Clean surfaces using soap and water, then use disinfectant. 2006 Spring;14(1):25-7. doi: 10.1177/229255030601400110. You are never going to risk the client's health by providing sterile wound care. : September-October 2008 - Volume 6 - Issue 5 - p 30-31. 5. Disinfecting kills germs on surfaces. To present an update on the status of information about clean versus sterile dressing technique to manage chronic wounds. Aspect Aseptic Technique Clean Technique. as involving the use of a clean procedure field, clean gloves, with sterile supplies, and with avoidance of direct contamination of materials and supplies.1 This short definition is simple and essentially covers the bases but raises some questions, particularly for home health care. Upon entering nursing school, I realised that in order to be an effective nurse, one must continually question and develop clinical skills that contribute to a better patient outcome. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. The ineffective cleaning of IV ports, ine… "Sterile" has another set of standards which includes donning and using sterile gloves, working within a determined sterile field, and regloving (or possibly starting over) whenever those standards are broken. Thank goodness for clean gloves (and may there be plenty of them). The views and opinions expressed in this blog are solely those of the author, and do not represent the views of WoundSource, Kestrel Health Information, Inc., its affiliates, or subsidiary companies. Please enable it to take advantage of the complete set of features! In the home setting, clean technique is recommended because individu-als are exposed to bacterial organisms that do not routinely cause them to have infections. I arrived and did the patient's assessment. Basic wound cleaning step by step. Assess the patient ability for self care. Clinical nursing skills and techniques: Browse our article database below to find great tips and tutorials for a variety of nursing skills such as giving an injection, putting on sterile gloves, catheter insertion, and much more. During nursing training, we were taught to treat all open wounds to sterile technique FULL STOP. In this particular home, I had plenty of space and a reasonably sized area for open supplies, but that is not usually the case. Clean rather than sterile gauze may be used for cleaning the wound, and a dressing that is cut in half may be kept for the next dressing change. © 2008-2020 Kestrel Health Information, Inc. All rights reserved. Can J Plast Surg. Clinical experiences in accident surgery (author's transl)]. This site needs JavaScript to work properly. A gauze loaf once open cannot be considered sterile, and, although cleaning with it may be acceptable, is it okay to use as a primary dressing filler? The non-touch technique is incorporated as part of a clean … Wound, Ostomy and Continence Nurses Society (WOCN) Wound Committee; Association for Professionals in Infection Control and Epidemiology, Inc. (APIC) 2000 Guidelines Committee. Contamination of the local environment and supplies is avoided by organizing the procedure to ensure that anything coming into contact with the wound does not contact jars, bottles, tubes, bedside table, or supplies to be kept for use at a later date. Kent DJ, Sardillo JN, Dale B, Pike C. Does the use of clean or sterile dressing technique affect the incidence of wound infection? Having read a recent article on clean versus sterile dressing technique, commenting again on this issue seems highly appropriate. The term ‘clean technique’ is often used to describe the procedure for dressing chronic wounds; it includes hand hygiene, preparation of a clean area with use of clean gloves and sterile instruments, such as scissors and forceps (Wound, Ostomy and Continence Nursing Society, 2012). Unfallchirurgie. Clean technique refers to the use of routine hand washing, hand drying and wearing of non-sterile gloves. Practice routine cleaning of frequently touched surfaces. Examples of clean techniques include washing hands and putting on clean gloves when needed. It has received the most views of any blog posted on WoundSource within the last year. Build it now. The aim of using aseptic technique is … This means it should be cut with clean scissors, stored in the original package, dated, and fully secured in an appropriately sized bag. Johns Hopkins Nursing Evidence-Based Practice Nursing Research Appraisal Tool was used to rate the quality of the evidence. (5) Open the 4 x 8-inch sponges, and place them on the sterile field using sterile technique. Clean technique involves meticulous handwashing, Procedure To Promote A Clean Dressing Technique Addressing the foregoing issues can make the possibility of a truly clean technique more likely, as can organizing the procedure into three distinct parts: FIRST Prep dressing supplies, prep the patient, remove dressing, and place a protective field. While getting out the supplies for the wound dressing, the patient told me the doctor had discussed the dressing with her and provided a few things. Secondary dressings can be an effective tool to protect the primary dressing or provide additional functionality beyond the primary dressing. 1. Fold the lining, place it inside the bag and close the bag Finally, an excellent way of keeping your wound dressing technique truly clean is to perform it as you would if teaching a student the best procedure possible. Addressing the foregoing issues can make the possibility of a truly clean technique more likely, as can organizing the procedure into three distinct parts: FIRST Prep dressing supplies, prep the patient, remove dressing, and place a protective field.THEN Clean the wound and periwound skin. Clean technique. As observed by this researcher, this technique is currently being used as an alternative method of sterile application and contrasts to sterile technique taught in nursing schools. This applies to. These gloves should not contact anything other than the wound or the sterile products being used on it. Whether to use clean or sterile technique in the management of acute and chronic wounds is a question that researchers and clinicians have been asking and attempting to answer with certainty since the 1800s. FINDINGS: All 4 studies reported no signifi cant difference in the rate of wound infection when using either clean or sterile technique with dressing application. