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Related Concept Videos

Hand hygiene01:23

Hand hygiene

3.2K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
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Handwashing II: Pre-procedure and Initial Procedure Steps01:19

Handwashing II: Pre-procedure and Initial Procedure Steps

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The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail...
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Handwashing III: During the Procedure and Post-Procedure Steps01:15

Handwashing III: During the Procedure and Post-Procedure Steps

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To wash hands properly, follow these steps:
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Handwashing I: Introduction and Types of Equipment01:18

Handwashing I: Introduction and Types of Equipment

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Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
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Standard Precaution01:26

Standard Precaution

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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.
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...
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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
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Safety and Efficacy of In-Office Hand Procedures.

Brandon W Knopp1, Ehsan Esmaeili2

  • 1Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, Florida, United States.

Journal of Hand and Microsurgery
|June 10, 2024
PubMed
Summary

In-office hand surgeries are safe and effective for select procedures, with no major complications like infection or bleeding reported. Careful patient selection is crucial for successful outcomes in this setting.

Keywords:
Dupuytren’s contracturecomplicationsevidence-based medicinehand infectiontrigger finger

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Ambulatory Surgery

Background:

  • Concerns regarding in-office surgery include sterility and managing complications.
  • This study investigates the safety and efficacy of minor hand surgeries performed in an office setting.

Purpose of the Study:

  • To determine if in-office hand surgeries are safe and clinically effective.
  • To assess the feasibility of maintaining sterility and hemostatic support in an office setting.

Main Methods:

  • Retrospective review of minor hand operations (Dec 2020-Dec 2021).
  • Procedures included needle aponeurotomy, trigger finger release, mass/foreign body removal, and fracture reduction.
  • Wide-Awake Local Anesthesia No Tourniquet (WALANT) method used for sterility and hemostasis.

Main Results:

  • No major complications (infection, major bleeding, neurological deficits) were reported.
  • Minor complications included pain, inflammation, stiffness, or symptom recurrence in 7.6% of patients.
  • Two patients experienced recurrence due to unrelated conditions (osteoarthritis/pseudogout).

Conclusions:

  • In-office hand surgery demonstrates a high safety and efficacy profile for select procedures.
  • The office setting can provide adequate sterility and hemostatic support.
  • Proper patient selection is essential for successful in-office surgical outcomes.