Open sterile package
The purpose of sterile package are to ensure that sterile item remain sterile. Ensure the package is clean and dry, if moist is noted on the inside of plastic-wrapped package or the inside of cloth-wrapped package it is considering contaminated and must be discarded. Cheek the serialization expiration date on the package and look for any indication that it has been previously open.
To open the sterile package, prior to performing the procedure is introduce self and verify the client identity. Explain to the client using the easy word to client understand; discuss how the result will be used in planning further care and the treatment. Then, place the package in the work area so that the top flap of the wrapper opens away from body. Reaching around the package, pinch the first flap on the outside of the wrapper between the thumbs in index finger.
After that, to open the sterile package, must be touching only the outside of the wrapper maintains the sterile of the inside of the wrapper. Pull the flap open, laying it flat on the far surface. Open the fourth flap toward you by grasping the corner that is turn down. Make sure that the flap does not touch any object. If inner surface touches any unsterile article, it is contaminated.
In conclusion, using the sterile package can prevent the wound from the other bacteria at the equipment that used. It can help the wound faster to cure and the right treatment.
Sunday, May 10, 2009
empty wound drainage
Empting wound drainage bottle
To empting wound drainage consists of a drain connected to either an electric suction or portable drainage suction, such as a Hemovac or Jackson Pratt. The empting drainage to reduce the possible entry of microorganism into the wound through the drain.The drainage tube are sutured in place and connected to a reservoir. The Jackson Pratt drainage tube is connected to a reservoir that maintains constant low suction.
Firstly, we must check the doctor order and prepare the equipment. Secondly, the equipment for empting wound drainage bottle are meter container, alcohol swab and glove. thirdly, Wear the glove after hand washing, than clamp the drainage tubing, remove the tie at the bottle and clean the top of hemovac using alcohol swab and then press the hemovac and connect it again. After that, Tie the drainage at the bed site and clean the bed and equipment. Lastly, record the colour, amount, time and date.
In my conclusion, the surgeon inserts the wound drainage tube during surgery. Generally the suction is discontinuing d from 3 to 5 days postoperatively or when the drainage is minimal. To reestablish suction, place the container on a solid, flat surface with the port open.
To empting wound drainage consists of a drain connected to either an electric suction or portable drainage suction, such as a Hemovac or Jackson Pratt. The empting drainage to reduce the possible entry of microorganism into the wound through the drain.The drainage tube are sutured in place and connected to a reservoir. The Jackson Pratt drainage tube is connected to a reservoir that maintains constant low suction.
Firstly, we must check the doctor order and prepare the equipment. Secondly, the equipment for empting wound drainage bottle are meter container, alcohol swab and glove. thirdly, Wear the glove after hand washing, than clamp the drainage tubing, remove the tie at the bottle and clean the top of hemovac using alcohol swab and then press the hemovac and connect it again. After that, Tie the drainage at the bed site and clean the bed and equipment. Lastly, record the colour, amount, time and date.
In my conclusion, the surgeon inserts the wound drainage tube during surgery. Generally the suction is discontinuing d from 3 to 5 days postoperatively or when the drainage is minimal. To reestablish suction, place the container on a solid, flat surface with the port open.
Sunday, May 3, 2009
WOUND DRESSING.
Wound dressing
Wound is a break or disruption the normal integrity of skin and tissue. Wound dressing is the cover over a wound ,to provide physical , psychological and anesthetic comfort. The procedure for wound dressing are ope the first layer of strile pack. Open the second layer of strile pack and start the dressing from inner to outer.
The procedure for wound dressing are open the first layerof strill pack and expose the wound area. After that ,put the linean protector under the wound and loose the micropors. And than, do the surgical hand washing and dry hand.
The another procedore are open the second layer of strile pack. Arrange of fix the instrument in the strile pack. After that open the strile glove and put the normal saline to the galy pot. And then do the second surgical hand washing and dry hand. Wear strile and squeeze the cotton ball and prepare swab. Remove the old dressing .
