ABSTRACTIntroduction: Preoperative hand disinfection aims to prevent surgical site infections. After the preparing hand wash, drying is performed using an aseptic technique. It?s important to dry hands thoroughly in order to achieve the full effect of the alcohol based hand disinfection. Due to the lack of a evidence-based guideline on this procedure, the hand drying techniques differ among operating theatre nurses, depending on which technique seen as the most appropriate.

ABSTRACT The purpose of this medical record research was to study 30 patients with chronic subdural hematoma on a neurosurgical clinic, mapping documented nutritional status, preoperative fasting and hydration and energy supply before surgery. In addition peroperative administration of fluid and vasoactive drugs, as well as postoperative complications and length of hospital stay were studied. The mean age of the patients was 71 years. Nutritional status was evaluated in 12 patients, out of these seven were judged to be at risk for under nutrition. Fifteen patients had surgery day 1 (total fasting time on average m 11 h), eleven had surgery day 2(29 h), three had surgery day 3 (35 h).

Background: For an individual a surgery may involve strains and risks. Many patients experience a loss of its own identity and often an inability to control the situation while going through a surgical operation. Fear of pain or to not wake up from the anesthetic or that the surgery will fail are worrying factors that some people experiences. Purpose: The purpose was to describe patients? perceptions of preoperative information in connection to elective surgeries.

In order to avoid harmful substances ending up at the municipal sewage treatment plants, it is important to purify the wastewater at the source. One such source is the wheel washers available in many tire garages which are used to wash the wheels on our vehicles when we change between summer and winter tires. It is important to wash the wheels before storage, to extend the tires lifetime. The purpose of this study is to find a green innovative solution for reduction of emissions of heavy metals at the source, so that the sludge from the sewage treatment plants can be used as fertilizer. The target is to find a wheel wash method which leads to compliance with the guidelines for car washers, and that also provides a better washing result than with the existing method.

Background and problem: Since the new law took place in 1999, it has been illegal towash a car with substances that can damage the environment on a paved street or on a driveway through a garage. This has conveyed to a new industry where more and more self-service car wash facility have opened around the country. Vetlanda Vägkrog AB has since 2012 been planning to install manual self-service car wash facility at the back of their restaurant business. The authors mission was to make an analysis in order to examine whether an investment of carwashes are lucrative enough for Vetlanda Vägkrog AB.Aim: The study's main objective was to analyze the profitability of an investment in a self-service car wash facility at Vetlanda Vägkrog AB, based on given data. The authors sub-aim was to clarify which factors in general that had played the greatest part in the establishment of a self-service car wash facility.Method: The authors have used an abductive approach in order to fulfill the aim of the study.

AbstraktBakgrund: Länge har man varit medveten om vikten av god hygien och dess inverkan påsmittspridning. Det mest effektiva sättet att minska postoperativa sårinfektioner (SSI) är att arbetaförebyggande och att ha en god hygien. Frekvensen av SSI ökar, och som en del av den förebyggandevården ingår den preoperativa förberedelsen. Att inte ha kunskap och stöd till att utföra en sådanåtgärd korrekt är en stor brist och kan leda till att patienter drabbas av SSI och därmed ett ökatpostoperativt lidande.Syfte: Studiens syfte var att beskriva vårdpersonalens syn på betydelsen av hygienisk preoperativförberedelse hos ortopedpatienter.Metod: Studien genomfördes på ett länssjukhus i mellersta norrland under våren 2008, där allaortopedavdelningar på sjukhuset deltog. En kvalitativ intervjumetod användes med manifestinnehållsanalys av materialet.Resultat: All personal som ingått i studien anser att den hygieniska preoperativa förberedelsen är avstor vikt.

ABSTRACTIntroduction: Scientists have over the last centuries realized that presurgical reduction of bacterial skin flora decreases the surgical site infections. Sponges, showers and washing with Chlorhexidine is today a standard procedure. Purpose: The purpose of the study was to describe the patient?s experience of the information given to them about the preoperative showers with hibiscrub. Method: Semi-structured interviews were used to collect the data, and content analysis was used to analys the data.

