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Related Concept Videos

Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Tracheostomy Care II: Procedure01:25

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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.
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Assessing the Apical Pulse
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Tracheostomy Care I: Pre-procedural Steps01:16

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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.
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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
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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.
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Related Experiment Video

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Nasal Brushing Sampling and Processing Using Digital High Speed Ciliary Videomicroscopy – Adaptation for the COVID-19 Pandemic
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Assessing changes in stethoscope hygiene during COVID-19: a multi-centre cross-sectional study.

R S Vasudevan1, M A Nedjat-Haiem2, A Mahadevan3

  • 1Department of Medicine, University of California San Diego School of Medicine, La Jolla, CA, USA.

The Journal of Hospital Infection
|June 7, 2022
PubMed
Summary

Stethoscope hygiene practices significantly improved during the COVID-19 pandemic, with optimal cleaning increasing. However, about half of healthcare providers still do not practice optimal stethoscope hygiene, especially early-career physicians.

Keywords:
AttitudeCOVID-19PracticeStethoscope hygieneSurvey

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Area of Science:

  • Infection Control
  • Healthcare Epidemiology
  • Medical Device Hygiene

Background:

  • The COVID-19 pandemic heightened infection control awareness.
  • Stethoscopes pose a risk for pathogen transmission.
  • Pandemic-related changes in stethoscope hygiene were previously uncharacterized.

Purpose of the Study:

  • To assess shifts in healthcare provider stethoscope hygiene practices.
  • To compare pre-pandemic and during-pandemic hygiene behaviors.

Main Methods:

  • A quantitative survey assessed stethoscope hygiene beliefs and practices.
  • Healthcare providers from three major medical centers participated.
  • Participants were categorized based on optimal hygiene performance (cleaning after every patient).

Main Results:

  • Optimal stethoscope hygiene increased from 27.4% to 55.0% during the pandemic (P < 0.001).
  • Knowledge of stethoscope contamination and belief in its significance significantly increased (P < 0.001).
  • Resident physicians were less likely to adopt optimal hygiene compared to attending physicians and nurses (P < 0.001).

Conclusions:

  • Stethoscope hygiene improved during the COVID-19 pandemic.
  • Optimal hygiene practices remain suboptimal in approximately half of providers.
  • Targeted educational interventions for early-career providers are recommended.