A surgical hand scrub is performed to remove dirt and microorganisms from hands and arms up to the elbows using soap, water, and friction in order to reduce the risk of transmitting infections to patients during surgery. The procedure involves washing with soap and water while scrubbing all surfaces of the hands and arms for 5-10 minutes, cleaning under nails, rinsing thoroughly, and drying hands from clean to less clean areas using sterile towels.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washing Steps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
Gowning and gloving technique Presented By Mohammed Haroon Rashid At Florence...Haroon Rashid
This Topic presented by Mohammed Haroon Rashid From Basic B.Sc Nursing Final Year students in Florence College of nursing Limtara dhamtari. This topic presented on workshop on the date 13 sep 2019.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washing Steps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
Gowning and gloving technique Presented By Mohammed Haroon Rashid At Florence...Haroon Rashid
This Topic presented by Mohammed Haroon Rashid From Basic B.Sc Nursing Final Year students in Florence College of nursing Limtara dhamtari. This topic presented on workshop on the date 13 sep 2019.
Urinary catheterisation is a procedure used to drain the bladder and collect urine, through a flexible tube called a catheter. Urinary catheters are usually inserted by doctors or nurses in hospital or the community
Tepid Sponge Bath lecture and procedure for First Year Level Nursing students during their Return Demonstration. This is taken from a procedure manual good for both students and instructor.
this ppt help to student for gainning information regarding the hand hygiene is important in our daily routine, in the health care sector along with the community sector which is use their daily routine patient care. & prevent the cross infection during care of patient, patient's family as were health care person.
Demonstration on Medical Hand Washing
Prepared By
Josfeena Bashir
Lecturer, BGSBU,Jammu
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Medical hand washing Steps of procedure
File the nails short, ensure the nails are free of nail polish.
Removal all jewellery and wrist watch.
Wet hands from wrist to fingertips under flowing water.
Keep hand and forearms lower than elbows during washing.
Contd…..
Place soap, preferably bacteriostatic, on hands and rub vigorously for 15 to 30 seconds, massing all skin areas, joints, fingernails, between fingers and so forth; slid ring up and down while rubbing fingers ( if unable to remove)
Rinse hands by holding the hands lower than the elbow so that water flows from arm to finger tips.
Dry hands with paper from towel, moving from fingers to wrist to forearm.
Conclusion
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms
Urinary catheterisation is a procedure used to drain the bladder and collect urine, through a flexible tube called a catheter. Urinary catheters are usually inserted by doctors or nurses in hospital or the community
Tepid Sponge Bath lecture and procedure for First Year Level Nursing students during their Return Demonstration. This is taken from a procedure manual good for both students and instructor.
this ppt help to student for gainning information regarding the hand hygiene is important in our daily routine, in the health care sector along with the community sector which is use their daily routine patient care. & prevent the cross infection during care of patient, patient's family as were health care person.
Demonstration on Medical Hand Washing
Prepared By
Josfeena Bashir
Lecturer, BGSBU,Jammu
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Medical hand washing Steps of procedure
File the nails short, ensure the nails are free of nail polish.
Removal all jewellery and wrist watch.
Wet hands from wrist to fingertips under flowing water.
Keep hand and forearms lower than elbows during washing.
Contd…..
Place soap, preferably bacteriostatic, on hands and rub vigorously for 15 to 30 seconds, massing all skin areas, joints, fingernails, between fingers and so forth; slid ring up and down while rubbing fingers ( if unable to remove)
Rinse hands by holding the hands lower than the elbow so that water flows from arm to finger tips.
Dry hands with paper from towel, moving from fingers to wrist to forearm.
Conclusion
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms
Hand washing is the single most effective way to prevent the spread of communicable diseases.
Any health-care worker, caregiver or person involved in patient care needs to be concerned about hand hygiene
Therefore hand hygiene concerns you!
You must perform hand hygiene to:
protect the patient against harmful germs carried on your hands or present on his/her own skin
protect yourself and the health-care environment from harmful germs
global hand washing day
steps of Hand washing:
“Hands should be washed before significant contact with any patient and after activities likely to cause contamination.”
Dickson Cv Akankwatsa is an ambitious 3rd year student at Bishop Stuart University, Uganda , pursuing a bachelor of Nursing science. More so, a HOSTEL councilor contestant 2016/17 in the same institution.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
1. PERFORMING A SURGICAL HAND SCRUB
Definition: Surgicalhandwashingis a procedure by whichdirtand microorganismare destroyed and
removed from handsand fingers by chemicalaction andmechanicalfriction.
Purposes:
To remove dirtand transient microorganisms from hands.
To reduce the risk of transmission of microorganisms to patients.
To reduce the risk of cross infection among patients.
To reduce the risk of transmission of infectious agents to oneself.
To preventiatrogenic infections.
Requirements:
Soap/antiseptic
Running water
Nail brush in antiseptic lotion
Towels (sterile)
Mask and cap
Nail pick
Procedure
Nursing action Rationale
Ensure thatall nails are short. Remove artificial
nails if any.
Shortnails are less likely to harbor
microorganisms, scratch the patientor puncture
gloves.
Remove nailpolish Nail polish harbors microorganisms
Inspecthands for abrasions, cuts, or open lesions. These conditions increaselikelihood of more
microorganisms residingon skin surfaces
Remove jewellery of any type Microorganisms accumulate in jewellery
After medical hand wash, wear cap and mask
Turn on water using knee/foot/elbow
Wet hands and arms under running lukewarm
water and lather with soap/detergentto 5CM
above the elbows (Hands need to be raised/held
Water flows from fingertips to elbows. Tips are
considered to be cleaner than the elbows.
2. above elbows atalltimes). Use firm circular
movements to wash palms, back of hands, wrists,
forearms and inter-digitalspaces for 20-25
seconds.
Rinse hands and arms thoroughlyunder running
water (remember to keep hands above elbows)
Rinsing removes transientbacteria from hands
Clean under nails of both hands with nailpick/nail
brush
Removes dirtand microorganisms
Scrub nails of each hands with 15 strokes using
antimicrobialagent
Holding the brush perpendicular scrubpalm, each
side of thumb and fingers and posterior side of
hand with 10 strokes each.
Scrubbing loosens residentbacteria thatadhereto
skin surfaces
Scrub from wristto 5CM above each elbowthatis
lower arm, upper forearm and antecubitalfossa to
marginalarea above elbows.
Scrubbing is performed from cleaner are to less
lean are (upper arms)
Entire scrub should lastfor 5-10minutes Scrubbing time can be lengthened according to
agency policy/accordingto the degree of
contamination of hands
Discard brush and rinse handfrom fingertips to
elbows.
Take care notto touch the tap or sides of the sink
during the procedure.
Taps and sides of sink are considered to be
contaminated
Use a sterile towelto dry one hand moving from
fingers to elbow. Dry from cleanestto leastclean
area.
Drying prevents facilitates donning/puttingon of
gloves.
Repeatdrying of the other hand usinga different
towel. Use one side to dry one hand and reverse
side for other hand, if only one towelis available.
Discard towel
Proceed with sterile gowning
