Download Safety, Asepsis, Hygiene

Homeokinesis Lecture Safety
Lecture by:
Maggie Keil MNe, RN
Objective One: Factors That Affect Safety
• Taylor: Pages 506-508 Read On Your Own
Objective Two: Plan Of Care To Resolve
Environmental Hazards
• Taylor: Pages 508-525
Plan Of Care
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Assessing
Diagnosing
Implementing
Evaluating
Assessing
• Patient
• Specific Risk Factors
Assessing Patient
• Nursing History
• Physical Exam
• Accident-Prone Behavior
Assessing Specific Risk Factors
• Falls
Assessing Specific Risk Factors
Assessing Specific Risk Factors
Assessing Specific Risk Factors
Assessing Specific Risk Factors
• Fires
• Poisoning
• Suffocation and Choking
• Firearm Injuries
Diagnosing
• Risk For Injury
• Risk For Poisoning
• Risk For Suffocation
• Risk For Trauma
• Risk For Aspiration
• Risk For Disuse Syndrome
• Impaired Home Maintenance
Planning
• Identify unsafe situations in his or her environment
• Identify potential hazards in his or her environment
• Demonstrate safety measures to prevent falls and other accidents
• Establish safety priorities with family members or significant
others.
Implementing
• Teach To Prevent Accidents
• Orienting Person To Surroundings
• Preventing Hazards
• Documenting Hazards
Teach To Prevent Accidents
• Raise Safety Awareness and Knowledge
• Consider Developmental Level:
• Infants, Toddlers, Preschoolers
• School-Age Children
• Adolescents and Young Adult
• Adult
• Older Adult
Orient Person To Surroundings
• Hospital Environment
Preventing Hazards
Prevent Falls
Preventing Hazards
Prevent Falls
Preventing Hazards
Prevent Falls
Preventing Hazards
Prevent Falls
Preventing Hazards
• Prevent Poisoning
• Prevent Fire
• Prevent Suffocation
• Prevent Injury From Firearms
• Prevent Equipment Related Accidents
• Prevent Procedure-Related Accidents
• Prevent Occupational Hazards
• Prevent Noise Pollution
Documenting Hazards
• Filing Incident Reports
Evaluating
• Correctly identify real and potential unsafe environmental situations
• Implement safety measures in the environment
• Use available resources for safety information
• Incorporate accident prevention practices into ADL’s
• Remain free from injury
Homeokinesis Lecture
Asepsis
Lecture by:
Maggie Keil MNe, RN
Objective Three: Infection Control Principles
• Taylor: Pages 534-563
• Twiname and Boyd 309-317
Infection Prevention and Control
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Infection Cycle (Chain of Infection)
Stages Of Infection
Body’s Defense Against Infection
Factors Affecting the Risk for Infection
Nursing Process
Infection Cycle(Chain Of Infection)
• Definitions
• Infectious Agent
• Reservoir
• Portal of Exit
• Means of Transmission
• Portal of Entry
• Susceptible Host
Stages Of Infection
• Incubation Period
• Prodromal Stage
• Full Stage Of Illness
• Convalescent Period
Body’s Defense Against Infection
• Taylor: Page 537-Read On Your Own
Factors Affecting The Risk For Infection
• Taylor: Page 537-Read On Your Own
The Nursing Process
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Assessing
Diagnosing
Planning
Implementing
Evaluating
Assessing
• Immunization Status
• Previous or Recurring Infections
• Observe Nonverbal Cues
• History of Current Disease
• Signs and Symptoms of Localized or Systemic Infections
Assessing
Skin Integrity/Risk Appraisal
Assessing
• Laboratory Indicators of Infection
Diagnosing
• Risk For Infection
• Social Isolation
• Diversional Activity Deficit
• Risk For Loneliness
• Ineffective Coping
• Hoplessness
• Powerlessness
• Knowledge Deficit
Diagnosing
• Alteration In Nutrition
