Moment 2 - Before a Procedure
WHEN:
Immediately before a procedure. Once hand hygiene has been performed, nothing else in the patient's environment should be touched prior to the procedure starting.
WHY:
To protect the patient from potential pathogens (including their own) from entering their body during a procedure.
in detail:
Insertion of a needle into a patient’s skin, or into an invasive medical device |
Venipuncture, Blood glucose level, Arterial blood gas, Subcutaneous or Intramuscular injections, IV flush |
Preparation and administration of any medications given via an invasive medical device, Preparation of a sterile field |
IV medication, NGT feeds, PEG feeds, Baby NG feeds, Dressing trolley set up |
Administration of medications where there is direct contact with mucous membranes |
Eye drop instillation, Suppository insertion, Vaginal pessary |
Insertion of, or disruption to, the circuit of an invasive medical device |
Procedures involving the following: ETT, Tracheostomy, Nasopharyngeal airways, Suctioning of airways, Urinary catheter, Colostomy/ileostomy, Vascular access systems, Invasive monitoring devices, Wound drains, PEG tubes, NGT, Secretion aspiration |
Any assessment, treatment and patient care where contact is made with non-intact skin or mucous membranes. |
Wound dressings, Burns dressings, Surgical procedures, Digital rectal examination, invasive obstetric and gynaecological examinations and procedures, Digital assessment of newborn palate |