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.
Sunday, April 26, 2009
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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