Nursing Skills Week 1

Medical Asepsis

“clean technique”, reducing # of organisms, ex. handwash

Surgical Asepsis

“Sterile technique”, eliminate all organisms

Health Care Associated Infections (HAI’s)

Infections patients develop in medical facilities

Chain of Infection

Infectious Agent - bacteria/fungi

Reservoir for growth - live, grow, produce

Portal of Exit - Blood, secretions, excretions

Mode of Transmission - droplet, airborne, physical contact

Portal of Entry - broke skin, respiratory system

Susceptible Host - Diabetes, age, surgery, burns

5 Handwashing

Before touching patient

Before clean/aseptic procedure

After Body Fluid exposure risk

After touching patient

After touching patient surroundings

Sterilization

destroys all microorganisms including spores

Disinfection

destroys all microorganisms except spores

Airborne Infection

Measles, Tb, Varicella

Airborne Protection

isolated

negative pressure

N-95

Droplet Infection

Influenza

Mumps

Respiratory Diseases

Droplet Protection

Isolated or cohort

Mask

Contact Infections

wounds

multi-drug resistant bacteria

diarrhea

Contact Protection

PPE

Protective Infection

allogenic hematopoietic stem cell transplants

Protective Protection

isolated

positive airflow

HEPA filtration

mask worn outside of room

PPE

face mask

gown

gloves

cap

footwear

*sign on door and placed outside of room*

Takeoff PPE

Dirty to Clean

1) gloves

2) goggles

3) gown

4) mask

No Red Bag

sharp

meds

garbage

hazardous waste

Dispose In Bag

blood, hemovacs, chest drainage, bags and IV tubing

10 Principles of Sterile Tech

1) sterile touches sterile

2) 1st flap away from nurse

3) Damp/wet = no longer sterile

4) hold above waist

5) no coughing, talking, sneezing, over sterile field

6) dont walk away or turn back

7) touches broken skin = needs to be sterile

8) use dry sterile forceps when needed

9) 1 in sterile border

10) any doubt = unsterile

ADPIE

Assessment

Diagnosis

Planning

Implementation

Evaluation

Assessment

objective and subjective data

Diagnosis

needs/problems

Planning

goals (measurable and achievable), supplies needed

Evaluation

Nursing care