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2| Asepsis :check: (Asepsis techinque (Technique
:red_cross: (Surgeon
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2| Asepsis :check:
Asepsis techinque
Technique
:red_cross:
-
OT
- Air changes
- Filtered air
- Higher pressure
Patient :red_cross:
- Pre-Op wash/shave/drape
- Protect wound
- 1% iodine OR 0.5% CHX with 70% Alco
Ideal Antiseptic agent :red_cross:
- Rapid action
- Broad spectrum
- Safety
- Bind to stratum corneum
- Why is Iodine the best: Remove bacterial spores (C.Diff)
Cleaning
Definition :red_cross:
- Decontam: Make item reusable
- Clean: Remove organic matter but not micro-organ
- Disinfect: Reduces microbes till nonharmful level, kill except bacterial spores
- Sterilization: Frees of all living org
Methods :red_cross:
Decontam
- Physical (Steam/boil)
- Chemical (Glutareldehyde, Miltons)
Sterilization
- Autoclave
- Hot oven
- Irradiation
Drains :red_cross:
Indications:
- Prophylatic (Anticipate collection)
- Therapeutic (Pneumothorax)
Complications:
- Blockage
- Dislodge
- Infection
Care:
- Check for blockage
- Secure
- Protect skin
Bacteria
Transient:
- S. Aureus
- MRAS
Resident
- Coag -ve Staph
- Corneybacterium
- Acinetobacter
- Enterobacterium
- Neisseria
Wound
Classification by depth
Superficial: Subcu
Deep: Muscle/facsia
Organ Space: cavity
- Within 30days or 1yr if implant
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