Using Aseptic Technique

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Chance Reaves
MSN-Ed,RN
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Study Tools For Using Aseptic Technique

Chlorhexidine Prep (Image)
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Outline

Nursing Points

General

  1. Best practice
    1. Prevents infections
    2. Required by policy
    3. Reduces complications
    4. Maintains the integrity of the peripheral IV

Therapeutic Management

  1. Identify the location to place the IV
  2. Using the chlorhexidine prep swab begin at the location of the site
  3. Swab the area in a concentric circle pattern, moving outward
  4. Do not go back to the center
  5. Do not use your hands to “air dry” by wafting air to let it dry out
  6. Allow to completely air dry
    1. Ensures aseptic technique
    2. Does not create complications interference of tape with a wet surface

Nursing Concepts

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Patient Education

  1. Instruct patient to keep to touch the site during the procedure to keep the area sterile

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Transcript

All right guys. In this lesson we’re going to talk about a septic technique. So why do we use aseptic technique? Well, there are four main points, really. The first one is that they prevent infections. The reason we want to use the right stuff all the time is that we want to keep those infections down. They’re also required by policy. They also maintain the integrity of the Ivy itself. And the last thing is it reduces other complications. So when we talk about a septic technique, Whoa, what are we talking about? The first one is we’re going to use the core of the chloroprep first. This is always going to be your first line. And the reason is is because chlorhexidine and alcohol together have been found and nearly every study that they prevent infections and complications far greater than the use of any other antiseptic.

There are instances where the alcohol prep is appropriate, but the majority of the time you’re gonna use the core prep, especially since it’s included in your IV kit. The first thing you want to do is you want to identify where you’re going with the IV. You usually only get one of these guys in your kit. So you want to make sure that you use it wisely. So identify that location. The next thing you want to do is activate the device. This usually works because you’re squeezing these two together and it burst this little capsule inside and then it’ll be absorbed in this sponge. Then you want to start at the location of the IB insertion site. Then you want to wipe in those concentric circles going outward and you never want to come back to the center. The other thing you’d want to do is always allow it to air dry.

And this is because the antiseptic is most effective when it completely dries. Always make sure that you also use some friction and some rubbing to break up any of that bacteria and to destroy it. And the last thing you want to do is you never wanted to do it though. It’s a waft. And when you do that, you’re actually introducing bacteria back in onto that insertion site. And we never want to do that. So I hope that these tips about aseptic technique when you’re putting in their peripheral IVs have been very helpful. Now, like we always say, go out and be your best selves today, and as always, happy nursing.

 

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Study Plan Lessons

Acute Coronary Syndrome for Certified Emergency Nursing (CEN)
Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)
Dysrhythmias for Certified Emergency Nursing (CEN)
Heart Failure for Certified Emergency Nursing (CEN)
Hypertension for Certified Emergency Nursing (CEN)
Pericardial Tamponade for Certified Emergency Nursing (CEN)
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Cardiovascular Trauma for Certified Emergency Nursing (CEN)
02.01 Hypertensive Crisis for CCRN Review
02.06 Heart Murmurs for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
02.11 12 Lead EKG- Injuries for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
07.01 CVA (Cerebrovascular Accident/Stroke) for CCRN Review
EKG (ECG) Course Introduction
Electrical A&P of the Heart
Electrolytes Involved in Cardiac (Heart) Conduction
The EKG (ECG) Graph
EKG (ECG) Waveforms
Calculating Heart Rate
Normal Sinus Rhythm
Sinus Bradycardia
Sinus Tachycardia
Atrial Flutter
Atrial Fibrillation (A Fib)
Premature Atrial Contraction (PAC)
Supraventricular Tachycardia (SVT)
Premature Ventricular Contraction (PVC)
Ventricular Tachycardia (V-tach)
Ventricular Fibrillation (V Fib)
1st Degree AV Heart Block
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
2nd Degree AV Heart Block Type 2 (Mobitz II)
3rd Degree AV Heart Block (Complete Heart Block)
Emergency Nursing Course Introduction
Prioritizing Assessments
Triage in the ER
Critical Incident Management
Dysrhythmia Emergencies
Cardiopulmonary Arrest
Heart (Heart) Failure Exacerbation
Hypertensive Emergency
IV Insertion Course Introduction
Supplies Needed
Using Aseptic Technique
Selecting THE vein
Tips & Tricks
IV Catheter Selection (gauge, color)
Positioning
IV Insertion Angle
How to Secure an IV (chevron, transparent dressing)
Drawing Blood from the IV
Maintenance of the IV
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Needle Safety
IV Drip Therapy – Medications Used for Drips
IV Drip Administration & Safety Checks
Understanding All The IV Set Ports
Giving Medication Through An IV Set Port
How to Remove (discontinue) an IV
IV Placement Start To Finish (How to Start an IV)
Bariatric: IV Insertion
Dark Skin: IV Insertion
Tattoos IV Insertion
Geriatric: IV Insertion
Life Support Review Course Introduction
CPR-BLS (Basic Life Support)
Advanced Cardiovascular Life Support (ACLS)
Pediatric Advanced Life Support (PALS)
Cardiac Course Introduction
Cardiac A&P Module Intro
Cardiac Anatomy
Coronary Circulation
Heart (Cardiac) Sound Locations and Auscultation
Hemodynamics
Preload and Afterload
Performing Cardiac (Heart) Monitoring
Blood Flow Through The Heart
Acute Coronary Syndrome (ACS) Module Intro
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
MI Surgical Intervention
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Heart (Cardiac) Failure Module Intro
Nursing Care and Pathophysiology for Heart Failure (CHF)
Heart (Cardiac) Failure Therapeutic Management
Pacemakers
Cardiovascular Disorders (CVD) Module Intro
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)