Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
_Brushes._—After using, all brushes should be thoroughly washed, boiled,
and dried, wrapped in waxed papers, and sterilized in the autoclave. In
the absence of the autoclave, boil thirty minutes.
_Basins, pitchers, and douche pans_ are sterilized by wrapping in strong
muslin bags and put to boil for forty-five minutes in the basin boiler
or wash boiler. They will not remain sterile longer than one week, even
when kept in a clean place and well wrapped. Bedpans should be washed in
a strong solution of soap and water, rinsed every morning and boiled for
thirty minutes.
=Sterilization of Rubber Goods.—=
_Tracheal Catheters._—Drop in a solution of bichloride 1:5000 and leave
for twenty minutes. Lift with sterile forceps into a basin of warm
sterile water and leave for ten minutes, or until used.
_Vorhees Bags._—Boil twenty minutes. The bags and catheters may be given
a longer life by keeping them in a 25 per cent solution of glycerine and
water when not in use. Kerosene vapor is also preservative.
_Rubber Catheter._—Boil twenty minutes.
_Hot Water Bags, Ice Caps, Rubber Bed Rings._—Soak in 10 per cent lysol
solution for two hours, wash with warm water, and dry thoroughly. The
inside of the ice caps can be dusted with powder.
Never leave rubber gloves in a damp place or lying in a solution. It
stretches them and weakens the rubber. To sterilize, they must be washed
in a strong solution of soap and water, dried, and paired. Then they are
wrapped in a heavy cloth covering and put in the autoclave for twenty
minutes.
_Wet Process for Rubber Gloves._—Wrap in gauze or cloth and boil for
thirty minutes. Lift with sterile forceps and place in lysol solution 1
per cent until used. They are easily drawn on by filling them with the
solution as the hand goes in.
_The autoclave_ is not always available, but an Arnold or Rochester
sterilizer is readily portable, and takes the place of the hospital
machine.
=Fumigation of rooms= is sometimes necessary. Remove all curtains, bed
linen, and other washable fabrics from the room. Open the drawers of
dressers, doors of closets, and loosen up and separate everything left
so the air can get to it. Close the windows and seal the crevices with
cotton and make the room as air-tight as possible. Place a large pan
containing six ounces of potassium permanganate crystals in the center
of the room. Pour over this twelve ounces of formalin, close and seal
the outside doors of the room and leave for twelve hours. If the case
has been a very septic one, it is always a good plan to wash the walls
of the room before using again. The insides of the drawers and the bed
should be thoroughly washed with water and green soap. A formaldehyde
lamp is also quite satisfactory if obtainable.
CHAPTER XXIV
DIETS AND FORMULÆ
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