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Presented by :

Jurusan Keperawatan

Poltekkes Kemenkes Surakarta

1. NUR RATNA SHOLIKHAH (33)

2. PASULIH ADITYA ETMI (34)

3. PUTRI SEKAR ARUM (35)

4. RATNA SEPTIANINGSIH (36)

5. RIMA AMALIA HABIBA (37)

6. RIZKY FATATUL HUDA (38)

7. ROHMA DIYAH SUPRAPTI (39)

Sterility

Sterilization (microbiology), a term referring to any

process that eliminates or kills all forms of life from an

item or field.

The function of steril:

To prevent the contaminents of microorganism.

To minimize the probability of infection occurence.

Asepsis, a state of being free from biological

contaminants

An antibacterial or antibiotic is an agent that inhibits

bacterial growth or kills bacteria

Medical uses of antibiotic:

Treatment

Bacterial infection

Protozoan infection, e.g., metronidazole is effective

against several parasitics

Immunomodulation, e.g., tetracycline, which is

effective in periodontal inflammation, and dapsone,

which is effective in autoimmune diseases such as

oral mucous membrane pemphigoid

Prevention of infection

Surgical wound

Dental antibiotic prophylaxis

Conditions of neutropenia, e.g. cancer-related

Handscoon

Handscoon/ gloves are part of Personal Protective

Equipment (PPE) and must fulfilled when caring the

patient.

Handscoon used to prevent the contaminents towards

nurses hand when she/he touch mucosa membrane,

blood, saliva, and the infecius materials. Besides of

this, handscoon also functioned to decrease

possibilities transmission of microorganism in the

nurse’s hand to patient during the caring process.

The Kinds of Handscoon

1. Patient examination gloves.

Indication : assisment and the other non-

surgical procedure, included assisment

that enable contact with mucosa

membrane, and laboratory procedure.

Record: Consist of sterile and non-sterile, it

is dispossible for one patient.

Material: Natural rubber latex (NRL), nitrile,

polivinyl chloride, polyethylene

2. Surgeon’s Gloves

Indication: surgical procedure.

Record : Sterile, dispossible for one patient.Material : NRL, nitrile, combination latex and/or sintetic.

3. Non-medical Gloves

Indication : clean and tool disinfection, hold chemist material and sharp things which have contamined, not used when caring patient.

Record : usefull gloves that endure from ripped and chemist material. Can wash after used, and can use repeatedly.Materials: NRL and nitrile or mix of chloroprene, nenoprene, nitrile, butyl rubber.

Infection

Infection is the invasion of a host organism's bodily

tissues by disease-causing organisms, their

multiplication, and the reaction of host tissues to

these organisms and the toxins they produce.

Infections are caused by microorganisms such as

viruses, prions, bacteria, and viroids, and larger

organisms like macroparasites and fungi.

Infections are classified by the causative agent as

well as the symptoms and medical signs produced.

Symptomatic infections are apparent,

whereas an infection that is active, but

does not produce noticeable symptoms,

may be called inapparent, silent, or

subclinical. An infection that is inactive

or dormant is called a latent infection.

A short-term infection is an acute

infection. A long-term infection is a

chronic infection.

Primary and secondary infections

Primary and secondary infection may either refer to succeeding infections or different stages of one and the same infection such as in acute herpes labialis infection In the latter case, acute infection may also be used, as in acute HIV infection.

Occult infection

An occult or asymptomatic infection is medical terminology for a "hidden" infection, that is, one that presents no symptoms verifiable and recognizable by a doctor

You are caring for Mr. Noor who has a large open

and draining abdominal wound . You notice an

enrolled nurse changing Mr. Noor’s dressing

without wearing gloves or using sterille suplies

or sterille tecnique. When you question this

enrolled nurse regarding his or her practice,

this person says “ don’t worry, the wound is

already infected and antibiotics and draining

will take care of any contiminents”

A. How would you respond to this comment?

B. What would your next step be in following

up on this incident?

We disagree with the nurse’s comment.

Although the wound is already infected and

antibiotics and draining, but nurses should wear

gloves. Nurse bandaged the draining abdominal

wound of patients using gloves, allows the nurse to

holds sterile dressings, instruments, and the

solution without causing contamination.

The benefits for patients when nurses wore

gloves in wound caring is to protect patients and

prevent patients from nosocomial infection that

can arise from a hospital or care facility. Moreover,

it can protect if the nurses has diseases.

No. Steps Rasional

1.Explain the wound

care procedure to thepatient.

Make disappear of patientanxiousness.

2.Prepare theequipments.

Prevent contaminate the steriletecnique.

3. Close the blinds.Provide patient’s privacy.Decrease the contaminents air.

4.Help patient to havecomfortable position.

Patient’s moving causecontamination of the wound.

5.Wash hand before dothe procedure.

Make disappear of microorganism

that stay in the nurse’s skin. Anddecrease pathogen transmission.

No. Steps Rasional

6. Use sterile glovesThe gloves prevent

the transmissionorganism

7. Inspection the wound.Determine healingwound status.

8.Clean the wound with antiseptic liquid.Use another lint in every caress.

Preventcontamination.

9.Put in the dry and sterile dressing onincision or the wound position.

Patient can movingcomfortable.

10.Loose the gloves and throw in the rightplaces.

Decrease the

microorganismtransmission.

No. Steps Rasional

11.

Throw all dispossible material. And

help patient back to comfortable

position.

Clean environment

promote the patient’s

comfortable.

12. Wash the hand.Decrease microorganism

transmission

13.

Record to nurse’s sript ,

observation wound, bandage and

drainase include expression patient.

Documention acurate and

exact also advise of

personel about the

changing of wound and

patient status.

( Perry Potter, Hal : 1995 )

We as a nurse must wear the sterile

gloves and sterile tecnique in caring

especially wound caring. The function of

gloves is to prevent microorganism

transmission.

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