PURPOSE<\/strong><\/p>\n\n\n\n 1. To prevent infection<\/p>\n\n\n\n POLICY<\/strong><\/p>\n\n\n\n 1. The procedure should be performed in the hospital by a physician or a C.A.P.D. trained Nurse<\/p>\n\n\n\n 2. A strict aseptic technique should be maintained<\/p>\n\n\n\n 3. The set should be changed every six (6) months or whenever it becomes contaminated<\/p>\n\n\n\n 4. Hand washing should be performed in accordance with the policy and procedure on hand washing<\/p>\n\n\n\n EQUIPMENT<\/strong><\/p>\n\n\n\n 1. Trolley whased with soap and water with 70% spirit<\/p>\n\n\n\n 2. Frekasept<\/p>\n\n\n\n 3. Frekaderm<\/p>\n\n\n\n 4. Spirit<\/p>\n\n\n\n 5. Non-sterile clean gauze pieces<\/p>\n\n\n\n 6. New drainage bag<\/p>\n\n\n\n 7. New transfer set<\/p>\n\n\n\n 8. Sterile sheet \/ klinidrape<\/p>\n\n\n\n 9. Clean sheet \/ tray<\/p>\n\n\n\n 10. Surgical mask<\/p>\n\n\n\n 11. Small dustbin<\/p>\n\n\n\n PROCEDURE<\/strong><\/p>\n\n\n\n 1. Explain the procedure to the patient to gain cooperation.<\/p>\n\n\n\n 2. Bring the prepared trolley beside the patient.<\/p>\n\n\n\n 3. Screen the patient to provide privacy.<\/p>\n\n\n\n 4. Wear surgical mask.<\/p>\n\n\n\n 5. Wash and dry hands.<\/p>\n\n\n\n 6. Clean top shelf of trolley with gauze soaked in spirit<\/p>\n\n\n\n 7. Open the transfer set pack gently using aseptic technique and place the opened pack with the tubing inside on a corner of top shelf (Place clear side of pack downwards).<\/p>\n\n\n\n 8. Open the new drainage bag pack and place the bag besides the transfer set pack, with the connecting site hanging freely not touching the edge of the trolley.<\/p>\n\n\n\n 9. Open sterile sheet pack and leave the sheet lying within the pack on the top shelf of the trolley.<\/p>\n\n\n\n 10. Place Frekasept and Frakaderm on the top shelf at one corner.<\/p>\n\n\n\n 11. Place clean tray below the level of the patient.<\/p>\n\n\n\n 12. Place the dustbin beside the patient.<\/p>\n\n\n\n 13. Disinfect hands properly with Frekasept (Turn aside, away from the trolley).<\/p>\n\n\n\n 14. Remove the cap of the new drainage bag and spray all around the exposed connecting site with Frekaderm (Avoid the lumen).<\/p>\n\n\n\n 15. Disinfect hands again properly with Frekasept.<\/p>\n\n\n\n 16. Taken one end of transfer set, remove cap and quickly connect it to the drainage bag and clamp the transfer set.<\/p>\n\n\n\n 17. Disinfect hands with Frekasept.<\/p>\n\n\n\n 18. Place sterile sheet underneath the Tenchkoff catheter and let the connecting site lie on the sheet.<\/p>\n\n\n\n 19. Spray all around the connecting site of the Tenchkoff catheter and old transfer set with Frekasept.<\/p>\n\n\n\n 20. Disinfect hands with Frekasept.<\/p>\n\n\n\n 21. Disconnect the old transfer set from the Tenchkoff catheter and discard it into the dustbin.<\/p>\n\n\n\n 22. Hold the Tenchkoff catheter end in between the 3rd<\/sup> and 4th<\/sup> finger of left hand and spray all around the exposed connecting site, avoiding the lumen.<\/p>\n\n\n\n 23. Pick up the other end of the new transfer set and hold it with the left thumb and forefingers.<\/p>\n\n\n\n 24. Remove the cap of the new transfer set and quickly connect it to the Tenchkoff catheter.<\/p>\n\n\n\n 25. Place the connected site on a dry area of the sterile sheet.<\/p>\n\n\n\n 26. Place the drainage bag on the clean tray below the level of the patient.<\/p>\n\n\n\n 27. Release clamps of the Tenchkoff catheter and transfer set. Allow about 100 mls of fluid to drain into the bag (Count 1-10). This is to flush out any bacteria present in the tube.<\/p>\n\n\n\n 28. Clamp both tubes.<\/p>\n\n\n\n 29. If due for exchange of fluid, patient can continue with his \/ her exchange otherwise, fold the bag with tubing coiled around the bag and secure it to patient\u2019s abdomen.<\/p>\n\n\n\n 30. Document the procedure in the patient\u2019s file.<\/p>\n","protected":false},"excerpt":{"rendered":" Policy and Procedure N0. 40 – Royal Hospital PURPOSE 1. To prevent infection POLICY 1. The procedure should be performed in the hospital by a physician or a C.A.P.D. trained Nurse 2. A strict aseptic technique should be maintained 3. The set should be changed every six (6) months or whenever it becomes contaminated 4. 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