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. J Wound Ostomy Continence Nurs. 6. I was reminded of a visit to a patient to utilize a fancy new dressing that I had never used before. Sterile versus nonsterile clean dressings. Intermittent Catheterization: Aseptic or Clean Technique Kristen Steinwand NFDN 2003: Section A01 NorQuest College November 29, 2014 Intermittent self catheterization is used for patients whose ability to empty their bladder is impaired. What about re-using syringes and cannula?  |  1981 Aug;7(4):215-20. doi: 10.1007/BF02589699. All dressing supplies should be stored off the floor, away from heat or light, and secure from pets. It does allow for using spray wound cleansers and keeping a portion of a dressing for the next dressing change. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. CIC is vital in reducing bladder pressure or draining residual urine, and therefore preserving kidney health. Insertion of an indwelling urethral catheter (IDC) is an invasive procedure that should only be carried out by a qualified competent health care professional using aseptic technique. Check the articles available in patients unit. (4) Open container with the asepto syringe and place it on the sterile field using sterile technique. Some issues are obviously not acceptable if using a "clean technique;" there should not be cut pieces of foam dressings floating about in the supplies box, Xeroform dressings cut in half with the foil wrapper folded over, bits floating in the bottle of saline, and grubby, yellow-topped gel dressing tubes with no alcohol wipes in sight. (7) Position the sterile solution basin on the sterile drape against the area of … Aseptic technique and clean technique are two closely related healthcare practices that both aim to keep people safe from infection. About the Author In the hospital setting, sterile or clean technique is used depending on the health care policy of the facility. Maintaining personal, patient and environmental hygiene is a basic clinical skill that this post will discuss particularly the infection process and infection control. Once the urine is drained the catheter is removed. The nursing profession must determine whether sterile technique or clean technique provides the best quality of care without increasing costs. Findings: All 4 studies reported no significant difference in the rate of wound infection when using either clean or sterile technique with dressing application. Wound, Ostomy and Continence Nurses Society (WOCN) Wound Committee, et al. Utilization of Barriers. References Whether to use clean or sterile technique in the management of acute and chronic wounds is a question that researchers and clinicians have been asking and attempting to answer with certainty since the 1800s. Place it in the bag. Fresh clean gloves are required if it is necessary to touch the wound directly. For practical purposes, "clean" refers to using regular gloves and standard precautions while performing a procedure. Provided a primary dressing is dry and not contaminated, it may be kept for the same patient's next dressing change. 2012 Mar-Apr;39(2 Suppl):S30-4. The content is not intended to substitute manufacturer instructions. After cleaning the wound and drying the surrounding skin, I used the skin barrier wipe and placed the second sterile towel between me and the patient's wound. Gloves used for wound care should not be stored in the bathroom or under a sink. Assess whether perineal care should be done under an aseptic technique or a clean technique.  |  Clean versus sterile gloves: which to use for postoperative dressing changes? When dressing wounds the nurse should practice good hand hygiene. A catheter is inserted into the bladder and removed once the bladder is empty, "usually done every 4-6 hours and just before… The nurse should use the appropriate dressing technique. Clean Intermittent Catheterisation (CIC) is a method of draining urine via a catheter inserted into the urethra, past the sphincter into the bladder. Catheterization of the urinary tract should only be done when there is a specific and adequate clinical indication, as it carries a risk of infection. It is defined by Kent et al. Aseptic technique,a method used to prevent contamination with microorganisms, is recommended by the evidence-based guidelines for all instances of. J Wound Ostomy Continence Nurs. This will normally be a full aseptic technique for acute wounds and a clean technique for leg ulcers. 2. Comment in J Wound Ostomy Continence Nurs. Looking at the technique in detail has been lacking. I found two sterile towels, a nail brush, and a pair of sterile gloves, and the patient told me it was so I could remain sterile. J Wound Ostomy Continence Nurs. A ‘clean technique’ can be classed as medical asepsis or standard aseptic technique, as it uses the … By following these steps on a regular basis and using your best judgment, you’ll keep your nursing bag and its contents clean while cutting down on the spread of germs. I was reading another thread about protecting your license and there was mention of a nurse not using clean technique to change a dressing (which leads me to wonder what technique DID she use? Assess the patient mental state to follow instructions. 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