Assessment

  1. Assess the patient’s temperature, heart rate, and respiratory rate.
  2. Assess the patient’s medical history, including any history of infections or immunocompromising conditions.
  3. Assess the patient’s skin and mucous membranes for any signs of infection.
  4. Assess any invasive devices, such as IV catheters or urinary catheters, for signs of infection or inflammation.
  5. Assess the patient’s hand hygiene practices and overall hygiene.

Nursing Diagnosis

  • Risk for infection related to compromised immune system or invasive procedures as evidenced by presence of risk factors.

Planning

  1. The patient will remain free from infection during hospitalization.
  2. The patient will receive education on measures to prevent infection and promote overall health.

Implementation

  1. Monitor vital signs and signs and symptoms of infection.
  2. Practice proper hand hygiene and encourage the patient to do the same.
  3. Assess and monitor any invasive devices for signs of infection or inflammation.
  4. Administer prophylactic antibiotics or antiviral medications as prescribed.
  5. Educate the patient on measures to prevent infection.
  6. Collaborate with infection prevention personnel to implement facility-wide infection prevention measures.

Evaluation

  1. Assess the patient for any signs or symptoms of infection.
  2. Continuously reassess and modify the plan of care as needed to prevent infection and promote overall health.
  3. Provide education on measures to prevent infection and promote overall health.

Leave a Reply

Your email address will not be published. Required fields are marked *