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Week1 Team Responsibilities/Infection Control


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transacional analysis
parent adolesence child
so what? This is about how to speak/handle a bad situation with a co worker in a patient's room
the way people act in a meeting
parent mode..."Pick that up!"
adolscent mode..."I'll do it which will give you time to pick this up
Child "I don'tt want to do that!"
Marsha mentioned playing a game called "YaButt"
what is yabutt?
each person can contribute somehow so you say yeah your right BUT ...
the characteristics of a TEAM is what this is about
* more than an individual
* recognition of individual skills
* what is the team goal?
know where the team is going and beleive in the goal!
small steps or big ones?
dedication to achievement
self centered or team centered?
self edification or team edification?
what is the definition of a team?
a group of people who collaborate & interact to reach a common goal
tips in a group:
treat everyone as if they are the most important member in the team

be receptive to new ideas

rudeness is never appropiate

treat everyone as a pro


assertive not a...
dignity & civility of each student what?
empowers everyone to do the best possible job, treating each other w/ respect & civility
attributes of a team Marsha brought up Bias of people
we are to have a positive attitude,
responsible ... able to answer for one's conduct or obligations
accountable...liable to be called to answer
supportive means..
to uphold advocate champion
there are internal langauges
reactive and proactive
can you expand on this?
there's nothing i can do
thats just the way i am
he makes me so mad
i have to do that
i can't
I must
what are some examples of proactive speech?
let's look at alternatives
i can choose a diff. approach
i control my feelings
i am creative
i will chase an appropiate response
I prefer
i will
the expectations of the student ande employee are what?
very similar
critical thinking
rules & consequences:
there are rules and policies and they ...
change from hospital to hospital!
Marsha drew a 4 box rectangle thing with dots in it. what was that about?
the dots in the boxes reflected issues that are walled off from the other issues. so each issue is fenced in from the others. Asian concept of a way of thinking
she then drew a hook and said that this was offend. what was this about?
greek work for affend was a fishing hook. it means BAIT

what is the purpose of infection control?
health care workers
the public

whose at risk to infection?
people w/
lowered resistance like
old age
nutrition challanged
stressed out
medical therapy ie chemo
people already w/ a disease!
what are some risk factors with older folk and getting an infection?
old people have thinner skin
reduced peripheral sensitivity
decreased cardio function so they can get pneumonia
dehydration causes dry mouth
decreased cough reflex
age related change to urinary system
drug therapy impared immune response
increased exposure in a hospital
malnutrition goes w/ impaired immune system
the nature of infection
the word here is asympotomatic what does that mean?
lack of clinical signs!

colonization w/o injury to cells or tissue!

ex. long term indwelling cathetur

injury to cells w/o symptoms:
drugs age disase
the nature of infection by symptomatic

what does symptomatic mean?
local inflamation:
swelling redness heat pain tenderness WBCs up
serous...clear puss
sanguinous...contains RBCs
purulent...conains WBCs & bacteria PUS!!!
Systemic means like???
fever WBCs malaise anorxia nausia vomiting lympth nodes enlarged confusion change in behavior
there is a chain of infection
infectous agent
portal of exit
mode of transmission
portal of entry
what is this about?
the chain is how something gets an infection. a virus to a body to a cut in the body to the blood to the body's heart to the host ex ex
what are some body system defenses?
normal flora
don't overdo antibacterial soap
adverse effects from improperly used prescibed meds for a cold or improperly administered antibiotics
organ defense system, respiratory, GI, skin
Immune Response is the second body defense give examples
cell mediated immunity
T lumphocytes
CD4T...bind w/ antigens release lymphoines that attract macrophages to attack antigens
what is a nosocomial infection?
can happen from
acrylic nails
long hair
failure to wash hands right
soiled clothes
placing dirty on clean
bad procedures
they mention risk management and the infection control nurse.
What is ASEPSIS?
Medical and Surgical
medical- clean technique to minimize pathogens
procedures to prevent infection and spread
Surgical- sterile technique
eliminate pathogens or spores
IV therapy
so, there is medical asepsis which is the clean technique and then there is surgical asepsis which is the .......
sterile technique
controlling infectious agents in medical asepsis. what's up here?
cleaning- removing foreign material from stuff w/ friction and soap and protective clothes
disinfection using chemicals
sterilization like steam, etc
there are 3 categories
semi critical
whats critical
items that will be entered into a body are critical to be sterile
iv cathetures
urinary cathetures
what are some semi critical things?
respiratory suction stuff
GI endoscopes
glass themometers
what are some non critical things?
items that contact skin but NOT muccous membranes
BP cuffs
food utensils
how do you control or reduce reservoirs?
remove drainage, secretions, gross stuff
proper dressings
room surfaces clean and dry
proper handling of bottled solutions
proper handling of drainage tubes, ... don't touch the floor
how do you control portals of exit?
coughing over wounds
disposable wipes
wearing a mask
careful handling of shit urine blood
personnal protection, with gowns, eye shields, masks
how do you control transmission?
be aware of modes of transmission:
patient personal care items
equipment must not touch nurse's clothing
most important method of preventing the spread of infections is ...
hand hygene
how do you wash your hands?
warm water & soap
20 second
important to teach patient and their family
how do you control portals of entry?
what are portals of entry?
muccous membranes
invasive procedures
prevent by:
cover your mouth
proper suctioning / secrection handling
proper wound care
proper urinary catherization
protection of host