Lastly, start the dressing from inner to outer ,do until the wound clear and using one cotton ball in one user . after that t cover the wound by the dry garvee. After that coveer the wound by the dry garve and put micropors.and than clean the aquipment
Wound dressing will prevent eli and ontrol infection. It also can prevent wount skin surrounding woundd further injury and protect skin surrounding the wound. It can maintain a moist enviroment and control bleeding. Wound dressing are the therapy to cover the wound.
Wound is a break or disruption the normal integrity of skin and tissue. Wound dressing is the cover over a wound ,to provide physical , psychological and anesthetic comfort. The procedure for wound dressing are ope the first layer of strile pack. Open the second layer of strile pack and start the dressing from inner to outer.
The procedure for wound dressing are open the first layerof strill pack and expose the wound area. After that ,put the linean protector under the wound and loose the micropors. And than, do the surgical hand washing and dry hand.
The another procedore are open the second layer of strile pack. Arrange of fix the instrument in the strile pack. After that open the strile glove and put the normal saline to the galy pot. And then do the second surgical hand washing and dry hand. Wear strile and squeeze the cotton ball and prepare swab. Remove the old dressing .
Lastly, start the dressing from inner to outer ,do until the wound clear and using one cotton ball in one user . after that t cover the wound by the dry garvee. After that coveer the wound by the dry garve and put micropors.and than clean the aquipment
Wound dressing will prevent eli and ontrol infection. It also can prevent wount skin surrounding woundd further injury and protect skin surrounding the wound. It can maintain a moist enviroment and control bleeding. Wound dressing are the therapy to cover the wound.
REMOVAL STITCHES.
Removal stitches
Stitches or suture is a thread used to sew body tissue together. Suture used to attach tissue beneath the skin are often made of an absorbable material that disappears in several days. Skin suture, by contrast are made of a variety of non absorbable material, such as silk, cotton, linen, wire, nylon, and Dacron (polyester fiber). The procedure of removal stitches are grasp the suture at the knot with a pair of forceps and pull the suture out in one piece.
The procedure of remove stitches are grasp the suture at the knot with pair of forceps, place the curve tip of the suture scissor under the stitches as close to the skin as possible ,either on the side opposite the knot or directly under the knot, cut the suture. Sutures as close to the skin as possible on one site of the visible part because the suture material that is visible to the eye is in contact with resident bacteria of the skin an must not be pulled beneath the skin during removal. Suture material that is beneath the skin is considered free from bacterial.
Secondly, the procedure are with the forceps, pull the suture out in one pieces. Inspect the suture carefully to make sure that all suture material is removed. Suture material left beneath the skin acts a foreign body an courses inflammation.
In conclusion, the removal stitches can usually make on 7 to 10 days after surgery. That it can be protect the infection.
Stitches or suture is a thread used to sew body tissue together. Suture used to attach tissue beneath the skin are often made of an absorbable material that disappears in several days. Skin suture, by contrast are made of a variety of non absorbable material, such as silk, cotton, linen, wire, nylon, and Dacron (polyester fiber). The procedure of removal stitches are grasp the suture at the knot with a pair of forceps and pull the suture out in one piece.
The procedure of remove stitches are grasp the suture at the knot with pair of forceps, place the curve tip of the suture scissor under the stitches as close to the skin as possible ,either on the side opposite the knot or directly under the knot, cut the suture. Sutures as close to the skin as possible on one site of the visible part because the suture material that is visible to the eye is in contact with resident bacteria of the skin an must not be pulled beneath the skin during removal. Suture material that is beneath the skin is considered free from bacterial.
Secondly, the procedure are with the forceps, pull the suture out in one pieces. Inspect the suture carefully to make sure that all suture material is removed. Suture material left beneath the skin acts a foreign body an courses inflammation.
In conclusion, the removal stitches can usually make on 7 to 10 days after surgery. That it can be protect the infection.
