How many really use STERILE technique? - page 4
I am having problems passing my sterile technique in lab. I want to know how often you use sterile technique to change a surgical dressing? I have done dressing changes and NEVER used sterile... Read More
Mar 2, '06Occupation: At the moment just getting through this nursing program. Joined: Jun '05; Posts: 51; Likes: 11I'm a first semester nursing student and we had to do a return demonstration of a sterile dressing change today. Though nervous I knew what I was doing. I made it as far as opening up my sterile drape and the instructor flunked me. Seems in my concentration of opening up the dressing and placing it on the night stand a corner of my drape touched the bedspread. I asked if I could start again and she told me no. I said so I flunked and she said yup. Now I have to go back in next week at 8am to try again and then take my midterm at 9:30. Talk about STRESS!!!!
Mar 2, '06Occupation: Trauma ICU, MSN-NP student Joined: Jan '06; Posts: 3I have encountered many incidents where I would complete a "sterile" dressing on major wounds during my shift - and then during "rounds" residents would come in the patients room and completely remove and redress the wounds in "clean" technique. I asked them - what is the rationale for using "clean versus sterile" and they replied that based on evidence - clean is adequate enough. So I researched all over to find "evidence based" information on this topic. I found several studies indicating clean using aseptic technique is the proper way. Of course along the same line of cost effectiveness - since we are known to waste in impatient settings. I found this article - and would like to share although it is dated 2000. Obvious there is still not enough studies on this topic. I agree in one sense in this article that in Nursing School - we are drilled in our heads "sterile, sterile, sterile" - but on the flip side, wheres the evidence?
However completely disagree with use of tap water!!!
http://www.wocn.org/publications/posstate/pdf/clvst.pdfLast edit by ^Ash^ on Mar 4, '06
Mar 2, '06Occupation: NICU Nurse Specialty: NICU ; From: CA, US ; Joined: Oct '04; Posts: 611; Likes: 45When I have to do something sterile in clinical, I always bring extras, that way if I accidentally contaminate my gloves or something, it's not a huge deal to remove them and don a new pair of sterile gloves.
Glad you passed
Mar 2, '06Joined: Apr '00; Posts: 24,611; Likes: 35,449congratulations k wagner!! way to go!!!
and i agree with a couple of other posters-i have encountered too many md's who do not appreciate the art of sterile technique. downright scary and ignorant, if you ask me. and i'm talking about some mighty remarkable wounds. i just don't understand what they're thinking.....or not.
Mar 2, '06Joined: Apr '02; Posts: 38,763; Likes: 16,343IF it's a sterile procedure, I feel it's imperative to use absolutely sterile technique. It takes practice, but it's important to learn.
Mar 3, '06Occupation: RN LTC From: US ; Joined: Jan '03; Posts: 3,760; Likes: 1,820Hmmm. In ltc clean technique is mostly used with dressing changes.
Of course, cathing and IVs are still sterile.
Mar 3, '06Joined: Jun '05; Posts: 282; Likes: 41Quote from kwagner_51I was a certified surgical tech before I was an RN; I use sterile technique because it is necessary to protect the health of my patient, and because after 15 years, it is a reflexive habit. For some dressings, clean technique will do; but for other dressings, for central line dressing changes and such you have to use sterile technique-or if you are assisting a central line, A-Line, etc., placement-you need to know sterile technique. It is a necessary nursing skill-just keep practicing, and don't think "oh why bother, this isn't really important" because one day it will be. Track down someone you think has good skills,a nd ask them for pointers-or just watch people when you can. What can't you "get right"? Good luck!I am having problems passing my sterile technique in lab. I want to know how often you use sterile technique to change a surgical dressing?
I have done dressing changes and NEVER used sterile technique!! I understand the importance of using sterile technique in urinary cath.
I realize that it is a required skill but I just can't seem to get it right!!
Thanks for your input!!
Mar 4, '06Occupation: RN Specialty: Neuro ICU, Neuro/Trauma stepdown ; Joined: Oct '05; Posts: 525; Likes: 54i get that you set up first and remove the old dressing with clean gloves, but i'm not sure about cleansing the site....this is what i think...
don sterile gloves, clean site, remove gloves (now dirty) put on second pair sterile gloves, dress wound...
is that right, or do you clean and dress with the same pair of gloves?
Feb 16, '08Joined: Oct '06; Posts: 35; Likes: 20Elbows in, don't reach, go around. Picture the sterile field going upward like a box with glass sides. Practice doing this first in your head, then laying things out, and doing it from start to finish.
Feb 16, '08Occupation: Lvn, for a registry Specialty: 10 year(s) of experience in psych. ; Joined: Feb '08; Posts: 165; Likes: 24I hope this is related to this thread. But how many health care workers that are understaffed in haste to complete their assignment, take short cuts in practising aseptic techniche..How many wash glove, and wash again 100% of the time, without ever taking a short cut? If you have never taken a short cut on accepted practises of aseptic technique..please post. Have you ever worked for a facility that doesnt stock your size of glove, and you have to get by with one that tears.. Or with a facility that lets soap container run out of hand soap frequently....I think in the real world...there are frequent violations of the principle of asepsis for various reasons.
Some what unrelated, I go to big fast food chain, they have a steam hand cleaner but no paper towels.. Another customer who didnt hand wash touches the door handle that others have to touch, you just washed your hands, now you touched that handle....how aseptic is that. The same could apply at a hospital facillity you wash..but then if you have to touch other handles others have contaminated.
Jan 13, '10Joined: Nov '06; Posts: 173; Likes: 126Quote from sodiumH20taffyI've had difficulty with sterile technique myself, and when you say the sterile field is like a box with glass sides it really clicked in my mind, thank you!!!Elbows in, don't reach, go around. Picture the sterile field going upward like a box with glass sides. Practice doing this first in your head, then laying things out, and doing it from start to finish.