Question

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.

Go to ATI website for care plan - go to integration materials - scroll down to active learning templates - choose systems disorder

Answer 1

Nosocomial is also know as hospital acquired infection,The prevention of nosocomial infection is by first whenever i am going to touch the patient for any proceudure and going to touch the tools around the patient then hand hygiene is very cruical and before and after the hand washing with medicated soap, and then use of single sterile use gloves for reducing the nosocomial infection,and gowning, and wearing masks, after surgery initial bandages is removed( although the first postoperative dressing is usually changed by a member of the surgical team subsequent dressing changes in the immediate postoperaative perios are usually performed by the nurse) dressing should be changed as often as needed to keep wound drainage fromsoaking the guaze this is usually one to four times a day when ever necessary if it is found that the bandage is wet with drainage when we change it then it should be changed often soiled dressing should be changed,nursing care plan: nursing care management and planning for patient with right colectomy includes assisting the patient and / or so during the adjustment, preventing complications, support independence in self care, provide information about procedure/prognosis, treatment needs, and potential complications.