MedicalSurgical Asepsis Wikispacesmedicalsurgical无菌Wikispaces.pptVIP

* * * Now we will discuss the principles of infection control. The first is medical asepsis also known as clean technique. Transmission based precautions= airborne, droplet, contact PPE = gown, gloves and mask Remove gloves first, untie gown 1st if tied in front, then mask then gown * * * * * * * * * * * * Medical/Surgical Asepsis Presented by: Cynthia Bartlau, RN, PHN, MSN Objectives At the completion of this lesson the student will be able to Discuss concepts related to the chain of infection Differentiate medical and surgical asepsis Discuss equipment used for maintaining medical and/or surgical asepsis Identify common sources for contamination Describe proper hand placement during aseptic procedures Beginning of Modern Asepsis Previous to the discovery of asepsis many people died due to post-operative (and other) infection Dr. Ignaz Semmelweis Told doctors to wash their hands Scottish surgeon named Joseph Lister Inspired by Louis Pasteur’s formulation of the germ theory of disease Used carbolic acid in operating rooms Drastic reduction in infections Theory of Infection Control Microorganisms Bacteria Fungi Viruses Protozoa Pathogenic Disease causing Infectious agent Causes disease in healthy person Opportunistic pathogen Causes disease in susceptible person Virulence Communicable diseases Non-pathogenic Resident flora Colonization Can cause disease if transmitted to other areas Infection Local Specific area of body is infected Systemic Microorganisms spread damage other body areas Bacteremia when microbes enter blood stream Septicemia – when bacteremia spreads through all of the body systems Acute vs. chronic infection Nosocomial – infections that occur as a result of health care delivery Endogenous source Exogenous sources Iatrogenic – infection directly caused by any diagnostic or therapeutic source Drug-Resistant Pathogens MRSA VRE MDR TB Causative Agent Susceptible Host Portal of Entry Mode of Transmission Portal of Exit Reservoir Bacteria