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How to Clean an Injection Site- WITH PICTURES

myosin

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Here is the picture I referred to in the previous post "How to Properly Clean an Injection Site"

Edit: Ack! Sorry to the first few posters below- I should have re-posted the same info from the above thread here as well. I think this will help :)

I realize that at first read the title might almost seem insulting to some, especially the vets, etc. Give me a moment to explain first-

As some know, I've been an ICU nurse for awhile now (and while far from infallible, a pretty good one at that). Particularly b/c we are an inter-nationally recognized hospital we are always striving to keep up with "best practice" methods to decrease infections especially (the saying is "the last place you want to be when your sick is in the hospital").

The other day, our "Practice Group" placed an incredible illustration that I hope to find where they got it so I can put it here. There was a picture of the part where you inject IV meds into the IV line. It showed the amount of bacteria on a normal "port"... ALOT. Then, there were were several other pictures showing how much bacteria was on the port after being wiped with alcohol for 1)0 second 2) 5 seconds 3) 10 seconds and 4) 15 seconds.

Group 1&2 still had a decent amount of bacteria on it, even group 3 was a bit significant. Group 4, 15 seconds, had almost all the bacteria wiped off.

I'm guessing that most here, myself included, pretty much only wipe the vial top and our skin for maybe 3 seconds at best (if you honestly do the "1-thousand-1, 1-thousand-2, approach).

So, to help prevent introducing bacteria into either your vial or your body upon injection, try to first wipe with alcohol for 15 seconds on each (might seem like a long time, but a couple weeks on antibiotics for an abscess would seem even longer )

Addendum- I also realize that there are probably MANY members here who have only wiped for a few seconds in both places and have never had an abscess, which is great! The same can be said for the injection ports and lack of patient infection. The point of the thread is simply to show the "best practice" method.
 

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Am i the only one who doesn't understand what is being shown to me in this pic....?
Sorry guys.
 
Am i the only one who doesn't understand what is being shown to me in this pic....?
Sorry guys.

i think when u clean it with an alcohol wipe, you need to clean it for 15 secs? because 5 secs doesnt actually clean it correctly? correct me if im wrong.
 
Look

Actually I think it is an infusion port for an IV drip. Look -- on the underside of the top -- there is a whitish residue (bacterial) build-up. The longer you take to sterilize, the less it survives. At 15 sec it has killed everything most likely. So it would prob be a good idea to wipe down vial stoppers, and the injection site a lil longer than we usually do -- for those that do that.
 
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Am i the only one who doesn't understand what is being shown to me in this pic....?
Sorry guys.
looks to me like its an aerial view of a vial under blacklight and everything you see glowing is bacteria after 15 seconds its all black which means all bacteria is gone
 
Actually I think it is an infusion port for an IV drip. Look -- on the underside of the top -- there is a whitish residue (bacterial) build-up. The longer you take to sterilize, the less it survives. At 15 sec it has killed everything most likely. So it would prob be a good idea to wipe down vial stoppers, and the injection site a lil longer than we usually do -- for those that do that.

Ivan you are still around brother!? I'm so glad.
 
Actually I think it is an infusion port for an IV drip. Look -- on the underside of the top -- there is a whitish residue (bacterial) build-up. The longer you take to sterilize, the less it survives. At 15 sec it has killed everything most likely. So it would prob be a good idea to wipe down vial stoppers, and the injection site a lil longer than we usually do -- for those that do that.

thats what i was thinking.
 
YUP!

Ivan you are still around brother!? I'm so glad.

Ha ha thanks man. Yeah the courts are draaaaging this all out. Stressful. My God you look good in your avatar Dave! You really have grown up. Still got all the piercings? Lol, you are one of the few that actually look good w/ them!:s:eek:rt-smi
 
sorry

Am i the only one who doesn't understand what is being shown to me in this pic....?
Sorry guys.

Sorry G- I should have been thorough.
 
Where did you get the pic?
 
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Can we use a stop watch :rolleyes:

This is pretty cool, makes you wonder about hospitals doing the same thing.
 
Supposed to...

Can we use a stop watch :rolleyes:

This is pretty cool, makes you wonder about hospitals doing the same thing.

As part of a new agenda to decrease Central Line infections, the 15 second swab is a part of that. How widespread that is, dunno... probably not that much yet.
 
I usually swab the top with alcohol, then wait for the alcohol to dry... That may take 20 seconds. Does that count or are we supposed to rub it? lol
 
Good question...

I usually swab the top with alcohol, then wait for the alcohol to dry... That may take 20 seconds. Does that count or are we supposed to rub it? lol

That's actually a good question. The "motto" we use is "scrub the hub." Before entering the port, we are to actually scrub the port. So for myself now, I actually scrub the vial top and skin for 15 seconds.
 

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