile water or an antiseptic solution should be included depending on the type of wound and method chosen for cleansing Pegram and Bloomfield The procedure involves creating a sterile environment, removing the old dressing or cleansing the wound and area surrounding it.
Depending on the type of wound this may include debridement, swabbing or using fluids to remove debris and necrotic tissue. Some patients may even prefer to shower their wounds with tap water. This should be discussed with the nurse as a preferred and more suitable method for irrigation, as swabbing may damage fragile granulation tissue Briggs as cited by Griffiths et al Once the wound has been cleansed a new dressing appropriate for the type of wound should be applied as quickly as possible to minimise airborne contamination Pegram and Bloomfield All equipment used in the procedure should be put in the waste bag provided and disposed of in an appropriate bin.
The ANTT may be used by nurses when they are cleansing wounds or changing dressings. Wounds healing by primary or secondary intention should be approached in the same manner whether the wound is open or closed ensuring asepsis throughout.
A solution that is non-toxic to the tissue is used to remove debris, wound exudates and metabolic wastes, these processes are used to cleanse the wound and help to promote wound healing Briggs The ANTT should be adopted when attending to surgical site wounds, pressure ulcers, diabetic foot ulcers, leg ulcers and less superficial wounds such as skin tears and scrapes where the integrity of the skin has been breached or compromised and no longer provides an effective barrier to microorganisms.
Aseptic technique skills are relevant to contemporary nursing practice as they limit the spread of contamination from infected wounds to other parts of the body or to healthcare staff.
Methods such as debridement and cleansing with tap water or normal saline help to remove metabolic wastes, slough and dead skin cells. However Briggs explains that there is no research to support or refute swabbing or scrubbing wounds to cleanse them. Applying the correct dressing such as an interactive dressing promotes the wound healing process by creating and maintaining a moist, warm environment ideal for the growth of microorganisms NICE This environment is also favourable to microorganisms which are pathogenic, which is why maintaining an aseptic field is vital to prevent contamination of a patients wound.
In order to stay relevant the original ANTT guidelines have changed slightly in keeping with a reduction in healthcare costs and time spent on individual patient care. Forceps were once used to remove dressings however this required sterilization of equipment prolonging the procedure.Harvesting Times of Orchid Seed Capsules for the Green Pod Culture Process.
Ruben Sauleda. The following article first appeared in the American Orchid Society BULLETIN in April of It has been edited to reflect current nomenclatural concepts. Aseptic techniques may be adopted in a number of environments including surgery, community and ward based nursing.
There are many procedures which require asepsis such as inserting a catheter, suturing a wound (Aziz ) or inserting a vascular access device (NICE ). Aseptic Technique is based on surgical conscience; that is, the ethical and professional motivation that regulates a professional’s behaviors regarding disease transmission.
(Fuller) All patients are bound to get an infection. Certain situations can increase vulnerability, like disturbance of the body's defenses like contradictions to anesthesia, severe burns or an immune disorder.
Essay on Knowledge: Aseptic Technique and Flexible Container. diminish gradually. To Add Medication 1. Prepare additive port. 2. Using aseptic technique and an additive delivery needle of appropriate length, puncture Re-sealable additive port at target area, inner diaphragm and inject.
Practice questions for asepsis knowledgesimilar to standardized tests like the RMA and CMA. The focus of this essay will be to select one clinical skill in which I am developing competence in and reflect upon how to achieve the necessary level of competence for this stage of the programme.
For the purpose of this essay I have chosen to focus on subcutaneous injections technique as my.