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Colostomy Teaching 1872

Instructed patient when you have a stoma that drains urine or loose stool you may want to consider using an extended wear skin barrier because it will give your skin added protection. Itching or burning under the skin barrier may indicate that you have leakage, a skin rash, or a skin infection. You need to remove your pouching system as soon as possible to check your skin for any irritation.

Colostomy Teaching 1873

Instructed patient the stoma is your bowel. It is protected by mucus so stool or urine won’t hurt it. A stoma rarely becomes infected. The most important thing is to protect the skin around your stoma. A correct fitting pouching system is the best way to prevent an infection of your skin. If there is a small leak under my skin barrier, is it okay to patch it with tape or paste: Always change your pouching system at the first signs of leakage.

PICC Line Teaching 1876

Instructed patient Home care nurses will teach you and help you become comfortable with the procedures before you do them yourself. These are the special things that need to be done preventing infection, flushing the PICC line, giving the medicine, solving problems, knowing when and who to call for help.

PICC Line Teaching 1884

Instructed patient When to seek medical care: Call your provider right away if you have any of the following: Pain or burning in your shoulder, chest, back, arm, or leg, Fever of 100.4°F (38.0°C) or higher, chills, signs of infection at the catheter site (pain, redness, drainage, burning, or stinging), Coughing, wheezing, or shortness of breath.

Heart Surgery Teaching 1892

Instructed patient common post-operative guidelines following minimally invasive heart valve surgery include the following: you will be encouraged to cough and deep breathe. You may be given a spirometer, a device for breathing exercises to keep fluid out of your lung, once all your tubes have been removed, you will be encouraged to shower daily and wash your incision with a mild soap to prevent infection.

Heart Surgery Teaching 1894

Instructed patient common post-operative guidelines following minimally invasive heart valve surgery include the following: you must notify your doctor before undergoing any invasive medical or dental procedures. All heart valve surgery patients will require antibiotic medications prior to certain dental or medical procedures to prevent a serious infection of the heart and valves called bacterial endocarditis.

Urine drainage bag Teaching 1918

SN instructed patient / caregiver that urine drainage bag of the catheter should always be suspended below the level of the pubic bone, including during walking or sitting. Cleaning the groin and buttock areas regularly will decrease contamination of the catheter and the risk of infection. Anchoring the catheter to the leg with the provided strap prevents tugging injuries of the urethra.

Tracheotomy Teaching 2037

SN instructed patient about tracheotomy care dressing changes promote skin integrity and help prevent infection at the stoma site and
 in the respiratory system. The patient should be instructed at least once per shift, apply a new dressing to the stoma site to absorb secretions and insulate the skin
. After applying a skin barrier, apply either a split - drain or a foam dressing. Change a wet dressing immediately.

Peg Tube Teaching 2220

Instructed patient keep the skin around your PEG tube dry. This will help prevent skin irritation and infection.

Tracheostomy Teaching 2270

Tracheostomy Care Instructed patient long term complications include acute airway obstruction, blocked tube, Infection localized to stoma or 
tracheo-bronchial