Minggu, 01 Januari 2017

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











Rabu, 28 Desember 2016

Steps in the Preparation of Standard Operating Procedure (SOP)



Standard Operating Procedure (SOP)

Steps in the preparation of Standard Operating Procedures (SOP)
A.    SOP Writing
In the making of SOP need their steps by steps in preparing the SOP, so as not to confuse and clear. Standard Operating Procedure (SOP) can be said to be good if all that is written therein can be read and understood by everyone who uses it. Therefore, we need a correct way in making the Standard Operating Procedure. Here's an effective way of making the Standard Operating Procedure:
1.      Write down every stage of the process in a procedure in which a short sentence. Long sentences is more difficult to understand.
2.      Write down each stage of the procedure in the form of imperative sentences. Sentence command shows directly what to do.
3.      Communicating clearly every word that is used in a procedure.
4.      Using the term of terms or abbreviations that are already commonly used in daily activities.
Making the Standard Operating Procedure should be as consistent and that the parties use to be familiar and easy to understand Standard Operating Procedure in question. Following the arrangement of the contents of the Standard Operating Procedure (Tricker, 2005):
1.      Document Data Sheet
Contains all the information that represents the document itself include the name of the document, who whice made, when the document is approved, who approved, a summary of the contents of the document, etc.
2.      Purpose and Scope of Standard Operating Procedure
Contains the purpose of the explanation and the reasons why the procedure is needed as well as an explanation of limitations and procedures established discussion area.
3.      Procedure
The procedure is the main part of the document. The procedure created a picture of something that explains the details of each order process. Form used in the process are also described.
4.      Duties and responsibilities
Contains the duties and responsibilities of each party involved in a process.
            Before the manufacture of SOP there are some things that should dipriotaskan in the preparation of SOP, and make choices work processes, needs to be reviewed the following issues:
1.      How do the effects, positive or negative affect on patient care.
2.      How can the impact of the creation of the problem on staff / officers.
3.      Is the work process creates waste, a matter of time, the need for new equipment, repetition of work.
4.      Other specific potential impacts to the Hospital.
So these things can have SOP determined by priorities.
B.     The principle of writing Standard Operating Procedure (SOP)
1.      Assign, the underlying policy review procedures / work process.
2.      Consider the procedure is a thorough procedure or consisting of a collection of several smaller procedures (especially when the procedure is quite long, broken, for example: Preparation Stage, Stage Initial Activity, Final Stage, Stage Evaluation, etc.).
3.      When was SOP created, might be better before anything new work processes implemented.
4.      Search literature and other relevant information that supports these procedures.
5.      Search input from staff / officers concerned to not be too authoritarian
6.      Set the procedure is required or as a guide. If required, it should be clear that the Standar Operating Procedure (SOP) must be done with no other steps. If as a guide, then there is an opportunity to move all or part of an alternative.
7.      Set the results (outcomes) expected.
8.      Write down the facilities required.
9.      Define who is authorized to carry out such procedures.
10.  Steps compiled based on logic, to complete the work processes effectively, efficiently, and safely.
11.   SOP numbering system to be made as an organized and independent.
12.   Socialize (SOP) Standard Operating Procedure
13.   SOP revisions carried out according to the needs of development: science, other information, changes in unit / structure.

C.     Who should write SOP
A person or group of SOP let makers have this level of knowledge is more accurate and never experienced these jobs. As the officer who will carry out the work process, the officer who will carry out the maintenance of the tools used in the work process, the authors who have a regular writing SOP, Environmental Health officer / K3 / Nosocomial Infection. Had Record SOP close to work, description of the procedure will be more communicative, efficient, effective and in accordance with the needs of the workplace. Many procedures are not designed and developed accurately and scientifically. Testing methods can be used, among others, the ISO standard method; and of some operations ISO standards can be used in the manufacture of SOP.
D.    SOP is a product of the Law
SOP should be believed as an agreement made in a government agency rule, decree, Memo which is juridically valid. In other words, an SOP that is going to be used must first be made SKnya terlibih. This is important, because the SOP is a legal product, or at least an internal technical guidelines in these institutions. Denial of the SOP may be a violation of the law and can be prosecuted, to assess denial need menusuri or identify the implementation of the SOP and to prove, for example: a police detachment of 88 shot dead a terrorist, without any warning, this is a procedural mistake, the police can be prosecuted ; A research student implement data retrieval without consent thesis supervisor, also a violation of the procedure, and can be sanctioned.
3.12        Evaluation
  • Objective: to civilize internal audit
  • The evaluation was conducted
o   Periodically, once a maximum of 3 years
o   As needed to implement the SOP
  • Set implementing evaluation
  • Create permanent procedures SOP evaluation procedure
  • Develop the format / check list evaluation
  • Evaluation result

