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Sterilization quizlet
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When preparing to bandage a wound, always choose the proper bandage type for the wound or surface that will be bandaged. Make certain that the bandage is wide enough to cover the surface area. Always sanitize your hand prior to applying the bandage. I will tell you how to apply a bandage to the right arm. When applying the circular bandage, use your left hand to hold the bandage in place at the starting point and wrap from left to right around the site in a circular motion. Keep the bandage close to the surface area as you wrap, unrolling as you circle around the affected site. You will continue to wrap the bandage smoothly around until all the bandage is on the surface. We do not want kinks in the bandage wrapping. This is uncomfortable for the patient and may affect the pressure being applied. After which, apply clips to keep the bandage secure. The bandage should be wrapped tight enough to keep it from sliding. However, the bandage should not be so tight that it cut of circulation. After applying the bandage, always check the nail bed for cyanosis. Check the pulse and have patient move their fingers. You want to be certain that the patient can move their fingers and there is no nerve interference.
Again, when a bandage has to be applied, determine the length of the bandage needed, and get the bandage. Sanitize hands thoroughly before applying bandage. When applying a bandage to the right arm, using the spiral motion; begin wrapping from the wrist going up. Secure the end of the bandage and wrap around once and continue wrapping up toward the elbow in a spiral motion. Keep the bandage close to the surface. Wrap around the elbow, allowing for flexibility and continue up the arm just below the shoulder. Apply ...
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...e process, the medical assistant will blot the closure with gaze. This will remove any blood from the area being sutured. Keeping the area clean and sterile is vital. After suturing, the area is cleaned and a sterile bandage applied. The patient is instructed to not get the area wet, return in 3 day for dressing change. I the patient feel any irritation, swelling, or see redness around the area, please call the doctor’s office. We do not want the area to get infected. Bleeding, swelling, fever, pain are all things that should be reported. The patient is instructed to return in 7 days for suture removal. However, any concerns prior to that time should be reported to the doctor’s office.
References
Kinn’s, 2011. The Medical Assistant: An Applied Learning Approach. Sanders-
Elsevier, Publisher, St. Louis, MI. Information retrieved on January 23, 2014.
Step 4:Make sure the person holds the clothespin between their thumb and index finger and squeeze until the two ends meet.
As a standard precaution against bodily fluids or blood borne pathogens the medical assistant and the doctor would don their personal protective equipment (PPE) such as gloves, face shield, and gown. Next, the medical assistant will prepare the following materials in preparation of the procedure: 1% or 2% lidocaine in a 10cc syringe/25 gauge needle, skin prep solution, #11 scalpel blade with handle, gauze, hemostat, scissors, iodoform, tape, and culture swab. After the materials have been prepped the doctor will clean the abscess with skin prep and drape the wound with sterile fenestrated drape. Anesthetic in the form of lidocaine with a 10cc syringe and 25-gauge needle will be injected around the abscess. The doctor will allow 3-5 minutes for the anesthetic to take affect before making an incision into the abscess. Once the incision is made the doctor will allow pus to ooze and drain out. While the pus is draining out, the culture swab will be inserted in to the abscess where a culture is taken so the origin of the infection is identified incase further treatment is needed. Using the hemostat the doctor will explore the abscess and continue to soak up the pus with the gauze. With a syringe and normal saline the doctor will irrigate
One of the philosophical decisions made by novice athletic trainers is determining which is better: taping or bracing the ankle joint. There are several factors to consider including efficiency, stability, injury prevention and cost effectiveness. Ankle sprains are one of the most common athletic injuries with most occurring to the lateral ligaments of the ankle.1, 2,3,4,5 In American Football ankle sprains comprise approximately 10-15% of all injuries whereas 70% of college basketball players have had at least one ankle sprain. Furthermore ankle injuries are common in soccer, field hockey and other sports.3 To determine between taping an ankle or using a brace, effectiveness, efficiency, and cost effect are taken into consideration.
In addition, the tape’s popularity comes from the fact that it can be worn from one to four days before reapplication is needed. This is in comparison to compression bandages that must be reapplied once, or even more than once, a day (Kase et al., 2003).
Graston instrument-assisted soft tissue mobilization (GITSM) is a tool used by therapist and chiropractors to help break up the scar tissue and replace it with fibroblast allowing for faster recoveries (Black 2010). A series of heat, GISTM, then strength and flexibility training are required (Black 2010). Numerous studies have been conducted, by certified therapist qualified in GISTM, to examine the styles and recovery periods after an injury. After going through the treatment, patients are measured by their range of motion (ROM) to see if the treatments were effective or not (Black 2010). ROM can vary depending on the region of the body that is being treated, but the overall goal of GISTM is to allow a person to get back to their regular routines they had before their injury. A study conducted by Logan College of Chiropractic shows that plantar fasciitis (foot) can be treated by GISTM on the first day of treatment (Daniels and Morrell 2012). Another study by Duke University shows that GISTM can be effective for patients after surgery that had an injury in the Patellar tendon (knee) (Black 2010). After several treatments, GISTM can, also, be used to treat a compression fracture in the lumbar (back) (Papa 2012). Each study shows the method of GISTM, the patient’s recovery period along with the methods of recovery.
