Infection prevention

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Direct Observation
Aseptic technique & wound dressing
This direct observation was genuinely observed and supervised by my mentor, according to the guidance of Nursing and Midwifery Council (NMC 2008). The aim of this essay is to analyse and to follow the procedures involved in a selected nursing skill. It will also help me with my comprehension of the steps related to thisparticular skill. I preferred to discuss how I performed this particular wound dressing. A simple wound was the principal object. My mentor and I have discussed about the subject of my direct observation and arise with the conclusion that a wound dressing would be the most appropriate. I had many opportunities to perform wound dressings under her supervision and guidance. That alone increased myconfidence. During my placement and my searching for references about wounds I had the opportunity to come across various types of wounds and their classification. I have discovered how vast and broad the subject is. Although some of the wounds can be very complex I am concentrating on a simple wound for this direct observation. According to Dougherty & Lister (2008) there are many ways ofclassifying wounds. It can be classified by the process of healing (primary, secondary or tertiary), that was described by Miller & Dyson (1996). The amount of tissue loss according to Dealey (2005), also according to Dealey (2005) an acute and a chronic wound heal differently and that is another way of classifying it. As I gained sight in wound classification, I have realised its complexity andextensiveness. I have slightly touched the subject. I would like to introduce my patient for this direct observation. I am using a pseudonym in order to safeguard her identity. This is done to protect her confidentiality as affirmed by NMC (2008). Mrs. M is a 78 years old lady with continued admissions to hospitals due to frequent leg ulcers. Her leg ulcer is located in the inner part of her leftleg (crural area). She has difficulty in healing and needs help with the wound care. She has been admitted to a rehab unit to encourage her to regain confidence in managing her wound. Health promotion plays an important role in patients with recurrent admission to hospital. It is part of the support to improve their wellbeing as asserted in the NMC (2008). I asked for her consent to carry out awound dressing in her leg and to access her file. She has answered affirmatively. I did that in order to establish her understanding of the procedure and her agreement to it. It is important to support their rights to accept or decline treatment or care as stated in the NMC (2008). Consent has to be gained at the beginning of any procedure, state by NMC (2008). It is also very important to gain thetrust of your patient and sometimes it is not an easy task. I understand there are sometimes impediments like language or cultural differences that might be challenging at first. But to be able to move across these barriers and succeed can be very rewarding. I try my best to be able to meet their needs and gain their trust. Acting always in their best interests is clearly the right choice as NMC(2008) states in the code of practice. After introducing myself and asking for consent I looked at Mrs M’s file to extract information about previous wound dressings done by fellow nurses. I did that in order to gain information concerning the material previously used. Also to be aware of any changes in the wound itself, like the presence of infection or other relevant information. The accuracy ofthe file is very important too. It will give whoever is dealing with the patient the most precise data. According to Dougherty & Lister (2008), the documentation gives support and facilitates the continuity of care. Also is a reference for wound progression. Record keeping is broadly advocated by NMC (2009).
The procedure:
I started the procedure using the basic principle of infection...
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