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Surgical Procedures - Week 01

FTC - SUPER MA PROGRAM
by

Engers Fernandez

on 25 June 2015

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Transcript of Surgical Procedures - Week 01

Dr. Engers Fernandez
Surgical Procedures
INTRODUCTION
KEY TO SUCCESS A - Z
Preparation
Success Kit
-Syllabus
-Freedom Checks
-Review Support
-Prezi App Account
-Competencies Folders
Ready!
-In the room before we start (every time)
-Read before and after class
-Dress for the occasion
-Team work (we all lead - we all follow)
Syllabus
GOLDEN RUL
E
NEVER CRITIC - COMPLAIN - CONDEMN
Chapter 34
Infection Control
Microbiology
Study of living organisms that cannot be seen with the naked eye (Microorganism)
Bacteriology
Pathogens
Infection
Affect - Contaminate
=
Skin
Gastrointestinal Tract
Mucus Membrane
Lymphatic System
Blood
Antigen
Immunity
A toxin or other foreign substance that induces an immune response in the body, esp. the production of antibodies
A blood protein produced in response to and counteracting a specific antigen.
Antibody
Inflammation
A localized physical condition in which part of the body becomes reddened, swollen, hot, and often painful, esp. as a reaction to injury
Keep your body healthy!
-Proper nutrition
-Proper rest
Asepsis
the state of being free from germs, infections and any of microbial life.
Cardinal Signs
-Redness
-Heat
-Swelling
-Pain
Day 1
Day 2
Remove jewelry
Stand at sink without allowing clothing to touch sink
Turn on warm water with foot or knee pedal or faucet, using a paper towel
Wet hands and place 1 teaspoon liquid soap into palm (or lather with bar soap); lather using a circular motion and friction
Keep hands pointed down below elbow level for the entire process
Steps to Proper Hand Washing
Use nail cleaner to clean under fingernails
Rinse hands with fingers pointed down
If hands are heavily soiled, reapply soap and wash them again
Dry with paper towel and discard
Use clean towel to turn off the faucet if knee pedal is not available
Steps to Proper Hand Washing
34 - 2 Performing Hand Washing
34 - 3 Applying and Removing Gloves
34 - 4 Isolation Techniques
Sanitizing Instruments
(Disinfection)
Wrapping and Labeling Instrument for Autoclave
-Remove jewelry
-Stand at sink without allowing clothing to touch sink
-Turn on warm water with foot or knee pedal or faucet, using a paper towel
-Wet hands and place 1 teaspoon liquid soap into palm (or lather with bar soap); lather using a circular motion and friction
-Keep hands pointed down below elbow level for the entire process
-Use nail cleaner to clean under fingernails
-Rinse hands with fingers pointed down
-If hands are heavily soiled, reapply soap and wash them again
-Dry with paper towel and discard
-Use clean towel to turn off the faucet if knee pedal is not available
-Perform hand hygiene
-Choose the appropriate size gloves for your hands
-Hold a glove at the wrist opening and insert fingers, pulling the glove up to wrist
-Apply the second glove in the same manner, checking for holes and other flaws
-If any flaws are found, discard the gloves and obtain new gloves
-Grasp the glove covering your nondominant hand at the palm and pull it away
-Pull the glove off and hold it in the palm of the gloved dominant hand
-While holding the soiled glove in your gloved hand, slide the index finger of the ungloved hand below the cuff of the remaining glove and peel it down, inverting it over the first glove – Both gloves will be in a ball and inside out.
-Dispose of the gloves in a biohazard container
-Perform hand hygiene
-Review orders and agency protocols regarding isolation procedures
-Assemble the necessary equipment that is appropriate for the type of protection required
-Remove lab coat and jewelry
-Perform hand hygiene
-Apply the appropriate disposable apparel
-Apply the cap to cover hair and ears completely
Apply the gown over outer garments as follows:

-
Hold the gown in front of the body and place arms through the sleeves
-Pull the sleeves on, covering the wrists
-Tie the gown securely at the neck and the waist

