0 Sterylne rękawice używać uzasadnienie - brnskll.com

Sterylne rękawice używać uzasadnienie

Czy używasz sterylne rękawiczki dla procedury przekłuwania ciała?

Jeśli nie jesteś, za pomocą Technika aseptyczne bez dotyku with sterile engineering controls to prevent client contamination is an alternative that you can use now with equipment that you already have.

Point8_cover Z Punkt #8

Rękawice sterylnych:

Dlaczego wszystkie odpowiedzialne Piercers musi z nich korzystać

Semmelweis_1860Ręce są głównym źródłem transmisji patogenu w procedury medyczne. Lekarze nawet nie myć ręce jako środek kontroli zakażenia aż do 1847, Kiedy Ignaz Semmelweiss showed that the incidence of pleural sepsis in a Vienna maternity ward could be reduced from 18.7% do 1.27%, Jeśli lekarze simwarstwowe umyć ręce w chlorek wapna między wykonywania badań pośmiertnych i udział kobiet w czasie porodu.

Na początku, jego metody spotkali się z pogardą i kpiny przez społeczności medycznej. Dopiero 1861, Kiedy Joseph Lister used Louis Pasteur’s discovery of microbial infection to develop a method of antisepsis in surgery, że lekarzy zaczął zwracać uwagę właściwego umycie rąk. Lister jest metoda zmniejsza śmiertelność w operacji przez ponad 50%, ale mamy rękawiceren't przyjęte przez medyczny prakakademickich aż do przełomu wieków.

Mimo, że mycie rąk już dawno zostały uznane jako największe zapobiegania chorobom, Lekarze nadal don't następować po ten znajdujemy w praktyceBly. Najnowsze studium intensywnej terapii szpitala Royal Children's, Melbourne, Australia, wykazało, że tylko 4.3% lekarzy przestrzegane standardy mycia rąk przed i po wchodzenia w kontakt z pacjentem.

Nawet, jeśli prawidłowo umyć ręce, nadal pozostają patogenów, które mogą powodować infekcje. To Dlatego rękawiczki zostały przyjęte dla operacji — zapewniają bardziej skuteczną barierę przed. Najbliższą analogią, które można znaleźć do wykonywaniaING piercing w procedury medycznedure is the insertion of a catheter [indwelling , urethral, itp] into a patient. Wszystkie podręczniki opieki, które mają zbadać powiedzieć, że procedura wykonuje się za pomocą techniki aseptycznej, za pomocą sterylnych rękawiczek.

Sterile kit options
Some sterile tray/drape kit options

Aseptyczne lub "sterylne" technika jest metoda opracowany w celu zmniejszenia rozprzestrzeniania się potencjalnych patogenów do minimum. Istnieją ścisłe zasady regulujące metody aseptyki; obiekty, które są tylko czyste (nie sterylne) są regarded jako potencjalnie contaminatEd przez czynniki chorobotwórcze, bo tylko sterylizacji można całkowicie usunąć wszystkie patogeny. Jeśli obiekt czysty pochodzi z obiektu sterylne, oba muszą być uznawane jako skażone.

Nawet czyste rękawice należy uznać za contAminowane, ponieważ są one narażone na powietrzu, i w związku z tym powietrzu patogenów. Ze względu na sposób ich pakiety, oni nie włożył w sposób aseptyczny — one zepchnięte razem i nie wyciągnął bez dotykania na zewnątrz rękawice. Oznacza to, że żadnych patogenów pozostały w rękach piercer po umyciu są przenoszone na zewnątrz rękawice, i na biżuterię, narzędzia, igły, i skóry klienta. Oznacza to, że żadnych patogenów na rękawice otrzymają bezpośredni dostęp do rana.

Można uznać za pewnik, że odpowiedzialne piercers sterylizacji ich igły, instrumenty, i biżuteria, i zużyć sterylny opatrunek do pracy z. W związku z tym, pozostała tylko część procesu któryh zatrzymuje metoda od być zgodnenia do aseptyki. As all other parts of the process used for piercing are sterile, sterile gloves must be used, and donned using aseptic technique.

Sterile gloves come individually sterilized and wrapped. Muszą one być otwarte w określonIC sposób, i włożył tak, że ręce nie dotykać zewnętrznej strony rękawic, im należy traktować jako sterylne. Wszystkie podręczniki szkoleniowe dobry pielęgniarski opisane tusą sposoby zakładania STERRękawice Ile wykorzystujące techniki aseptycznej. Każdy odpowiedzialny piercer musi być świadomy i korzystać z tych metod.

Niektórzy mogą zapytać, "co z dodatkowym wydatkiem?"As sterylne rękawice kosztów między $1 i $2 para nie sądzę, jest pretekst do nie korzystania z nich. Są one ostatni i najbardziej istotnym elementem w metodzie aseptycznych, i ich użycie powinno być obowiązkowe dla każdego odpowiedzialny piercer.