Sunday, April 26, 2009
Wound Irrigation
The purpose of wound irrigation is to clean the area of deep wound and the wound cannot see. It also to encourage process of curing. The procedure for irrigation are preparation of the equipment, irrigation of wound and pack the wound area.
The equipment for the procedure of wound irrigation are dressing set, antiseptic solution for clean the wound, mask, sterile glove, swab and gauze, ribbon gauze, sterile scissor , linen protector for give protection the area of body client not dirty, micropore and two kidney dish for the receiver and for the clinical waste.
Than, for the irrigation of deep wound, we must be observe the area of wound, wear the sterile glove and put the liquid irrigation into the syringe, insert the catheter slowly into the wound and pull out the catheter 1-2cm for encourage the catheter stick with wall of wound. Flush the liquid irrigation with low pressure. Repeat the step until the feedback of the fluid clear.
After that, pack wound after clean the wound and put out the catheter from wound. Pack the wound using the gauze, put the ribbon gauze into the sterile galy pot. Take the ribbon gauze with dominant forsep and past to non dominant forsep and pack the wound slowly. Cut the ribbon gauze with sterile scissor and cover the wound with sterile gauze.
In conclusion, wound irrigation can prevent the wound from infected with microorganism that can help the process to curing will become more fast. It also from the food of client take everyday.
The equipment for the procedure of wound irrigation are dressing set, antiseptic solution for clean the wound, mask, sterile glove, swab and gauze, ribbon gauze, sterile scissor , linen protector for give protection the area of body client not dirty, micropore and two kidney dish for the receiver and for the clinical waste.
Than, for the irrigation of deep wound, we must be observe the area of wound, wear the sterile glove and put the liquid irrigation into the syringe, insert the catheter slowly into the wound and pull out the catheter 1-2cm for encourage the catheter stick with wall of wound. Flush the liquid irrigation with low pressure. Repeat the step until the feedback of the fluid clear.
After that, pack wound after clean the wound and put out the catheter from wound. Pack the wound using the gauze, put the ribbon gauze into the sterile galy pot. Take the ribbon gauze with dominant forsep and past to non dominant forsep and pack the wound slowly. Cut the ribbon gauze with sterile scissor and cover the wound with sterile gauze.
In conclusion, wound irrigation can prevent the wound from infected with microorganism that can help the process to curing will become more fast. It also from the food of client take everyday.
Swab CNS (Culture and Sensitivity)
CNS swab is for know the development disease or feedback from treatment. It is also to identify the microorganism potentially causing infection and the antibiotic to which the sensitivity. The procedure for swab CNS such as prepares the equipment, step to take the specimen using CNS swab and documentation.
Firstly, prepare the equipment to take the specimen, rib swab sterile, bottle specimen with culture and sensitivity, charcoal swab, book report for specimen, mask and glove.
Secondly, the step to take the specimen using CNS swab, do dressing at wound with aseptic technique. Loose the rib swab sterile and swab the wound with circle and then put the rib swab that have the specimen into the bottle specimen without touch area of bottle that it because to prevent contaminated for the specimen. The step for the deep wound are open the sterile kidney dish and put under the wound, syringe out the normal 20ml and start irrigate the wound, get the CNS swab to take the specimen and then continue the irrigate wound until clean.
Lastly, do the documentation about time, date and fill the specimen form before send the specimen to laboratory. The documentation is important that can give the result accurately. Complete the documentation with the right information. Record the specimen into the book report for that specimen.
In my conclusion, swab CNS that must do before do dressing; it can be to identify the microorganism in the wound to identify the type therapy of the wound.
Firstly, prepare the equipment to take the specimen, rib swab sterile, bottle specimen with culture and sensitivity, charcoal swab, book report for specimen, mask and glove.
Secondly, the step to take the specimen using CNS swab, do dressing at wound with aseptic technique. Loose the rib swab sterile and swab the wound with circle and then put the rib swab that have the specimen into the bottle specimen without touch area of bottle that it because to prevent contaminated for the specimen. The step for the deep wound are open the sterile kidney dish and put under the wound, syringe out the normal 20ml and start irrigate the wound, get the CNS swab to take the specimen and then continue the irrigate wound until clean.
