How to Feed Patients Via NGT

FEED PATIENTS VIA NGT STANDAR OPERATING PROCEDURE DEFINITIONS Incorporating liquid food / drug via naso gastric tube GOALS Maintaining nutritional status Administration of drugs POLICY Patients who can not eat by mouth EMPLOYEE Nurse EQUIPMENT Boiled water Liquid food / medicine Funnel 5/10 cc syringe Tissue Perlak / pengalas Crooked Gloves PROCEDURE IMPLEMENTATION Phase Pra Interaction To verify the data previously when there Washing hands Placing the device near the patient correctly Phase Orientation Greet and say hello to the patient's name Describe the purpose and procedures of action on the family / patient Asking for consent and readiness of clients Work Phase Maintaining privacy Adjust the position of the patient in semi-Fowler position / Fowler (if no contraindications) Wearing gloves Installing pengalas on your chest Determine the position of NGT by aspiration of gastric contents installing funnel Entering boiled water, open the clamp, elevate 30 cm, before the expiry of the clamp back Incorporating liquid food, open clamps, elevating 30 cm, clamps back before it runs out Entering boiled water, open the clamp, elevate 30 cm, before the water runs out the clamps back Closing the end of NGT with syringe / clamps Clean the leftovers in patients tidying patients Phase Termination  To evaluate actions  Saying goodbye to the client Tidy tools  Washing hands  Noting the activities in the nursing record sheet

How to Take a Bath Patient in a Bed

HOW TO BATH A PATIENT IN A BED
STANDAR OPERATING PROCEDURE
DEFINITIONS	Clean the patient's body with clean water and soap
GOALS	Cleaning the skin and eliminate body odor Carry out personal hygiene Providing a sense of comfort
POLICY	Patients who need help bathing in bed
EMPLOYEE	Nurse
EQUIPMENT	1 sets of clean clothes The shower basin 2 pieces Hot and cold water Washcloth 2 pieces Perlak and small towels 1 piece Great towels 2 pieces Blanket bath / slipcover plastic apron An enclosed place for dirty clothes Bath soap Powder Clean gloves Bedpan / urinal and pengalas bottle cebok
PROCEDURE IMPLEMENTATION	Phase Pre Interaction To verify the client's treatment program Washing hands Placing the device near the patient correctly Phase Orientation A greeting as a therapeutic approach Describe the purpose and procedures of action on the client / family Asking the client's readiness before the activities carried out Work phase Maintaining privacy Washing hands Replacing the covers clients with a blanket bath Undress on clients washing face Waving a small perlak and a small towel under the head Offers patients using soap or not Cleansing the face, ears with a damp washcloth in the drain anaesthetized Scrolling perlak and towels wash ARM Lose belly client gets a bath blanket Installing a large towel over the chest transversely clients and clients both hands placed on the towel Moisten hands of the client with a washcloth to clean water, lathered, rinsed with warm water (do starting from the farthest extremity client) Wash CHEST AND STOMACH To undress under the client and lowered the blanket to the lower abdomen, hands placed over the head, unfurling a towel on the client side Wash armpits and chest and abdomen with a wet washcloth, lathered, rinsed with warm water and dried, then cover with a towel wash BACK Tilting the patient towards nurses Waving a towel behind the back to the buttocks Moisten the back until the buttocks with a washcloth, lathered, rinsed with warm water and dried Giving powder on the back Reverting to the supine position, and then help the patient to wear washing feet Issued a blanket feet of the patient from the bathroom properly Waving a towel under the leg, bending the knee Moisten the legs from the ankle to the groin, lathered, rinsed with clean water, then dried Do the same for the other foot Wash Fold THIGH AND GENITAL REGION Waving a towel under the buttocks, then opened the bottom blanket bath Moisten the groin and genital area with water, lathered, rinsed, then dried Lifting the towel, helped wear down clients Tidy up the client, replace the bath with a blanket bed blankets Phase Termination Evaluating the results of the action Saying goodbye to patients Clean up and return the device to its original place Washing hands Noting the activities in the nursing record sheet

How to Surgical Antiseptic Hand Washing

Definition

Hand washing is the act of cleaning one’s hands with the use of any liquid with or without soap for the purpose of removing dirt or microorganisms. It is the most effective measure in reducing the risk of transmitting infectious diseases. It cannot be said too often that hand washing is the most important and most basic technique in preventing and controlling infections. It is the single most effective infection control measure.

Hand washing is under the umbrella of hand hygiene. Hand hygiene is defined by the World Health Organization as a general term that applies to hand washing, antiseptic hand wash, antiseptic hand rub or surgical hand antisepsis.

Terms

To understand this study guide better, familiarize yourself with the terms used:

• Hand Hygiene. It is a general term that applies to hand washing, antiseptic hand wash, antiseptic hand rub, or surgical hand antisepsis
• Hand Washing. It is defined as the washing of hands with plain (i.e., non-antimicrobial) soap and water.
• Antiseptic Hand wash. A term that applies to hand washing with an antimicrobial soap and water.
• Surgical Hand Antisepsis. Commonly called as a surgical hand scrub. This is to remove as many microorganisms from the hands as possible before the sterile procedure.

