Literature review
1) Authors: Dietmar , Rabussay & Denise ,M, Korniewicz
Title: The Risks and Challenges of Surgical Glove Failure
Source: Aoran Journal, 1997, 66(5): 871-876
Research Question or Hypothesis :
What is the relationship between using of same gloves for removal of more than one dirty dressing and the subsequent increasing infection rate in Women’s Surgical Ward?
Rabussay, D., & Korniewicz, D. M. (1997).Surgical Glove Failure- Part 2, Nurses as Inventers and Professional Collaboration, Aoran Journal , 66(5), 867-880.Print.
Gloving is one of the occupational health and safety standards which exhibit a strong relationship between infection control standards and gloving practices. The risk of a particular transmission depends on level of pathogen resistance to environmental influence and its evading abilities, mode of transmission and barrier effectiveness also plays a major role. Gloves are highly effective barriers against pathogens. Infection is sometimes spread from staff to patients, this result in rise of nosocomial infections. Transmission is the only factor that can be controlled by the staff. The use of gloves as a barrier of protection is unclear. Moreover, failure of gloving protocols leads to infection to occur. A use of glove in infection control is to prevent the spread of infections from patient to patient, is only considered effective when the provided gloves are changed and hands often cleaned. Gloving practices is viewed as an important part of infection control measures and can be an automatic habit as a result of constant practice. The authors as stated above identified that when a conscious thought is given to standardized gloving practices and choices and improvements available when deciding o...
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...e changed when indicated, that is, gloves are removed after caring for a patient an also when moving from a contaminated body site to a clean body site. Gloves need to be removed properly so that the hands are not contaminated in the process. Also WHO guidelines stated that nurses should wear gloves to protect themselves from acquiring infections from patients as well as to protect patients from acquiring microorganisms that may be on the hands of nurses. WHO also states that a health care worker should remove gloves after caring for a patient and not wear the same pair of gloves when caring for more than one patient. However, wearing gloves does not provide complete protection and also stated that wearing gloves does not take the place of hand hygiene. In addition to monitoring of glove usage should be incorporated in the routine hand hygiene skills and competency.
Gloves worn during treatment can also cause musculoskeletal disorders if they do not fit properly. Gloves that are too loose could cause the hygienist to lose control of instruments. Gloves that fit too tightly could cut of the hygienist’s blood circulation and cause pain in the muscles. Textured gloves are recommended for use because they increase grip strength of
A surgical technologist is an adventurous, inspiring, and active job to have, working under the bright lights, wearing masks, strong suction, sharp, shiny tools and most importantly seeing opened life on the operating table with many adventures to come in the operating room.
A study in Hong Kong also evaluates the use of double-gloving during surgery (Guo, 2012). This study fouses more on nurses instead of surgeons. They also focus more on glove perforation as opposed to sensitivity and dexterity. Guo states that “the purpose of our study was to assess the effectiveness of double-gloving in protecting perioperative nurses from having contact with patients’ blood and body fluids during surgery by comparing the frequency of glove perforation between single-gloving and double-gloving groups” (Guo, 2012).
There are several options available in reference to Karen’s use of contaminated gloves to access drawers, with varying degrees of ethical soundness. The first is to do nothing. If Karen is properly disinfecting and not contacting critical or semi-critical instruments, there is no reason to believe there is an infection risk to patients.
Yes, hand hygiene is necessary after removing gloves. Wearing gloves only reduces hand contamination by 70% to 80%, nothing is 100% so in order to have the least amount of infectious materials on your skin frequent hand washing is
Surgical Technicians are needed tremendously for a surgical procedure to run smoothly. For surgeries, hospitals and offices are staffed with a trained medical team ready to take action when they are needed too. The most important position beside the surgeon is, a Surgical Technician. ‘A Surgical Technician can be related to how they interact with a patient, how they prepare the tools and operating room for surgery, along with their ability to assist and react to the needs of a surgeon.”
“The CDC is the primary developer of national infection control and prevention guidelines, often in collaboration with its Healthcare Infection Control Practices Advisory Committee, which is responsible for research and dissemination of the latest information for preventing disease transmission” (Griffis, 2013, p. 175). Infection control will continue to be a topic of discussion as long as germ transmission is still happening. Among these studies is the concern the frequent nonadherence to contact precautions is a huge issue that many studies are still very concerned about (Jessee & Mion, 2013, p. 966). The writer is also concerned with the blatant disregard for hand hygiene that appears to be happening in the medical field. What about what is best for the patient. Do the people that do not use proper hand hygiene not understand how important it
He arrives off the plane from Africa, knowing the United States has the best prosthetics. He wheels in on his wheelchair, huffing and puffing, out of breath from all the pushing he has to do. He is hoping the United States will have the prosthetic he wants. He waits for the doctor to call him in his office. The doctor calls him in and then goes back to get the prosthetic. He waits anxiously for the doctor to come back with the finished product.