Cheyenne Morrison
Świątyni przekłuwanie
Cairns, Australia

(Ed: Czuję się to trzeba zrobić kilka commców na ten artykuł. W ten sposób, Nie jestem w ogóle sugerując że sterylne rękawiczki są nieprawidłowe opcji. Jeśli możesz znaleźć fundusze i oznacza wykorzystanie sterylne rękawice w studio piercingu, następnie przez wszystkich środków, proszę zrobić. Jednakże, Zgadzam się, że stosowanie sterylnych rękawic jest obowiązkowe dla piercers. [Sterylne rękawice lub ANTT są zobowiązane do zachowania sterylności biżuterii, dopóki nie opuści studio, gdy staje się odpowiedzialność klienta.]

Cheyenne rysuje analogii między piercing i wstawiania cewników; Jestem przy założeniu, Kuterze cewki mocyowej. [indwelling (żylny) Cewnik jest wspólny, i bezpośrednio związane z igły asepsis i wykresu GANTTA lub sterylne rękawiczki] Cewkę moczową jest jałowy próżni, i bezpośrednią drogę do delikatne i podatne na zakażenie pęcherza. Oczywiście najbardziej sterylne materiały zostaną wykorzystane w tej procedurze. Natomiast, Weźmy realistyczne spojrzenie na przekłuwanie ciała:

Piercee wchodzi studio, pokryte kurzem miasta, pot, i brudne ubrania. Nienagannie czyste studio, wyposażony w powietrzu sprzątaczka, wyposażony w powietrzu sprzątaczka, a piercer zegarki wszystkie piercees ostrożnie, aby uniknąć zanieczyszczenia krzyżowego, ale każda osoba piercee idzie kiełków piłkę, jeśli będziesz przepraszam za wyrażenie.

W pokoju, piercer dokładnie dezynfekuje obszar do przebity, and uses sterile instruments and jewelry. We all know what happens next: [a sterile bandage should be applied] the piercee gropes at the jewelry, mówi, “I love it! Dzięki!” and then proceeds to put his or her dirty clothes back on and walk back out into the city streets. The jewelry will have already rotated matter into the fresh piercing several times before the piercee has even left the studio. [use a sterile bandage and barbell if possible to avoid this] While we as professional piercers do our very best to minimize incidents of transmission, we aren’t in “sterile” operating room conditions, and can’t expect to maintain absolute control over our environment where piercees are involved.

My greatest concern with sterile gloves is their potential for abuse due to the inaccurate name. [the name is accurate, since they were sterilized] “Sterile” gloves aren’t any more or less sterile than “clean” gloves once they’re in the open air of your studio, [this is false] but I have heard of tattooists, piercers, and even doctors touching things left and right without changing their gloves. Why not? Because the gloves are magically “sterile!” [this is a straw man, and spurious]

Cheyenne very correctly states that there is a right and wrong way to put on a pair of gloves. That method should be used irregardless [sic] of the type of gloves being donned. Assuming that clean gloves are stored properly (in a stainless steel or heavy plastic container with no-hand access, protected from air, moisture, light, and heat), and used appropriately, I feel that they are equivalent to sterile gloves for our purposes. [nonsterile and sterile gloves are not cleaned, handled, packaged, nor stored the same way by the manufacturer, as seen in the video that follows]

As for the cost of sterile gloves: most piercers / know use anywhere from three to six pairs of gloves for a single piercing. If sterile gloves are being used to prevent cross-contamination of clean items to sterile items, then it follows logically that sterile gloves should be used throughout the procedure, not just for the piercing itself. That adds up to $2 per piercing using nonsterile gloves, i $12 per piercing using sterile gloves.

KC500 gloves
My favorite sterile nitrile gloves

[nonsterile gloves are used for clean steps, and only one pair of sterile gloves is required for handling the sterilized items such as jewelry and needle for a procedure: still under a dollar] Adding in all the other costs of disposable piercing equipment, my guess is that few piercees would want to pay the much higher piercing fee, and may end up at a less expensive hack shop instead. [safer body piercing costs a fraction more, and clients are willing to pay. Not every person will be your client, but the ones who are, care about safety]

I repeat that I’m not at all against the use of sterile gloves, or any other innovation that makes piercing safer, cleaner, or easier for the piercee. But it’s important not to forget that most “piercers” still wear no gloves at all, and that enforceable regulation should be kept to minimum health and safety standards, with an emphasis on cross-contamination awareness. Mandating what amount to academic fine points [were the gloves that handle the jewelry sterilized or not?] is simply not realistic at this time in piercing’s growth. I’d be interested to hear what others have to say on this debate. Any takers? [it is realistic, and was in practice when this article was published in a significant number of studios, łącznie Piercing Doświadczenie]

Michaela Szary
Gauntlet, Inc.
San Francisco, CA

Point9_coverZ Punkt #9

Rękawice sterylnych & Digressions

Rękawice sterylnych:

I would like to start of by stating how good it is to see these discussions occurring.

