You are the nurse receiving report on your patient that was admitted as an emergency earlier in the day. A 64-year-old female underwent a right colectomy. The right side of her colon was removed due to cancer. She has a history of smoking & no other health problems. She is currently being transferred to you in PACU. She has a midline incision with a Penrose drain, a stab wound w/ a Jackson Pratt drain to incision. She also has a NG tube, attached to intermittent suction. She is alert, riented and can move all 4 extremities. BP is 110/68, Respiratory rate is 14, O2 stats are at 93% w/ additional oxygen given via nasal cannula.
All labs are normal. You are asked to change the dressings daily and document the drainage. What precautions will you take to prevent this patient from obtaining a nosocomial infection?
Please answer the questions and develop a care plan for a patient that will be having an elective surgery. Please use the provided format for building your care plan. You will need to use your nursing reference materials as you build this care plan. (Suggestion on using skyscape)
Go to ATI website for care plan – go to integration materials – scroll down to active learning templates – choose systems disorder
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:
Jstudent_exampleproblem_101504
Expert Solution Preview
Precautions to prevent nosocomial infection in the post-operative patient with a midline incision and drains include strict adherence to hand hygiene protocol, wearing gloves and other personal protective equipment as necessary, avoiding touching the wound or drain site without gloves, proper disposal of contaminated dressings and supplies, and monitoring the patient for signs and symptoms of infection. Additionally, the patient should be encouraged to participate in activities that promote healing and immune function, such as deep breathing and coughing exercises, early ambulation, and adequate nutrition and hydration. Education about proper wound care and signs and symptoms of infection should also be provided to the patient and their caregivers.
Care Plan for Elective Surgery Patient:
I. Assessment
A. Medical history and comorbidities
B. Medications, including allergies
C. Baseline vital signs and laboratory values
D. Psychosocial and cultural factors
E. Physical assessment, including any relevant pre-operative testing
II. Diagnosis
A. Anxiety related to impending surgery
B. Risk for infection related to surgical intervention
C. Risk for ineffective airway clearance related to anesthesia and post-operative immobilization
D. Risk for impaired skin integrity related to incision site and wound care
III. Planning
A. Develop a plan to manage anxiety, such as providing education and relaxation techniques
B. Implement measures to prevent infection, such as prophylactic antibiotics and proper surgical site preparation
C. Implement measures to promote airway clearance, such as deep breathing and coughing exercises, early ambulation, and incentive spirometry
D. Develop a plan for wound care, including appropriate dressings and monitoring for signs of infection
IV. Implementation
A. Provide education and support to patient and family/caregivers
B. Administer medications and treatments as ordered by physician
C. Monitor vital signs, laboratory values, and other indicators of patient status
D. Collaborate with interdisciplinary team members to ensure optimal patient outcomes
V. Evaluation
A. Evaluate patient’s response to interventions
B. Modify plan of care as necessary based on patient’s changing condition
C. Provide ongoing education and support to promote optimal recovery and prevention of complications.