tier one standard precautions
don't touch what?
all body fluids
non intact skin
mucoous membranes
tier one protection of of host is like:
hand hygene
personal protection devices
clean equipment
prevent cross contamination
deal w/ sharps correctly
there is a chart on page 5 dealing w/ airborne, dropletts, and contact precautions. what kind of shit is airborne?
chicken pox
Varicella Zoster
what kind of shit is droplett ?
strep phrayngitis
what kind of precautions ether direct or enviroment stops all this stuff?
colonization of infection w/ resistant organizms, wound infections, private room or cohort clients, gloves, gowns
Isolation Barrier is for what?
private room
negative pressure
personal protection
bagging & disposal of contaminated stuff
knowledge of disease process
family education
psycological impacts
where is sterile principles practiced?
in surgery
labor and delivery
diagnostic areas
the client has to cooperate with sterile stuff too! how?
avoid coughing talking over sterile field
avoid touching supplies, drapes, nurse's gown or gloves, like dont help out by handing stuff or talking during a procedure
how does client prep help out?
pain management
elimination needs
most comfortable position possible
there are the principles of Asepsis:
a sterile object remains sterile only when touched by another sterile thing
whats another principle?
sterile touching clean becomes infected!
like clean glove to a sterile tip of syringe!
whats another Asepsis no no?
sterile touching questionable is contaminated
prolonged exposure to air!
a sterile thing out of range of vision!
Whats another Asepsis Principle fuck up?
when sterile thing touches something wet
remember fluid flows in direction of gravity
the edges of a sterile field considered dirty:
border of a drape
lip of bottle
what is transactional analysis?
psyco therapy using role playing in an attempt to understand client & therapist thus some day b/t client and reality
what is the purpose of the CDC control?
protect clients health care workers and public from disease.
where / how do you dispose of antiboitics?
you don't squirt antibiotics on the floor. it gets into the water system and ends up in a penquin thus eventually desensitizing humans to the orgional purpose of antibiotics. only dispose of antibiotics not in a sink or floor but something that doens't pollute the enviroment
americans are too we get sick why?
we are washing ourselves too much, esp. with antibacterial soap so don't use this at home! use it on countertops only
what are antibodies?
antibodies are proteins so older people loose protein (muscle) and so our resistence goes down
being pissed off all day affects our immune system too so laugh your way thru life.
what are some things that compromise our immunity?
not enough sleep
unjuries cause stress
what are some risks for older people?
skin is thin so it tears b/c of dermal loss.
older people have less muscle (muscle holds water) so they are more apt to be dehydrated
you see more UTI in old people
what is anticholinergic mean?
reverse effects / side effects from drugs on old people
theses a confussed old person. whats up?
septic meaning they have an infection probably in the blood stream too.
confusion could be result of dehydration. do they drink coffee all day? what about personal hygene
what are the 2 types of infections?
colonized meaning local and that's ok
and then the kind thats gotten loose and everywhere
Vectors are like mosquitoes. what does Vector mean?
a carrier of disease for us nurses
what does virilent mean?
able to produce a disease
the bogs in China are not virulent to the Chinesse but are to Americans. so virilent depends on who and where what thing
flies cause H pyloric thats a new disease in america wheres it from?
southern hemishpere,
why shouldn't we use neosporin and bascitracine?
our bodies can handle the infection
all were doing is breaking down our immune system.
hydrgen piroxide is useless but great drain cleaner and takes blood out of clothes.
where do bacteria like to live? warm moist areas or
in wet dark mosit areas like basements, around people w/ poor nutrition, homeless people, crowded conjested areas,
never short cut clean technique. learn modes of transmission. there is direct and air and vehicles vectors, page 776 green book. what about this?
this is how people get sick.
air (less than 5 micro meters) droplets (sneezing) and direct contact. right?
what are some examples of direct contact mode of transmission
fecal matter
touching client
what is indirect / direct mode of transmission?
wound dressing is indirect
what are examples of air mode of transmission?
droplet nuclei, coughing, sneezing, dust particles
what are some vehicles for mode of transmission?
water drugs blood food that hasn't been properly prepared
what are some examples of vectors?
what kind of disease comes from direct contact?
hep a
what kind of stuff comes from indirect contact?
hep b hep c hiv
what kind of stuff comes from droplet mode of transmission?
influenza rubella
what can we get from air mode of transmission?
tb chicken pox measles
what do/can we get from vehicles of disease (water, blood, food, drugs)
hep b hep c kiv cholera e coli shyphllis
what is portal of entry?
needle prick
organsizms can use the same portal to enter as they used to exit.
an obstruction of a cath tube allows bacteria to travel up the utheria. anything that reduces body's defenses enhances the chances of pathogens entering
the nurse see's an infection and works to stop its spread. this is pathogenicity of the microbes and the susceptibility of the host
whats the difference b/t localized and systemic?
a wound could be just a localized infection. pain and tenderness. if the infection affects the entire body instead of just one organ, Houston, we have a problem
what are the stages of the course of infection?
incubation period (days, weeks, etc)
prodromal stage (from onset w/ stuff like fever to more specific symptoms)(this is the time microbes start to really grow) Prodromal stage
what is the illness stage?
when client manifest signs and symptions specific to that type of infection! coughing, high fever, swollen glands
what next? the convalescence stage. what is this?
convalecence is b/t acute symptoms and infection begins to disappear length of recovery time

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