This literature review will analyze and critically explore four studies that have been conducted on hand hygiene compliance rates by Healthcare workers (HCWs). Firstly, it will look at compliance rates for HCWs in the intensive care units (ICU) and then explore the different factors that contribute to low hand hygiene compliance. Hospital Acquired infections (HAI) or Nosocomial Infections appear worldwide, affecting both developed and poor countries. HAIs represent a major source of morbidity and mortality, especially for patients in the ICU (Hugonnet, Perneger, & Pittet, 2002). Hand hygiene can be defined as any method that destroys or removes microorganisms on hands (Centers for Disease Control and Prevention, 2009). According to the World Health Organization (2002), a HAI can be defined as an infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission. The hands of HCWs transmit majority of the endemic infections. As
Safety is focused on reducing the chance of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals includes criteria such as using two forms of identification when caring for a patient to ensure the right patient is being treated, proper hand washing techniques to prevent nosocomial infections and reporting critical information promptly (Joint Commission, 2015). It is important that nurses follow standards and protocols intending to patients to decrease adverse
It is estimated that the cost of caring for people who contract a healthcare related infection is over 1 billion pounds a year (National Audit Office, 2009), which puts the emphasis on infection prevention and control into perspective. Hand hygiene has been highlighted as a key factor in reducing these incidences of infection and therefore reducing the costs to the NHS. Health care related infections can cause a range of symptoms from mild discomfort to serious, debilitating damage and even death. By reducing costs of avoidable infection, the money saved can be used in other areas of the NHS to improve the service for users and therefore improve the quality of life for many who are
Health and Human Services. Pincock, T., Bernstein, P., Warthman, S. & Holst, E. (2012). Bundling Hand Hygiene interventions and measurement to decrease healthcare-associated infections. American Journal Of Infection Control, pp. 113-117.
(2014) shed light on two key components for infection control, which includes protecting patients from acquiring infections and protecting health care workers from becoming infected (Curchoe et al., 2014). The techniques that are used to protect patients also provide protection for nurses and other health care workers alike. In order to prevent the spread of infections, it is important for health care workers to be meticulous and attentive when providing care to already vulnerable patients (Curchoe et al., 2014). If a health care worker is aware they may contaminate the surroundings of a patient, they must properly clean, disinfect, and sterilize any contaminated objects in order to reduce or eliminate microorganisms (Curchoe et al., 2014). It is also ideal to change gloves after contact with contaminated secretions and before leaving a patient’s room (Curchoe, 2014). Research suggests that due to standard precaution, gloves must be worn as a single-use item for each invasive procedure, contact with sterile sites, and non-intact skin or mucous membranes (Curchoe et al., 2014). Hence, it is critical that health care workers change gloves during any activity that has been assessed as carrying a risk of exposure to body substances, secretions, excretions, and blood (Curchoe et al.,
“Researchers in London estimate that if everyone routinely washed their hands, a million deaths a year could be prevented” (“Hygiene Fast Facts”, 2013, p. 1). Hands are the number one mode of transmission of pathogens. Hands are also vital in patient interaction, and therefore should be kept clean to protect the safety of patients and the person caring for the patient. Hand hygiene is imperative to professional nursing practice because it prevents the spread of pathogens, decreases chances of hospital-acquired infections, and promotes patient safety. There is a substantial amount of evidence that shows why hand hygiene is important in healthcare
Due to the fact that during a surgery you will be using your hands you must be very careful even if you are wearing safety equipment. Protective wear can help tremendously by eliminating any easy route of transmission of any viruses, or diseases etc. Through medical school it will be required that surgeons wear gear that will protect them. Always wear protective gear no matter how little the operation could be, surgeons will always be exposed to some kinds of bacteria which can be foreign to your own. According to Paul A. Ruggieri M.D.’s novel, “I love being a surgeon. I love being able to make a clear, tangible difference in the quality of a person’s life. Sometimes I even save a life. I am honored every time a patient comes to me, and I’m humbled at the trust that’s given.” Surgeons should have the same mindset as Dr. Ruggieri because making a difference in someone else 's life should be a huge priority. They should want to help someone with their problems. Surgeons leave a mark on other people’s life, and it should always be a positive one. The satisfaction knowing a surgery was performed on someone and treated their problems would feel