• Ineffective Protection
• Impaired Skin Integrity
• Altered Oral Mucous Membrane
• Risk For Altered Body Temperature
• Anxiety
• Fear
• Risk For Latex Allergy Response
Planning
• Demonstrate effective hand washing
• Identify the signs of an infection
• Maintain adequate nutritional intake
• Demonstrate proper disposal of soiled articles
• Use appropriate cleansing and disinfecting techniques
Planning (Continued)
• Demonstrate an awareness of the necessity of proper
immunizations
• Demonstrate stress-reduction techniques
• Verbalize an understanding of health risks associated with a
latex allergy
Implementing
• Teaching About Infection Control
• Using Medical Asepsis
• Using Isolation and Barrier Techniques for Infection Prevention
and Control
• Reporting An Accidental Exposure
• Using the Infection Control Nurse
Teaching About Infection Control
• Preventing Infection in Public Facilities
Teaching About Infection Control
Using Medical Asepsis
• Prevention of Nosocomial Infections
• Handwashing
Using Isolation And Barrier Control Techniques
• Standard Precautions
• Transmission-Based Precautions
• Special Situations
• Latex Allergy
• Meeting Needs of Pt’s In Isolation
Using Isolation And Barrier Control Techniques
• Standard Precautions
Using Isolation And Barrier Control Techniques
Using Isolation And Barrier Control Techniques
• Special Situations
• Latex Allergy
• Meeting Needs of Pt’s In Isolation
Reporting An Accidental Exposure
• Wash exposed area stat with soap and H20
• Report incident/Complete report
• Inform agency
• Consent to initial baseline blood test
• Consent to post exposure prophylaxis
• Await results
• Attend classes
Using An Infection Control Nurse
• Education
• Epidemiologic Investigation
• Quality Improvement
• Policy and Procedure Guidelines-OSHA
Evaluating
• Correctly use techniques of medical asepsis
• Identify health habits and lifestyle patterns that promote health
• State the signs and symptoms of an infection
Homeokinesis Lecture Hygiene
Lecture by:
Maggie Keil MNe, RN
Objective Four:Factors that influence hygienic
practice
• Taylor: Pages 844-847-Read On Your Own
Objective Five: Plan Of Care To Promote
Personal Hygiene
• Taylor: Pages 849-873
Plan Of Care
• Assessing
• Diagnosing
• Planning
• Implementing
• Evaluating
Assessing
Nursing History
Assessing
• Physical Assessment
Diagnosing
• Bathing/Hygiene Self-Care Deficit
• Pain
• Ineffective Individual Coping
• Altered Health Maintenance
• Knowledge Deficit
• Impaired Physical Mobility
• Altered Oral Mucous Membrane
Diagnosing (Continued)
• Risk For Infection
• Altered Sexuality Patterns
• Impaired Skin Integrity
• Risk For Impaired Skin Integrity
• Impaired Social Interaction
• Impaired Swallowing
• Impaired Tissue Integrity
Planning
• Verbalize feeling comfortable and clean
• Participate fully in necessary hygiene measures according to cognitive,
sensory, mobility, and endurance activities
• Maintain intact skin and mucous membranes
• Demonstrate correct skin care measures
• Demonstrate signs of healing in existing lesions
Implementation-Scheduled Hygienic Care
Implementing
• PRN Care
• Help With Bathing
• Assisting With Antiembolitic Stockings
• Applying Pneumatic Compression Stockings
• Back Massage
• Bedmaking
• Providing Environmental Care
• Teaching Pt’s about skin care
Implementing
Foot And Nail Care
Implementing
• Provide Oral Care
• Providing Hair Care
• Provide Eye, Ear, and Nose Care
Evaluating
• Level of Pt’s participation
• Achievement of expected outcomes of skin
problems/lesions/eliminating or reducing causative
factors/managing prescribed tx program
Have A Nice Day! Mrs. Keil