Application of work techniques on clinical and surgical
1. APPLICATION OF WORK TECHNIQUES ON
CLINICAL AND SURGICAL PROCEDURES:
والجراحية االكلينيكية االجراءات علي العمل اساليب تطبيق
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CLEAN النظيف
MAXIMAL BARRIER القصوي الحماية
ASEPCTIC للتلوث المانع
WORK
TECHNIQUES
2. WHAT ARE WORK TECHNIQUES?
Group of PRACTICES that should be followed before, during and
after the medical and surgical procedures and they aim at minimizing
the transmission of microbial infection to the patient and the HCW
during the medical services and also to protect the environment.
These techniques are followed with every medical intervention and the
type of hand wash and used PPE differs according to the procedure.
الجراح و الطبية االجراءات وبعد واثناء قبل تتبع ان يجب التي الممارسات من مجموعة هيية
ت اثناء العدوي من الخدمة مقدمي وحماية المريض الي العدوى انتقال تقليل الي تهدف التيقديم
البيئة حماية وايضا الطبية الخدمة.
ونوعي االيدي غسل طريقة وتختلف الطبية التدخالت جميع في األساليب هذه اتباع يتمةالواقيات
الطبي التدخل باختالف المطلوبة الشخصية.
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3. DONE BY AYA FAWZY
HAND WASHINSTRUMENTS
PPE
ROUTINE
ASEPTIC
SURGICAL
CLEAN
STERILE
STERILE
DISINFECTED
CLEAN
4. CLEAN TECHNIQUE
النظيف األسلوب
INTACT SKIN or MUCUS MEMBRANE WITHOUT
PENETRATION to the tissues before or after the measure.
وهوالتعامل او والنبض الضغط كقياس السليم الجلد على الطبيه االجراءات في يتبعالغشاء مع
االغشي سالمه على تحافظ والتي اختراق دون التشخيصيه كالمناظير السليم المخاطيقبل ه
سليمة االجراء وبعد واثناء.
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6. ASEPTIC TECHNIQUE:
Applied BEFORE, DURING AND AFTER LOW&
INTERMEDIATE RISK PENETRATIVE
PROCEDURES THAT DON’T REQUIRE
CONTROLLED AREA (outside the operating
room). Also followed when dealing with INJURED
SKIN OR MUCUS MEMBRANE or MEDICATION
PREPRATION
Requires ASEPTIC HAND WASH AND STERILE
INSTRUMENTS with OTHER SUITABLE
PROTECTIVE EQUIPMENT.
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8. MAXIMAL BARRIER TECHNIQUE
(SURGICAL TECHNIQUE):
القصوي الحماية أسلوب(الجراحي األسلوب)
Applied with HIGH RISK PENETRATIVE
PROCEDURES THAT REQUIRE SPECIFIC
CONTROLLED AREA (as operating room) OR
WHEN DEALING WITH
IMMUNOSUPPRESSED PATIENTS (NICU
patients).
Requires SURGICAL HAND WASH, STERILE
PPE, STERILE INSTRUMENTS AND STERILE
FIELD
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10. As a general rule the choice of work technique depends on the
RISK ASSESSMENT OF THE PROCEDURE TO BE DONE. The
riskier the procedure the more the need to the maximal barrier
technique, the less risky the procedure the more appropriate to
follow the clean technique
علي يعتمد المناسب االسلوب اختيار عامة كقاعدةالمراد لالجراء المخاطر تقييم
تنفيذه.كلماالمعق االسلوب استخدام الي ملحة الحاجة كان كلما االجراء خطورة زادتم
ف النظيف باالسلوب االكتفاء الممكن من كان كلما خطورة اقل الطبي االجراء كان وكلماقط.
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11. Is the procedure deep or
superficial?
Is the procedure simple or
complicated?
Does the procedure consume
little or much time?
Does the procedure require
dedicated place or not?
Patient immunity?
سطحي؟ أم عميق اإلجراء هل
أم طويل وقت يستغرق اإلجراء هل
ال؟
بسيط؟ أم معقد اإلجراء هل
أم مخصص مكان يستلزم اإلجراء هل
ال؟
المريض؟؟ مناعة
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13. MAIN STEPS TO FOLLOW THE DIFFERENT
WORK TECHNIQUES:
HAND WASH or DISINFECTION.
PPE.
Preparation of intervention site.
Keep the used items uncontaminated (medication, Liquids, instruments)
by preventing their exposure to the unsterile surfaces and preventing
their reuse if they are single use.
Complete separation between working and storage areas, complete
separation between the clean and contaminated items in the working
area and between the clean and contaminated storage area. And
performing every procedure in a suitable environment.
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16. NON TOUCH TECHNIQUE:
DON’T TOUCH THE INSERTION SITE after disinfecting
it.
DON’T TOUCH ANY OF THE SURROUNDING
SURFACES after hand wash or disinfection.
All the connections and tubes SHOULD BE EXPOSED
ONLY TO THE DISINFECTED HAND that will use them.
NEVER TOUCH THE ENTRANCE OF THE MEDICINE
BOTTLE AFTER IT’S DISINFECTED before inserting the
syringe.
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28. الكانيوال تغيير
كل-72العادى فى ساعه
التفشى دراسة فترة فى يومى
تغييرو الكانيوالالوريد جهازفوراكل
دم نقل
كل24غذاء العطاء ساعه
كل8عبارة الغذاء كان اذا ساعات
دهون عن
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CHANGING CANNULA
Every 72 hours in normal cases.
Daily in case of surveillance
IV set should be changed with
every blood transfusion.
Every 24 hours in case of dietary
materials.
Every 8 hours if the diet contains
fats.
29. FOLLOW UP OF IV SYSTEM
العالج نظام متابعةالوريدي
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59. NOTES:
Use a sterile gel (single use back is preferred).
The insertion site and the catheter must not be touched after
disinfected unless with sterile gloves.
The urine bag should never be disconnected from the catheter
for any reasons (evacuation or taking samples).
The urine bag shouldn’t be placed on the floor or in a higher
level to the patient.
Avoid using a prophylactic antibiotic (topical or systemic) to
prevent the CAUTI.
The urine bag must be completely evacuated to prevent any
microbial activity in the residual urine.
It’s not recommended to use antiseptics to wash the bladder or
to use a prophylactic antibiotic at the catheter fixation.
It’s not necessary to disinfect the urethra (after catheter
fixation) as a prophylactic procedure to prevent CAUTI. DONE BY AYA FAWZY