It is essential to make sure that the patient is fine once the procedure has been finished and prior to them leaving. If there have been no complications, then the patient will most likely be ok. Nevertheless make sure that the site has stopped bleeding and that they are not feeling faint. If there was any complications, for example, hitting an artery, haematoma or fainting, then make sure you follow the process for dealing with the complication and let the patient know what they need to do if any symptoms
There have been an incidents of prolonged hospital stay due to central line infections putting patients at risk for mortality, morbidity, and increase in medical cost. When central lines are placed at bedside or in interventional radiology, the inserter is required to document the steps and sterile procedure that took place in the electronic health record. Furthermore, with weekly and as needed dressing changes, nurses are required to use central line bundles and document what was used (ex: Chloraprep, biopatch, tegaderm, etc.) to track how the dressing was done. From these documented records, staff can gather data and measure the compliance of sterile procedure. Additionally, if a patient with a central line develops a fever without an unknown cause physician will order blood culture from the central line if catheter-related infection is suspected. If the test comes back positive, the team will initiate antibiotics immediately. By integrating electronic health records it can assist in CLABSI prevention strategies, raise the standard for best practices, and essentially reduce central line infections. With the quarterly results of CLABSI in our unit, CVC committee have re-educated the staff on appropriate dressing changes using sterile technique, transitioned to a different end
The normal wound healing process mainly consists of four main stages being haemostasis, inflammation, proliferation or new tissue formation, and tissue remodeling or resolution. For a wound to heal well the above mentioned stages should occur in a sequential and orderly manner. Disturbances, abnormalities and delays in any of the above stages may lead to impaired healing or even chronic wounds. In adults, this process of normal healing takes place in the following steps (1)rapid haemostasis (2)appropriate inflammation (3)mesenchymal cell differentiation, proliferation, and migration to the wound site (4)suitable angiogenesis (5)prompt re-epithelialization and (6) proper synthesis, cross-linking, and alignment of collagen to provide strength to the healing tissue.
· A sterile cloth is then put over your legs and abdomen and a sterile
...f the clamps on the tubing to allow the IV solution to run freely. Slowly, decrease the flow of the solution to the appropriate rate as ordered by the physician. Using a small gauze pad, wipe away any excess blood or fluid on the surface of the skin. Then, using the pre-torn pieces of tape, secure the catheter hub and the IV tubing to the patient’s skin. Take extra caution not to kink the tubing. Once everything is secured, recheck the IV solution’s flow and then attend to the rest of your patients needs.
I was able to change central line sterile dressing and hung IV normal saline my preceptor gave me a good complement. In lab we practice IV and helped me to perform with confidence. I helped with monthly recapping.
A consent form is usually signed to give permission to do the procedure. In emergency medical situations, consent is not required by law. Under normal situations, the doctor may want a complete medical history and examination. Presence of pain, skin temperature, and color in the diseased limb will be compared with those in a healthy limb. The patient may be measured for an artificial limb prior to the procedure. In a trauma situation, crushed bone may be removed and smoothed out to help the use of an artificial limb. Fasting is usually 8 hrs before the procedure. The anesthesiologist will continue to monitor your heart rate, blood pressure, breathing, and blood oxygen level. After removing the dead tissue, the doctor may decide to close the flaps with healthy
...rved away from any contact surface. The forearm is shaped liked this for the wrist to remain free of surface pressure. Avoid restricting circulation - For many people there are exposed blood vessels near the skin at the wrist, which is where the pulse is often taken.
Our approach in managing wounds was far from being optimal in our own setting. After having read the article of Sibbald et al (1) and assisting to presentations during the first residential week-end, our approach at St. Mary 's Hospital Center 's Family Medicine Clinic must change. We were not classifying wounds as healable, maintenance or non-healable. We were always considering the wounds in our practice as healable despite considering the system 's restraints or the patients ' preferences. In the following lines, I will define and summarize the methods one should use in order to initial management of wounds and how to integrate it better to our site. The first goal we need to set is to determine its ability to heal. In order to ascertain if a wound is healable, maintenance or a non-healable wound.
...ance in increasing the likelihood of a “good” scar. First, the placement of the sutures that will not leave permanent suture marks or the prompt removal of skin sutures so disfiguring “railroad track” do not transpire. In other words, eliminating the stitches may be more important tan placing them. The second important technical factor that affects the appearance of scars is wound-edge eversion. In wounds where the skin is brought accurately collected, there is a propensity for the wound to expand. In lesions where the verges are averted, or even hype reverted in an embellished manner, this tendency is reduced, possibly by reducing the tension on the cessation. In other words, the archetype lesion cessation may not be perfectly flat, but rather bulging with an apparent edge, to permit for subsequent dissemination of that wound. Wound-edge eversion always goes away.