Which are appropriate examples of cost-effective care? Select all that apply.

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Removing a dressing that has been on the client's skin is not a sterile procedure (unlike applying a new dressing, when sterile technique is commonly used). The gloves need to be removed and changed prior to application of a new dressing. There is no need to use the more expensive sterile gloves. The sterile glove wrapper is inside a paper package and is sterile. It can be used as a small sterile field if properly opened, with the other aspects of asepsis/sterile field observed (eg, do not get it wet, do not reach over it). (Option C) Once supplies have been in a client's room, they are "contaminated" and cannot be returned to a central source or used on other clients. They can be sent home with the client for the client's own use. (Option D) Tourniquets should be for single client use. They should not be shared as there is a risk of cross-infection, even if contamination is not visible. (Option E) Pour bottles and IV bags with sterile solutions have no preservative and must be changed every 24 hours after being accessed. After 24 hours following opening a bottle of sterile saline, the solution is considered contaminated and must be discarded, even if there is still unused solution in the container. Educational objective: Use clean, rather than sterile, gloves when removing contaminated dressings. The inside of a sterile glove wrapper is sterile. Do not return items in clients' rooms to central supplies, discard sterile solution after 24 hours, and do not reuse tourniquets between clients.

Which Are Appropriate Examples of Cost-Effective Care? Select All That