The Influence of Hospital and Clinic Standard Operating Procedure (SOP)



The Influence of Hospital and Clinic Standard Operating Procedure

The influence of Hospital Standard Operating Procedure
In Kepmenkes No. 004 of 2003 on policies and strategies for health sector decentralization mentioned one strategic goal is the effort to reorganize health management in a decentralized environment. One key step in that goal is to develop sub-system maintenance and optimization of utilization of facilities and medical equipment.
And in a key step 28 Kepmenkes mentioned above stated that the successful implementation of health care in a hospital or care facility can be achieved when the available operational and maintenance costs of the means of adequate health and for it to be prepared technical guidelines and standard operational procedure (SOP) on maintenance and optimizing the utilization of hospital facilities and medical devices. (MOH, 2003).
Improvement of efficiency and effectiveness can be done in several ways, among others, the existence of a guideline or a Standard Operational Procedure (SOP) for example, in terms of maintenance and utilization of health facilities and health equipment, calibration and routine maintenance, training technicians and equipment operators, socialization SOP on the whole user unit facilities and medical equipment in hospitals concerned and the availability of spare parts.
Planning procurement of facilities and medical equipment according to the needs of mature both in terms of providers and consumers will enhance optimal utilization. Conversely, if the administration of the hospital is not in accordance with the standards that have been set, will cause great loss to the patients, visitors, and even hospitals.

The type and scope of Hospital Standard Operating Procedure (SOP)


Hospital Standard Operating Procedure

The type and scope of Hospital Standard Operating Procedure (SOP):
1.      SOP professional services: in this case there are two groups.
a.       SOP for the scientific aspect is the SOP regarding work processes for diagnostics and therapy, include:
·         Medical services, including: Committee on Medical / Pharmaceutical, Inpatient, Outpatient, Emergency Services, ICCU / ICU, Surgery rooms etc. Example: SOP for diagnostics / therapy
·         Supporting facilities include: Laboratory, Radiology, Rehabilitation Medical, Pharmacy, etc. Example: SOP examination (technical) Laboratory
·         Nursing services. Example: SOP / Standard nursing care, patient preparation SOP Operationsi
b.      SOP for the managerial aspect is SOP. SOP work processes that support scientific and non-scientific patient care.
      Example: Keep your doctor procedure room, Medical Consultation Procedure
2.      SOP administration ordinances regulate the activities of the organization including the relationship between work units and activities - activities non-medical.
SOP administration include:
a.       Planning programs / activities
b.      Financial
c.       Equipment
d.      Employment
e.       Reporting
Example: Patient Registration Procedures

The forms of Standard Operating Procedur (SOP)


The forms of Standard Operating Procedure :
The forms of Standard Operating Procedure there are :

  1. Simple Steps : does not contain much detail. This SOP typically used for working procedures that are less than 10 steps.
  2. Hierarchical Steps : Users can choose the format SOP steps you want them to do, beginners can learn the details of the steps that will help them learn the procedure.
  3. Graphic Procedures : This chart divides the long process into several sub-processes. Workers can learn to do several short process easier than a long procedure. Typically, this SOP format accompanied by diagrams or pictures. Used if the process that was written more than 10 steps.
  4. Flow Chart : Is a simple chart that explains step - a step in the decision-making process. Flowchart using a symbol - a symbol that represents an action.