An Observational Study to Assess the Surgical Asepsis among Nurses Working in Narayana General Hospital, Nellore, Andhra Pradesh
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Background: Surgical asepsis refers to destruction of organisms before they enter the body, it is used in caring for open wounds and in surgical procedure. Surgical asepsis is the medical practice of maintaining sterility whenever dressing wound or performing any kind of surgery to prevent cross infection. Aseptic technique are used in infection control to prevent cross infection between health care worker and between patients. Aim: The aim of the study was to assess the level of knowledge and practice of staff nurses regarding surgical asepsis. Objectives: 1. To assess the practice regarding surgical asepsis. 2. To find an association between practice with socio demographic variables. Methodology: 100 staff nurses working in NMCH, Nellore were selected by using convenience sampling method. Results: Regarding the level of practice among staff nurses, 10(10%) of them had good practice 80(80%) of them had moderate practice and 10(10%) had poor practice.Keywords:
Asepsis
Nursing practice
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Resilience
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Thirteen years ago, in the clinic of Professor V.S. Gruzdev, under his supervision, I did work on one of the major issues of modern asepsis, namely, a comparative evaluation of the most common methods of hand disinfection. In this work, of course, I had to get acquainted with the doctrine of asepsis and antisepsis in its entirety, and at the same time I had to delve into the issues of surgical infection in general.
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It would seem that modern surgery based on asepsis is guaranteed against the possibility of introducing infection into the human body. However, observations show that with all the thoroughness of adherence to the principles of asepsis, a certain percentage of our "clean" operations are complicated by more or less extensive and deep suppuration, more or less significant introduction of infection into the tissues.
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The incorporation of aseptic technique into surgical practice can reduce the risk of nosocomial infections associated with surgery. The four principles of asepsis are: know what is sterile, know what is not sterile, keep these concepts separate, and remedy contamination immediately. This article details aseptic technique for operating room (OR) practice. As we progress with technology, it seems there is a desire to change these time-honored practices to fit the new world of surgical specialization. OR nurses must be proficient in critically reviewing studies and rationale before making changes in these practices.
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Aseptic processing
Operating room nursing
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Surgical wound
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BackgroundMaintaining the principles of asepsis when performing wound care and other invasive procedures is one of the fundamental approaches of preventing healthcare-acquired infection. Such an approach has been advocated for community practitioners.LiteratureThe performance of an aseptic technique is an under-researched area. The few studies that have been conducted have identified how strict adherence to the technique is difficult and contamination of hands/gloves is common and that community nurses often have a fatalistic view about whether asepsis is possible in a community setting.AimThe overall aim of this research project was to examine how experienced practitioners have adapted the aseptic technique within a community setting and to what extent the changed procedure still adhered to the principles of asepsis.MethodsThis study used a mixture of non-participant observation and individual semi-structured interviews to examine adherence to the principles of the aseptic technique among the district nurses. Data were collected from one Trust in England with a total of 10 district nurses taking part and 30 aseptic procedures been observed.ResultsThe results show that almost all of the staff understood the principles of asepsis and had adapted the standard procedure for use in a patient's home. Common challenges included wound cleaning using a single nurse procedure, the contents of the pack and the home environment. The research also identified misconceptions about clean versus aseptic procedures and a lack of training for staff.ConclusionsThis study highlights the challenges of maintaining the principles of asepsis in a home environment and the fact that district nurses are often relied upon to find creative solutions to such challenges. The study also highlights issues around the implementation of evidence-based practice and the need for clearer guidance about how evidence should be used alongside existing procedures.
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Objective To discuss the practical application and preventive rules of asepsis regulation in breast tumor resection.Methods 3181cases of breast tumor patient's data were collected in our hospital from 2007to 2009,the means and range of skin sterilization,the set of operation clothing piece,anaesthesia sterilization,transact of medical stuffs during operation were expatiated and analyzed.Results Due to strict asepsis regulation,the rate of non-infection increased to 99.97%of postoperative breast tumor patients.Conclusion The application of standard asepsis during breast tumor resection can play very effective rules in reducing postoperative infection.
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Sterilization
Breast tumor
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