Apply the mask by:
-Placing the top of mask over the bridge of the nose and pinch the metal strip to secure a snug fit on the nose, tying it if needed
Putting on An Isolation Gown
-Disposable gloves
-Rubber gloves
-Plastic brush
-Towel
-Sink with running water
-Container to hold instruments
-Low-sudsing (low-pH) detergent or germicidal agent
-Apply both disposable and rubber gloves
-Place a low-sudsing detergent or germicidal agent in a large container with water
-Rinse instruments in clear water in either sink or container
-Delicate or sharp instruments should be separated from the rest
-Scrub each instrument individually with brush and detergent under running water
-Open instruments to thoroughly scrub all serrated edges and hinge areas-Rinse instruments thoroughly under hot water
Sterilizing Instruments in Autoclave
Autoclaves are used for sterilization
Autoclaves cause organisms to explode, thus killing them
Types:
Steam under pressure
Dry heat (320º F for 1 hour)
Dry gas
Radiation
Autoclaves must be cleaned before use
DAY 4
Needle Holder
Staple Remover
Tissue Forceps
Hemostatic Forceps
Surgical Scissors
Golden Rule!
Never critic - complaint or condemn
Microbiology
Study living organism that cannot be seen by the naked eye.
Mycology
Study of the fungi
Types of Microorganism
Bacteria
Viruses
Protozoa
Fungi
Parasites
Pathogen
microorganism that can cause disease.
Infection
Invasion
Multiplication
Incubation period
Prodromal period
Acute period
Recovery period
the state of being contaminated
Infection 6 Stages
During which stage disease develops, but symptoms are not present?
Incubation
What is an antigen?
A toxin or any other foreign substance that induce the immune system.
Inflammation Cardinal Signs
-Redness
-Heat
-Swelling
-Pain
Asepsis
the state of being free of any microbial life.
2 types of Asepsis
Medical and Surgical
Which one destroy organism before they get to the body?
Surgical
A method used in infection control
that treats all human body fluids as infected
is known as?
Universal Precautions
Perform a Hand washing procedure for 2 points!
NEW TOOLS!
Mycology
Protozoology
Virology
If instruments cannot be cleaned immediately, soak them in a water and bleach solvent solution – Then, begin again with step 1 when ready to wash
-After thoroughly rinsing cleaned instruments, roll them in a towel to dry
-Check the condition of all instruments for defects or remaining soil
Day 3
Standard Precautions apply to:
Blood
All body fluids, for example:
Amniotic fluid
Tissue specimens
Pericardial fluid
Non-intact skin
Mucous membranes
Standard Precautions:
A Summary
Employees
Must follow universal precautions to impede contact with infectious material
Must consider all body fluids contagious If unable to differentiate between body fluids
All blood and infectious material must be handled with precautions such as gloves, mask, gowns, and workplace controls to limit exposure
Requirements of Bloodborne Pathogen Standards
Universal Precautions
Standard precautions combine the major features of universal precautions and body substance isolation precautions into one set of recommendations.
Standard Precautions
Recovery period -
symptoms begin to subside
Acute period -
symptoms are most severe
Prodromal period -
mild symptoms appear; disease is very contagious
Incubation period -
disease develops, but symptoms are not present
Multiplication -
pathogen multiplies
Invasion
-
pathogen enters body
microorganism that can cause disease.
Parasites
Fungi
Protozoa
Viruses
Bacterias
Levels to study the human body
Medical asepsis
The destruction of organisms after they got inside the body.

Surgical asepsis
The practice of creating and maintaining a sterile environment in which organisms are destroyed before entering the body.
Microorganism are
Ubiquitous
A method used in infection control that treats all human blood and body fluids as if infected with high risk diseases such as HIV or hepatitis B
Bloodborne pathogens such as staph, strep, and malaria can also cause disease
Disposal of Infectious Waste
Discard only infectious waste in the infectious containers.
Contain liquid in A NON-permeable bag.
Close the red bag correctly, tying it securely close.
immunity to disease that occurs as part of an individual's natural biologic makeup
immunity to a particular disease that is not innate but has been acquired during life; immunity can be acquired by the development of antibodies after an attack of an infectious disease or by a pregnant mother passing antibodies through the placenta to a fetus or by vaccination
Full transcript