I agree that sterile gloves are the best way to go, however I do not think they should be mandatory. [nonsterile gloves can be used to hold the handles of sterile instruments when trained to practice ANTT] I do not agree with some of the comments by both Cheyenne and Michaela.

First off, the cost, you can get sterile gloves for $0.70 a pair. If you pay more you are being robbed.

Secondly, one can use the sterile field which the glove package provides to lay your instruments on without touching the instruments. This means you need only use 1 pair of sterile gloves per piercing. An increase of only $0.70 per piercing.

Thirdly, although the gloves are being exposed to the air in the piercing room, they should only be exposed for 10 minut, nie 2 days like regular gloves. If we go through the trouble of using sterile needles, imadła, biżuteria, Q-tips, and toothpicks, why not our gloves? I think that this is the best way to go. As I stated earlier I don’t think that it should be mandatory, but at least discussed and aired for piercers, so they can make their own choice.

Digressions:

When I mentioned sterilizing the jewelry I did NOT mean a 10 minute soak! I mean individually packaged and sterilized jewelry. If the needle which is only in the body for a few seconds must be sterilized, why not then the jewelry? Yes people are going to stick their dirty nasty hands all over their fresh piercing, but it is the piercee’s dirty nasty hands, not the hands of the manufacturer, the packaging boy, the counter person, and maybe even the piercer. How many times a week does a manufacturer cut his/her hands while making jewelry?!?

—Xeon
(xeon@silcom.com)
c/o Primeval Body
Los Angeles, CA

(Ed. note: Thank you for your comments! I feel I must clarify a few points.

* I do support the use of sterile gloves when possible. I do not think they are necessary and I do not think it is realistic or even worthwhile to make sterile gloves mandatory. [personal incredulity: if it seems that one can get away without sterilizing their equipment or jewelry, that does not make a persuasive argument]

*I maintain that several pair of gloves must be used for each piercing. When you touch the piercee with the Betadine, your gloves now carry bacteria from their previously unwashed skin. They should be changed before marking. [sterile swabsticks with handles provide for ANTT practice] During marking it is almost inevitable that you will touch a part of the piercee not cleaned by Betadine, and many piercers will also be touching a reusable, albeit disinfected, pen. [reuse of marking implements is not safe, cleaning should be performed prior to oznakowanie, followed by a final painting of sterile antiseptic] The gloves should be changed prior to piercing. After piercing the gloves may have touched the contaminated tray or sharps container, and should be changed if the piercer returns to the piercee. While breaking down the setup and disinfecting the room, no fewer than 3 other pairs of gloves will be necessary to avoid contamination of the room. None of these glove changes will be affected either way by creating sterile room setup packets. This is about basic cross- contamination. [sterile gloves are needed only for handling the other sterilized items, nonsterile gloves for all other preparations and room cleaning]

* Air, according to many physicians, is technically considered sterile. All gloves, tissues, and other disposable supplies sold in the United States are gamma-ray sterilized prior to being sold. [this is a myth, only items marked as sterilized with documentation] Until the box is opened, the contents are sterile. Once opened, I and most other piercers easily go through a box or more of gloves each day. Assuming that that box is stored properly and handled to avoid cross-contamination, these gloves will not be any less “sterile” than a pair of sterile gloves. [FAŁSZ, these gloves were not sterilized]

* My primary concern is that doctors, piercers, and others using “sterile” gloves will assume that the “sterile” condition of their gloves relieves them of the responsibility to avoid cross-contamination. I have seen this occur. [straw man and false dilemma: adequate training for asepsis is required whether ANTT or sterile gloves or a combination are used]

*The APP suggests at least a bulk sterilization of all jewelry when it arrives at a shop. Jest to, jednak, a minimum requirement, and assumes that bulk-sterilized jewelry will be stored away from display stock, and handled only with gloves or hemostats after sterilization. W tym przypadku, a 10 minute disinfectant soak in Madacide would certainly be adequate to remove any minimal matter that was present on the biżuteria. [The APP does not currently allow this inadequate infection control practice, based on false and misleading opinions] It is far preferable, jednak, to individually sterilize each item and store jewelry in individual sterile packets until ready to use. [sterilization is required]

-Michaela Szary)

