Wednesday, December 11, 2019

Nursing Implications of Using Double Gloves During the Surgery

Question: Discuss about theNursing Implications of Using Double Gloves During the Surgery. Answer: Introduction Health workers experience to high risks in their work, especially in the operating room. Deadly viruses are prevalent. Thus the nurses should be adequately protected from them. Gloves safeguard their body from coming into contact with the victim's blood and fluid, and this minimizes their chances of infection. However, gloves can't withstand the long periods of operation due to tear and wear. Additionally, surgical teams do not change gloves during surgical operations. During this time the risk of contamination is high, and they need to use double gloves to reduce perforation and enhance protection from this blood bore pathogens (Partecke et al. 2009). According to Korniewicz El-Masri, (2012), they noted that double gloving was essential in reducing the number of surgical cross?infection. Health workers in their daily work experience to many risks of getting into contact with pathogens. Operation room must have high standards of cleanliness and the gloves to be used by the experts must be sterilized. These acts ensure no infection of the patients from the surgical team and also the team from the patients. Close contact with the blood increase the chances of infection. Double gloving have mainly two merits according to them. Firstly, it protects the workers from contamination by minimizing the contact with the victim's blood and fluids. Secondly, double gloving reduces the number of holes made to the innermost gloves. The holes may act as a passage for the pathogens to the worker's body. The inner glove is the barrier and protector of the worker. Although the study they conducted did not suggest that lack of double gloving caused c ontamination, the results indicated some possibility due to the perforations of the outer glove. Surgical wound contact with the surgical team member may result from infection from the microorganisms. The intact gloves are very useful ha they prevent this. Comparison between the use of single gloves and the use of single gloves by Laurikainen, Rintala, Kaarto Routamaa, (2016) shows the puncture rates of the gloves and the rates which the puncture of gloves was unnoticed during the operations periods. The study indicated that the holes in the single gloves were many than the double gloves used by the surgical team. The puncture in most cases went on unnoticed, and this is a significant exposure to danger to both the workers and the patients. In orthopedic and trauma surgery the surgeons using single gloves are in 13 times risk of blood infection than those using double gloving. The holes made to the inner gloves are also very few in double gloving. It is, therefore, important to use double gloving for ultimate protection (Uckay, Hoffmeyer, Lew Pittet,2013). According to Misteli et al. (2009), the surgical site infection increases when holes made in the gloves during the surgical operation. The surgical infection rate was 4.5%, and this showed that punctured gloves were hazardous. However, applying antibiotics to the gloves, the rate of infection was significantly low than without antimicrobial prophylaxis. These were the visible indication that absence antimicrobial prophylaxis the glove perforation increased the surgical site infection. Health workers have the duty to ensure that all people live the healthy life free from disease and suffering. From the above case studies, it is clear that health workers are exposed to infections as they carry out their daily activities of ensuring healthy living conditions. They are exposed to blood from the patients, and in the event, it is infected they may end up being infected with diseases. Not only workers are the risks of infections but also surgical wounds of patients may be infected in case of contact with the dirty environment and germs in the patient's bodies. It is ethical to ensure clean operations rooms for the safety of all the people. Gloves protect contamination but due to long hours in the surgery rooms by surgical teams they may end up having holes due to friction during work. This holes may cause infection, and therefore the workers should use two or more gloves to reduce contaminations in a case of puncture of the outer glove. Currently, diseases have emerged which are very dangerous and other with no cure like Ebola and HIV/AIDS respectively. These diseases claim many lives and their treatment are very costly to the people. The workers work in conditions where they are exposed to blood hence the high danger of contamination. Hospitals and health centers should ensure the protection of their works from infections. Surgical teams should use two, three or more gloves during the surgical operation instead of one glove. Double gloving reduces contact of the body of workers with the patients' blood and fluids during operations (Childs,2013). Surgical workers argue that double gloving has many disadvantages. Some argue that gloves make them feel uncomfortable when working. Majorly the reason behind the surgical team not using double gloving is based on lack of information and misconceptions. It is, therefore, crucial for the government and the health stakeholders to educate the health workers the benefits of double gloving in infection reduction. Using more gloves does not cost the workers anything, and therefore they should consider it. In the case of infections due to negligence and ignorance, the individuals will incur more expenses and may also die if infected by incurable diseases like HIV/AIDS. These can lead to emotional stress and poverty to the relatives. As they ensure healthy lives of also people, they should also monitor they lives to ensure continued service to the community (Papageorgiou,2015). In conclusion, double gloving reduces chances of infection compared to in cases of intraoperative glove perforation and needle stick injuries. Infection of the health workers is an occupational danger and therefore the staff should use double gloving to reduce any chances of infection. In summary, there is a lot of literature evidence that should double gloving reduces disease, and therefore the surgical team should use it. Prevention is better than cure and therefore all the people should campaign for double gloving. In the case of any accidents, quick actions should be taken to ensure good health of the health professionals. Care and attention should be made in all surgical operations. References Alexander, J. W., Solomkin, J. S., Edwards, M. J. (2011). Updated recommendations for control of surgical site infections.Annals of surgery,253(6), 1082-1093. Childs, T. (2013). Use of double gloving to reduce surgical personnels risk of exposure to blood borne pathogens: An integrative review.AORN journal,98(6), 585-596. Korniewicz, D., El-Masri, M. (2012). Exploring the benefits of double gloving during surgery.AORN journal,95(3), 328-336. Laurikainen, E., Rintala, E., Kaarto, A. M., Routamaa, M. (2016). Adherence to surgical hand rubbing directives in a hospital district of Southwest Finland*.Infectious Diseases,48(2), 116-121. Misteli, H., Weber, W. P., Reck, S., Rosenthal, R., Zwahlen, M., Fueglistaler, P., ... Marti, W. R. (2009). Surgical glove perforation and the risk of surgical site infection. Archives of Surgery, 144(6), 553-558. Papageorgiou, M. (2015). Double gloving in the operating theater: The benefits and the potential drawbacks. Australian Medical Student Journal, 6(2). Partecke, L. I., Goerdt, A. M., Langner, I., Jaeger, B., Assadian, O., Heidecke, C. D., ... Huebner, N. O. (2009). The incidence of micro perforation for surgical gloves depends on the duration of wear. Infection Control Hospital Epidemiology, 30(05), 409-414. Partecke, L. I., Goerdt, A. M., Langner, I., Jaeger, B., Assadian, O., Heidecke, C. D., ... Huebner, N. O. (2009). Incidence of micro perforation for surgical gloves depends on duration of wear.Infection Control Hospital Epidemiology,30(05), 409-414. Uckay, I., Hoffmeyer, P., Lew, D., Pittet, D. (2013). Prevention of surgical site infections in orthopedic surgery and bone trauma: state-of-the-art update.Journal of Hospital Infection,84(1), 5-12.

No comments:

Post a Comment

Note: Only a member of this blog may post a comment.