Goals

The purposes of hand hygiene are:

• Hand washing can prevent infection
• Avoid pathogenic microorganisms and to avoid transmitting them
 

 

Equipment

The following materials or equipment are needed to perform hand washing:

• Soap or detergent
• Warm running water
• Paper towels
• Optional: Antiseptic cleaner, fingernail brush, plastic cuticle stick

 

Nursing Action (Procedures)

Surgical Antiseptic

Surgical Antiseptik Hand Washing

Also known as sterile technique, prevents contamination of an open wound, serves to isolate the operative area from the unsterile environment, and maintains a sterile field for surgery.
1. Remove all pieces of jewelry.
2. Wet hands using sterile water with water closest to your body temperature.
3. Wash hands using antimicrobial soap and/or povidone-iodine.
4. Clean subungual areas with a nail file.
5. Scrub each side of each finger, between the fingers, and the backs and fronts of the hands for at least 4 minutes.
6. Proceed to scrub the hands, keeping the hand higher than the arm at all times to prevent bacteria-laden soap and water from contaminating the hands.
7. Rinse hands and arms by passing them through the flowing water in one direction only, from fingertips to elbow.
8. Proceed to the operating room holding hands above elbows.
9. Dry hands and arms using sterile towel observing aseptic technique.

How to Antiseptic Hand Washing Used Hand Rub / Sanitizer

Definition

Hand washing is the act of cleaning one’s hands with the use of any liquid with or without soap for the purpose of removing dirt or microorganisms. It is the most effective measure in reducing the risk of transmitting infectious diseases. It cannot be said too often that hand washing is the most important and most basic technique in preventing and controlling infections. It is the single most effective infection control measure.
Hand washing is under the umbrella of hand hygiene. Hand hygiene is defined by the World Health Organization as a general term that applies to hand washing, antiseptic hand wash, antiseptic hand rub or surgical hand antisepsis.

Nursing Procedure: How to Antiseptic Hand Washing Used Hand Rub. Sumber gambar: widitaputra.files.wordpress.com

Terms

To understand this study guide better, familiarize yourself with the terms used:

• Hand Hygiene. It is a general term that applies to hand washing, antiseptic hand wash, antiseptic hand rub, or surgical hand antisepsis
• Hand Washing. It is defined as the washing of hands with plain (i.e., non-antimicrobial) soap and water.
• Antiseptic Hand wash. A term that applies to hand washing with an antimicrobial soap and water.
• Surgical Hand Antisepsis. Commonly called as a surgical hand scrub. This is to remove as many microorganisms from the hands as possible before the sterile procedure.

Goals

The purposes of hand hygiene are:

• Hand washing can prevent infection
• Avoid pathogenic microorganisms and to avoid transmitting them
 

 

Equipment

The following materials or equipment are needed to perform hand washing:

• Hand rub / hand sanitizer
• Paper towels
• Optional: Antiseptic cleaner, fingernail brush, plastic cuticle stick

 

Nursing Action (Procedures)

Antiseptic Handrub

The use of alcohol-based handrub.
1. Ensure jewellery has been removed
2. Apply quantity of alcohol-based hand hygiene product as per manufacturer’s recommendations into cupped hand.
3. Rub hands palm to palm
4. Right palm over left dorsum with interlaced fingers and vice versa.
5. Palm to palm with fingers interlaced
6. Backs of fingers to opposing palms with fingers interlaced
7. Rotational rubbing of left thumb clasped in right palm and vice versa
8. Rotational rubbing, backwards and forwards with clasped fingers of right hand in left
palm and vice versa
9. Rubbing hands together until hands are dry before continuing with patient care, do not rub off excess product

How to Fill Standard Operating Procedure (SOP)

How to Fill Standard Operating Procedure

How to Fill Standard Operating Procedure

Here is Standard Operating Procedure Format. See also to better understand the format SOP, how to fill SOP, steps are as follows:

a.         Box heading.

1.      Heading & box printed on each page

2.      Box Hospital named and logo Hospital (when the Hospital had a logo)

3.      SOP Title: given the title / name of the appropriate SOP process works, for example: medical consultation, kidney biopsy, Preparation surgery patients, medical consultations in the ER, and moved referral care, and more.

4.      Document Number: filled in accordance with the provisions in force numbering in the hospital. This is necessary so sisteatis and uniformity.

5.      The revision number: filled with revision status, can use letters or numbers. Examples of the use of letters: a new document by the letters A, I revised document by the letter B, and so on; Example of use of numbers: for the new document is numbered 00, the first revision of the document was given number 01, etc.

6.      Pages: filled with page numbers also include the total pages under SOP TSB. For example SOP with 5 pages à peratma page: 1/5; The second page 2/5, etc.

7.      The procedure remains by naming the appropriate conditions (terms) that are Hospitals used, for example, procedures, standard operating procedures, implementation guideline, working procedures, etc.

8.      Date of issue: given date according to the date of issue which must correspond to the date of enactment of the SOP

9.      Assigned Director: signature by the Director and clear name

10.  Box heading on the next pages may only contain: the name box Hospitals, SOP title, document number, revision number and pages

a.       The Contains of Standard Operating Procedure:

1.      Definition: contains explanations and or definitions of terms that may be difficult to understand or misunderstood

2.      Purpose (Goals): SOP contains specific implementation goals. Keywords: "As a reference implementation of measures to ……………..”

3.      Policy: The policy contains (RS or field / department) that is the basis and outline the SOP made. Can contain (related to) bbrp policies that underlie the SOP. There can also be the basis of some policies into SOP, so it is listed in several SOP "pedestrianized"

4.      Procedure: This section is the main part that outlines the operational measures to complete certain work processes, and staff / authorized personnel. In it can be noted tools / forms / facilities in use, time, frequency in the work process in use. Where possible, described in detail the elements related : (Who, what, where, when, how)

5.       Related units: units that contain relevant and or procedures involved in the work process