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PPE Use in Healthcare Settings I: Donning

PPE Use in Healthcare Settings I: Donning

Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...

Tracheostomy Care II: Procedure

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...

Tracheostomy Care I: Pre-procedural Steps

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:

Standard Precaution

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...

PPE Use in Healthcare Settings II: Doffing

PPE Use in Healthcare Settings II: Doffing

The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.

Aneurysm IV: Nursing Management

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

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Updated: May 26, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

Published on: March 14, 2025

Implementing AORN recommended practices for surgical attire.

Melanie L Braswell¹, Lisa Spruce

¹Sinai Hospital of Baltimore, MD, USA.

|December 29, 2011

Summary

This summary is machine-generated.

Surgical attire protects patients and staff. Evidence supports that perioperative nurses should not launder surgical attire at home, promoting safer practices in healthcare settings.

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A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

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Microbial Control and Monitoring Strategies for Cleanroom Environments and Cellular Therapies

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Published on: March 17, 2023

Area of Science:

Healthcare infection control
Perioperative nursing standards
Surgical safety protocols

Background:

Surgical attire is crucial for protecting patients and healthcare personnel from infections.
The Association of periOperative Registered Nurses (AORN) provides guidelines for surgical attire selection, use, and laundering.
Ensuring proper surgical attire is essential for maintaining a safe operating environment.

Purpose of the Study:

To outline AORN's "Recommended practices for surgical attire."
To guide perioperative nurses in implementing evidence-based protocols for surgical attire.
To emphasize the importance of appropriate surgical attire management in healthcare settings.

Main Methods:

Review and dissemination of AORN's "Recommended practices for surgical attire."
Collaboration between perioperative nurses, vendors, and managers to ensure availability of correct attire.
Education of healthcare team members on evidence-based practices for surgical attire.
Presentation of hospital and ambulatory surgery center scenarios illustrating best practices.

Main Results:

Perioperative nurses play a key role in establishing and enforcing surgical attire protocols.
Evidence supports the recommendation against laundering surgical attire at home.
Effective communication and education are vital for successful implementation of recommended practices.

Conclusions:

Perioperative nurses must actively manage surgical attire to ensure patient and staff safety.
The practice of not laundering surgical attire at home is supported by scientific evidence.
Adherence to recommended practices for surgical attire contributes to a safer surgical environment.