Lastly, do the documentation about time, date and fill the specimen form before send the specimen to laboratory. The documentation is important that can give the result accurately. Complete the documentation with the right information. Record the specimen into the book report for that specimen.
In my conclusion, swab CNS that must do before do dressing; it can be to identify the microorganism in the wound to identify the type therapy of the wound.
Sunday, April 19, 2009
Hand washing is the activities that must nurses know as well. Hand washing must be do before and after and after any procedure. It also prevent the infection from the first patient to another patient and to protect our self from any infection. Hand washing have two types. The type are medical hand washing and surgical hand washing.
Medical hand washing is hand wash from finger until radial. Medical hand washing for the usually procedure like vital sign. Medical hand washing can help us to prevent each other. Medical hand washing must be do when touch one patient to another patient. It can be prevent from cross infection.
Surgical hand washing is the hand wash for the some procedure that must be sterile. Surgical hand washing also for treatment before or after surgery. For the example that must be surgical hand washing are dressing. It must be sterile when do the procedure. Surgical hand washing is from finger to elbow.
In conclusion, hand washing is the important activity that must everyone know as well. Hand washing also can be protect our self from any infection. All the bacteria will not see with our eye but our hand must be clean and after do procedure.
Medical hand washing is hand wash from finger until radial. Medical hand washing for the usually procedure like vital sign. Medical hand washing can help us to prevent each other. Medical hand washing must be do when touch one patient to another patient. It can be prevent from cross infection.
Surgical hand washing is the hand wash for the some procedure that must be sterile. Surgical hand washing also for treatment before or after surgery. For the example that must be surgical hand washing are dressing. It must be sterile when do the procedure. Surgical hand washing is from finger to elbow.
In conclusion, hand washing is the important activity that must everyone know as well. Hand washing also can be protect our self from any infection. All the bacteria will not see with our eye but our hand must be clean and after do procedure.
Central venous is for help doctor to insert catheter. It also for measure in right atrium. It also call CVP. It have two part to insert catheter are Subclavian and bracial. The procedure of CVP are equipment for measuring and monitoring CVP and observe sign and symptom.
The equipment for measuring and monitoring CVP are 10ml syringe with 5ml saline solution, manometer tubing, manometer ruler, 3-way stopcock, normal saline 0.9%, antimicrobial swabs, marker pen and drip stand. All the equipment must be prepare before the procedure. Dring the procedure, all the equipment must put on the trolley.
To observe sign and symptom indicating need for central venous pressure measurement are blood pressure low or labile, intake and output widely diverse and fluid administration at the rapid rate. CVP measurement will help in diagnosing hypotension and thus initiating the appropriate treatment. Rapid fluid administration can cause congestive heart failure.
In conclusion, CVP can provide and estimate of fluid balance ant to aid in correction of fluid imbalance. CVP also to evaluate blood volume and pumping action of heart. It can help the patient from dehydration. The value that normal fluid in body are 5-10cm3 it are regular measurement for CVP.
The equipment for measuring and monitoring CVP are 10ml syringe with 5ml saline solution, manometer tubing, manometer ruler, 3-way stopcock, normal saline 0.9%, antimicrobial swabs, marker pen and drip stand. All the equipment must be prepare before the procedure. Dring the procedure, all the equipment must put on the trolley.
To observe sign and symptom indicating need for central venous pressure measurement are blood pressure low or labile, intake and output widely diverse and fluid administration at the rapid rate. CVP measurement will help in diagnosing hypotension and thus initiating the appropriate treatment. Rapid fluid administration can cause congestive heart failure.
In conclusion, CVP can provide and estimate of fluid balance ant to aid in correction of fluid imbalance. CVP also to evaluate blood volume and pumping action of heart. It can help the patient from dehydration. The value that normal fluid in body are 5-10cm3 it are regular measurement for CVP.
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