Introduction: Urinary retention is a common postoperative complication associated with bladder distension. Permanent damage to the bladder affects the patient?s quality of life and may lead to a lifelong inability to empty the bladder and needs of self-catheterization with the risk of urinary tract infection. Bladder distension was classified as the fourth largest health care related injury in Sweden in 2013. Bladder distension may occur before the operation starts and is more common among orthopedic patients.

Introduction. Infection Prevention is one of the surgical nurses' main responsibilities. One of the steps which patients undergo in this purpose before surgery is the preoperative skin desinfektion. Background. The patient washes the day before surgery with Descutan cutaneous sponge 4 %, a sponge containing chlorhexidine.

Bakgrund: Patienter som ska genomgå elektiva operationer kan uppleva preoperativ oro och ångest. Preoperativ oro kan grundas i bristande information, tanken på att mista kontrollen samt vistelse i okänd miljö. Det vilar ett stort ansvar på sjuksköterskan då hon ska möjliggöra optimal delaktighet i vård och behandling för patienten samt uppmärksamma patienter som inte själva uttrycker ett omvårdnadsbehov. Syfte: Att sammanställa kunskap om vilka omvårdnadsåtgärder som kan minska patienters preoperativa oro vid elektiva operationer. Metod: Litteraturstudie, baserad på två kvalitativa och åtta kvantitativa artiklar.

This thesis describes the developmentof a device called "Oil Separator"which is used for washing vehicles andparticularly car washing. The devicedeveloped for Mr. Car Bilvård AB inUppsala, the company's work involvespassenger transport and courierservices. The company needs anexternal device that meets theenvironmental standards to wash theirown cars in the premises without theneed to modify or reconstruct on thepremises ground as the premises is ona leased contract.Work began with a preliminary study onthe literatures that describes boththe function and structure ofdesigning the device. A few interviewswith other car wash companies had beenimplemented, and some measurements.After collection of the necessaryinformation the specifications ofcustomer requirement was presented .With these requirements a fewconcepts was generated and weighedusing the Pugh matrix for conceptsselection for further development.The final concept was furtherdeveloped and a design has beenpresented.

Syftet med denna litteratur studie var att undersöka om den preoperativa patient- informationen hade någon effekt på patientens oro, samt om den preoperativa informationen och oron hade någon inverkan på patientens postoperativa smärta. Metoden som användes var en litteraturstudie. Resultatet var baserat på tio vetenskapliga artiklar av kvantitativ design. Litteratur sökningen gjordes i databaserna PubMed, CINAHL och Cochrane Library Resultatet visade att patienter som fick sjukhusets rutininformation i kombination med specifik preoperativ information hade en statistisk signifikant lägre grad av oro under sjukhusvistelsen. Studien visade även att patienter som fick specifik preoperativ information hade signifikant lägre grad av postoperativ smärta..

The aim of this study was to investigate for how long patients fast before thoracic surgery, plastic surgery and ear, nose and throat surgery, at the University hospital of  Uppsala, and what knowledge patients have about fasting and how they get affected by it. 30 patients were interviewed, 10 patients at each ward, according to a questionnaire. Data processing was performed with SPSS. There was no difference in fasting time for solids between the wards but the mean fasting time was 14 hours. In the thoracic ward patients fasted from liquids considerably longer than in the other wards.

ABSTRACT Introduction: One of the great difficulties that the nurse anesthetist encounter in their profession is to assess and estimate sleep depth versus signs of pain in the anesthetized patient. Based on a pre-operative appointment and the perioperative monitoring, an assessment of the patient is made. The experience that the nurse anesthetist has can make it easier to understand what subtile signs of the patient depends on. Purpose: With this in mind, the purpose of the pilot study was to try to find out if there are specific signs of pain during anesthesia and if the professional experience played a role. As a subsidiary aim the authors examined whether there were factors in the patient that the nurse anesthetist takes into account in the identification of pain during anesthesia.

Postoperative site infections are the second most common health care associated infection in Sweden. Surgical procedures can lead to postoperative site infection causing great suffer for the patient and an extended care time with an increased cost as a result. In preparation for surgery, it is important that the skin is well prepared with antiseptics to decrease the risk of postoperative site infection. The purpose with this study was to shed light upon the skin preparation before surgery and its significance to postoperative site infection. Ten scientific articles have been scrutinized and compiled and two themes have been identified ? the preoperative and the intraoperative skin preparation.