Point10_coverZ Punkt #10

More on Sterile Gloves

W przypadku, gdy przedmiotem sterylnych rękawiczek wyjdzie na tym forum, it is usually shot down according to the price difference between sterile and non sterile latex exam gloves. Różnica może być wykonane przez przygotowanie sterylne rękawice w swoim własnym studio. Lateksowe rękawiczki, złożone z mankietem na korpusie rękawicy, Mogą być uruchamiane przez autoklawie, konieczne jest jedynie, aby zmienić ustawienia, aby uruchomić w temperaturze 260 ° dla 10-15 minut. [zobacz dalszą dyskusję na może i powinien sterylizacji rękawic tutaj]

The gloves are unaffected by the dry cycle, although powdered gloves can become sticky— powder congeals in the fingertips. The powder must be removed from the gloves before using on a client. We utilize a sterile hand wipe impregnated with synergistic alcohol com pounds (eg Discide or Madacide). [this might damage the glove, distilled or DI water would be more appropriate] It’s better to use non powdered gloves, Chociaż.

As it has been stated, sterile gloves are not magical. The true advantage to using sterile gloves only becomes evident when paired with proper technique. The use of sterile gloves is irrelevant without a strong understanding of cross-contamination.

Procedures for sterile gloves

  1. Wash and dry hands. Don mask if required.
    1. Masks prevent the introduction of contaminants from or to mouth.
      Masks should be on or off, not dangling around the neck. Dangling masks allow bacteria which has been filtered into the mask to dry and become airborne. Masks should be donned and removed by touching the strings only to reduce cross-contamination. Masks should be changed between clients, or if they become moist.
    2. Perform 3 do 10 minute handwash. Remove rings, zegarki, biżuteria, nail polish— sources that can harbor bacteria.
    3. Wet hands and arms from elbows to fingertips under flowing water. It is preferable to use sinks with side or foot pedal. Clean from least to most dirty.
    4. Place antibacterial soap on hands and rub vigorously for 5 do 30 sekund; use disposable scrub brush gently. Do not abrade skin. Create friction to remove microorganisms. Use warm water—it has lower surface tension than cold. Soap lowers surface tension of water and emulsifies oils.
    5. Scrub all skin areas: joints, finger nails, between fingers.
    6. Rinse hands from fingers to elbows. Wash from cleanest to least clean areas.
    7. Dry hands with sterile towel moving from fingers to wrist. Dry hands from cleanest to least clean areas.
    8. Turn off faucet with foot pedal or towel. Prevent the recontamination of hands.
  2. Don exam gloves to set up tray. Open prep/marking materials.
  3. Re-glove with exam gloves.
  4. Prep/mark until satisfactory.
  5. Dispose of prep setup (encapsulating within the gloves worn.)
  6. Re-glove with exam gloves. Open sterile packaging.
    1. Open packages outer flap away from you. Prevent reaching over exposed sterile materials.
    2. Use inside of package to form sterile field.
  7. Remove and discard exam gloves as well as any excess packaging. Prevent field contamination.
  8. Don sterylnych Rękawice.
    1. Do not touch body of glove. Pick up one glove by cuff and slip fingers of other hand into glove. Pull glove over hand. Place gloved hand inside remaining glove. Slide hand into glove and pull cuff over hand and wrist. As always, do not touch skin, hair, or clothing with gloved hands.
    2. Pull gloves securely over fingers and adjust fit using one gloved hand to fix the other.
    3. After gloving, move to equipment and begin piercing.

Possible advantages to using sterile gloves

  1. Less noticeable swelling of piercings due to contaminants.
  2. Decreased incidence of contact dermatitis from glove powder (surgical grade talc or corn starch, impregnated with latex proteins)

Possible disadvantages to using sterile gloves

  1. Extra time spent preparing packages for sterilization (up to ten minutes per day)
  2. Cost (maksymalnie 20 cents extra per package) [alternately a slightly higher cost to purchase sterile gloves, without the time cost]

Tips

  1. Package 2 pairs per bag
  2. Wrap each pair in paper barrier

— Jeff Martin/[Raquel] René Martin Outreach Coordinator
Rites of Ascension/Obscurities
Dallas, TX

Z Punkt #13

in the studio

A few options you can use to improve the quality of the piercing experience… Many of these options may sound familiar, as they are widely employed.

Make your own sterile gloves

You can use a light inner wrap for glove sterilization in an ordinary autoclave according to manufacturer’s instructions. You can use open gloving technique. Nic niesterylizowane może dotknąć ich powierzchnie zewnętrzne po sterylizacji, albo oni musi być odrzucone i nową parę rękawic sterylnych musi być włożył do wykonania procedury.

Opakowania do sterylizacji — wszystkie lub nic nie

Można dołączyć biżuteria, Rękawice, Gaza, i igły, a także instrumentów w jeden okład zamiast oddzielnych okłady.

Akcji, co myślisz