Monday, May 6, 2019
PERI OPERATIVE PROCEDURE CHANGE Essay Example | Topics and Well Written Essays - 1250 words
PERI OPERATIVE action CHANGE - Essay ExampleBesides, before an operation preoperative care should also be conducted to a patient of be get under ones unclothe it usually allows many patients to have better results after process. The preoperative care includes psychological and corporal preparation. Physical care preparations include studying and analyzing patient history the likes of anesthesia history. Thus, laboratory tests like electrolytes, CBC, activated partial thromboplastin time and prothrombin are done (Keele, 2011). Psychological preparations like state patient question before an operation usually decrease their anxiety. The perioperative procedure that will be analyze in this essay is the r out(a)ine shaving of surgical sites. Shaving of surgical sites is usually performed by sawbones assistant (Evans, 1998). The hospital administrator or chief surgeon determines the basis for practice after reviewing the patient history and approving the high hat procedure to be ex ecuted (Evans, 1998). The procedure is usually carried out by utilise depilatory creams, which dissolve the hairs-breadth, and it is usually a slower process as the scrape up has to be in contact with cream for 15-30 minutes. copper can also be removed by using clippers, with sharp edges to cut hair close to the patient skin leaving short stubble of some 0.04 inches long. Shaving is the most common method because it uses a sharp blade held within the head of the shave which is swapped over the patient skin to remove hair. Shaving, which is commonly used by many surgeons, has been implicated to cause higher risks of infections. Shaving result into microscopic cuts and abrasion, thus act as a block of the skins barrier defense against microorganism colonies (Hakim and Papalois, 2007). On the flip side, depilatory creams have a catastrophic disadvantage in that there could be an allergic reaction to the cream thus forcing nurses to conduct a patch test 24 hours prior to operatio n time thus leads to increased cost. The rationale for fashioning the decision usually lies to the operation team and factors like allergy and health record due to SSIs infections determines the best method to be employed (Hakim and Papalois, 2007). Besides, shaving of surgical sites before any operation is usually carried out in a specific manner to reduce the spread of SSI and avoid health catastrophe that a patient may suffer due to poor administration of safety procedure during shavings (Fisher et al, 2007). Preparation of surgery of years has included the removal of body hair form the intended surgical wound site. Hair is mainly removed as its presence can impede with the exposure of the incision and subsequent wound. Besides, hair is also alleged to be associated with lack of cleanliness thus hair removal has shown too led to step-down of surgical site infections. A surgical site infection (SSIs) contributes tremendously to surgical morbidity and deathrate every year. SSIs a ccounts for15% of all nosocomial infections experienced by patients after surgery. There are three types of SSIs be by Centers for Disease Control and Prevention and they include incisional or organ infection, which is further subdivided as frivolous (it mainly involves only the skin and subcutaneous tissue) and versus deep which infects the underlying soft tissue beneath the skin. near of the SSI cases, the pathogen source, is the native flora of the patients skin, mucous membranes or hallow viscera. When a patient skin is incised, the underlying skin tissue is uncovered to the
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