Hlten506 Apply Principles of Wound Management

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1. DESCRIBE THE STRATEGIES THAT COULD BE USED TO MINIMISE CROSS INFECTION AND PREVENT THE SPREAD OF DISEASE AND REDUCE FURTHER COMPLICATIONS.

Many micro-organisms exist but not all cause infection in individuals. Those that cause disease are called pathogens. When pathogens are acquired from another person, or from the environment, they are described as exogenous. The transmission of pathogens, between people and across environments, is termed cross-infection. When micro-organisms colonise one site on the host and enter another site on the same person causing further infection, this is called self-infection or endogenous infection.
(Adult Nursing Skills 2009)

Hand washing – Nurses need to wash their hands before and after all contact with the patient. Also using the antibacterial hand rub during any procedures involving the patient e.g. checking/redressing the wound (HLTEN506 Learner Resource 2012)
PPE – Nurses should ALWAYS use personal protective equipment when dealing with patients, but especially if the patient has any type of open wound or if the nurse is likely to come in contact with any bodily fluids. These include gloves, glasses/goggles, gowns etc. (HLTEN506 Learner Resource 2012)
Keep a sterile field – When attending to the patients needs e.g. redressing the wound, the area being worked on (in this case the wound from the hysterectomy that reopened) needs to be kept sterile to prevent and foreign objects or any other pathogens getting into the wound. A sterile dressing pack and often sterile gloves can be used. The use of sterile drapes, gloves, instruments and a skin cleanser are used in operating theatres to create this sterile field. (HLTEN506 Learner Resource 2012)
Aseptic technique – This technique provides a method for preventing micro-organisms from entering a susceptible site by using sterile equipment and avoiding direct contact with

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