Ch 25 11 21

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NUR 221 Ch. 25 infection part 2
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Ch 25 11 21

  1. 1. Adequate staffing<br />Sterilization<br />Disinfection<br />Patient placement:<br />Cohorting<br />Patient transportation<br />Infection Control <br />
  2. 2. CDC and Prevention Transmission–Based Guidelines<br />Standard Precautions:<br />Respiratory hygiene/cough etiquette (RH/CE)<br />Safe injection practices<br />
  3. 3. Airborne Precautions<br />Droplet Precautions<br />Contact Precautions<br />Transmission-Based Precautions<br />
  4. 4. Methicillin-Resistant Staphylococcus Aureus (MRSA)<br />Vancomycin (Vancocin)<br />Linezolid (Zyvox)<br />Community-associated MRSA<br />The best way to decrease the incidence of this growing problem is health teaching<br />
  5. 5. Vancomycin-resistant Enterococcus (VRE)<br />Multidrug resistant tuberculosis<br />Gonorrhea<br />Vancomycin-intermediate Staphylococcus aureus (VISA)<br />Vancomycin-resistant S. aureus (VRSA)<br />Other MDROs<br />
  6. 6. OSHA<br />Federal laws to protect workers<br />Sharps handling<br />Prevention of transmission to family<br />Change clothes before leaving work<br />Keep work clothes separate from others<br />Take shower on arrival to home<br />Care to not contaminate personal equipment such as stethoscopes and scissors<br />Occupational Exposure<br />
  7. 7. Problems from Inadequate Antimicrobial Therapy <br />Noncompliance or nonadherence<br />Legal sanctions that compel a patient to complete treatment<br />Tuberculosis<br />Septicemia<br />Septic shock<br />
  8. 8. History<br />Physical assessment and clinical manifestations<br />Psychosocial assessment<br />Collaborative Care<br />
  9. 9. Laboratory assessment including:<br />Culture and antibiotic sensitivity testing<br />Complete blood count<br />Erythrocyte sedimentation rate<br />Serologic testing<br />Imaging assessment<br />Collaborative Care<br />
  10. 10. Hyperthermia R/T increased metabolic rate<br />Risk for Social Isolation R/T altered state of wellness<br />Acute Pain R/T physical injury<br />Fatigue R/T disease state<br />Risk for Deficit Fluid Volume R/T hypermetabolic state<br />Collaborative problems<br />Risk for Septic Shock<br />Disseminated Intravascular Coagulation<br />Nursing Diagnoses<br />
  11. 11. Home care management<br />Health teaching<br />Health care resources<br />Community-Based Care<br />

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