Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
3. Soak and scrub hands and forearms in alcohol, 70%, for two minutes.
4. Soak in bichloride solution, 1–1000, for five minutes.
5. Put on gloves out of second bichloride solution, avoiding contact
with fingers of ungloved hand. (See Fig. 78.)
[Illustration:
FIG. 82.—Patient draped with sterile towels, leggings, sheet and
delivery pad for delivery. (From photograph taken at Johns Hopkins
Hospital.)
]
The patient is given a final scrubbing with green soap and sterile water
and an antiseptic solution, by some one with clean hands, and is further
protected by means of sterile leggings, a sterile towel across the
abdomen and one covering the inner surface of each thigh, held in place
by sterile clips or safety pins. The lower half of the bed is covered
with a sterile sheet while a sterile delivery pad is slipped under the
patient’s hips. (Fig. 82.)
If the delivery is made with the patient lying on her side, the sterile
dressings are so arranged as to cover all but the perineal region after
she is placed in the desired position.
This brings up the question of the nurse’s obligation to protect her
patient from the embarrassment of unnecessary exposure at any time
during labor. The field which is prepared must be uncovered temporarily,
and while the patient is being draped for examination or delivery a
certain amount of exposure is unavoidable; but there are many little
ways in which the nurse may show her consideration for the patient in
this connection and the patient always appreciates the protection.
During the second stage, the preservation of asepsis, watching the
progress of labor and watching for unfavorable symptoms, are of even
greater importance than during the first stage. After the patient has
been prepared and draped with sterile dressings, neither they nor the
perineal region should be touched with anything unsterile.
If for any reason it has not been possible to sterilize sheets and
towels, or more are needed after the prepared supply has been exhausted,
the inner surfaces of towels and sheets that have been ironed either by
hand or machinery, and folded with the ironed surfaces inside without
being touched, may be regarded as practically sterile.
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