Your doctor has recommended that you undergo
a Vasectomy. But what exactly does that mean? Vasectomy is a surgical procedure that serves
as birth control by permanently cutting off the flow of sperm to the penis. In adult males, sperm is continually produced
in the testicles, or testis. Both testicles are contained in the scrotum
– a pouch of loose skin that hangs outside the body, below the penis. Young sperm mature and are stored in the epididymis,
a small structure at the rear of each testicle. When the male experiences sexual climax, a
pair of muscular tubes called the vas deferens transport sperm away from the epididymis. As the sperm moves towards the penis, it enters
the seminal vesicle where it mixes with the seminal secretions. These are the fluids that make up the major
component of the semen that finally reaches the penis and is ejaculated. The Vasectomy procedure prevents sperm cells
from reaching the seminal vesicle by cutting both vas deferens near the testicles. But because the procedure does not interfere
with the production of semen in the seminal vesicle, men who undergo a successful vasectomy
are still able to ejaculate – though their semen will no longer contain sperm cells. So make sure that you ask your doctor to carefully
explain the reasons behind this recommendation. On the day of your operation, you will be
asked to put on a surgical gown. You may receive a sedative by mouth and an
intravenous line may be put in. You will then be transferred to the operating
table. Your doctor may have asked you to shave or
clip your genital region before arriving for the procedure. If not, a nurse will shave
or clip the area for you. The surgical area will then be swabbed with
an antiseptic solution and you will receive an anesthetic injection. To begin, your penis will be flipped upward
and laid against your abdomen, exposing the scrotum. Next, your doctor will make a small vertical
incision through the skin and muscle directly above the vas deferens. The team will gently open the incision to
expose the vas. Then, using two small clamps, your doctor
will close off both ends of a small section of the tube. Your doctor will carefully remove this section
and will close off the open ends of the two remaining tubes. The incision will then be closed with sutures. Finally, your doctor will perform the exact
same procedure on the vas deferens passing through the other side of the scrotum. Handwashing Germs are present always on your hands and
they can be transferred to: * other parts of your own body,
* to the family member for whom you are caring * your patient
* and to any clean object that you touch. By washing your hands correctly: * you remove germs from your hands.
* Handwashing is the single most important way you can prevent infection from occurring
and * prevent the spread of infection. You must carefully wash and dry your hands: * Before and after each time you care for
your family member or your patient. * Before and after you handle your patient’s
and your own food and drink. * Before and after you manipulate any contact
lenses. * Before you apply and after you remove gloves
* After you use the toilet. * After you cough, sneeze or blow your nose.
* After contact with anything that could be soiled or have germs on it.
* After you pick up any object from the floor *
Handwashing takes a minimum of 10-15 seconds,
* longer if your hands are soiled. * The longer you wash, the more germs are
removed. * The friction generated by rubbing your hands
together removes the germs from your skin and
* running water can then wash them away * Every time you wash your hands, take your
time and don’t rush. * Do the handwashing carefully and thoroughly. Use liquid soap from a dispenser. Bar soap
holds germs on its surface. Make sure you have paper towels and a waste
receptacle nearby. Remove all jewelry from your hand except a
wedding band and push your watch and sleeves up, away from your hands.
Turn on warm water. Point your fingers down to prevent water running
onto your arms and wet your hands. Apply soap from the dispenser.
Point your fingers down and rub your hands vigorously together in a circular motion.
Star counting seconds at this point. Intertwine your fingers to clean all surfaces
of the fingers. Rub your fingernails against the palm of the
other hand to get soap under the tips of the nails. If your nails are soiled, clean under
them with an orange stick or brush. Keep your hands down and continue to rub them
together in a circular motion until the end of your count for 15 seconds.
Keep your hands down and rinse them from the wrist to fingertips.
Pick up a clean paper towel and turn off the water, still keeping your hands pointing down. Discard the paper towel into a waste receptacle
Pick up another clean paper towel and carefully and completely dry your hands.
Discard the paper towel into a waste receptacle. The key points to remember are: * that friction is critical for removing germs
* and the friction should be applied for at least 15 seconds.
* Always keep your fingers pointed down * and turn off the water with a paper towel. Gloving Your correct use of disposable, non-sterile
gloves * helps prevent the spread of infection and
* protects both you, the caregiver, and * the person receiving care, your patient. The gloves used most often are made of latex,
are powder-free and are easy to put on and take off. They are used once only and then
discarded. Gloves are not worn all the time when giving
care. Touching your patient with bare hands: * shows love and respect,
* sends a message of caring and acceptance, * and provides comfort. Gloves should always be worn if contact is
likely to occur with: * blood
* body fluids * excretions such as urine or feces
* mucous membranes such as in the mouth or genitalia
* or non-intact skin. Before you put gloves on, carefully wash and
dry your hands. Pull a glove out of the box with one hand
… … and slide it onto your other hand.
With your gloved hand, pull another glove out of the box …
… and slide it onto your bare hand. Interlace your fingers to make the gloves
fit smoothly and comfortably. You should remove your gloves immediately
when: * the patient care procedure is complete
* if the gloves are heavily soiled * if a glove is torn.
* after you have touched your patients secretions or excretions
* before touching another part of the body * before touching any clean surface or object. When you remove your gloves, your intent is
to avoid touching the contaminated surfaces of the gloves with your bare hands. To take
off your gloves firmly grip one glove at the base of the palm …
… and pull it off inside out. Keep holding it in the palm of your gloved hand.
Slip your bare fingers under the wrist of the remaining glove without touching its surface.
Push the glove down and off with the first glove tucked inside it.
One glove is now inside the other and both are inside out..
Drop the bundle of gloves into a sealable plastic storage bag and seal it tightly.
Drop the sealed bag into the trash. Carefully, wash and dry your hands.