infection control
SN observed bag technique and performed proper hand washing per CDC guideline before and after patient contact. Vital signs taken & recorded. Assessed all body systems with focus on urological status. SN educated patient/pcg that benign prostatic hyperplasia (BPH) is a condition where the prostate glands become enlarged which usually happens when a man ages. It may compress the urethra which courses through the center of the prostate. This can impede the flow of urine from the bladder through the urethra to the outside. It can cause urine to back up in the bladder leading to the need to urinate frequently during the day and night. Signs and symptoms of BPH include hesitant, interrupted, weak stream of urine, urgency and leaking or dribbling, more frequent urination, especially at night. Possible complications of BPH include urinary tract infection
and complete blockage of urethra/ SN instructed patient/pcg for patient to increase fluid intake, drink 6-8 glasses of water to prevent the onset of urinary tract infection
which is characterized by cloudy urine, fever, foul odor, pain in bladder area. SN instructed patient to report to SN or MD if any of these symptoms occurs and become bothersome or if pain persists go to the nearest hospital or ER.
SN instructed patient that water helps flush your urinary tract, make sure you drink plenty of plain water daily. Don't hold it when you need to urinate. Holding it when you need to go can help any bacteria that may be present develop into a urinary tract infection
. Wipe from front to back after a bowl movement. This is especially important to help prevent bacteria from the anus from entering the vagina or urethra.
Instructed patient in medications Vancomycin and
Cefepime treats bacterial infection
s. Instructed patient about Midline activities to avoid Bathing: Caregivers may tell you to
take showers rather than baths to help prevent infection
. When bathing, keep the area where the catheter is inserted covered
and sealed with plastic wrap. This will keep the area of skin and the bandage dry, and help prevent an infection
.
Instructed patient check your skin where the
catheter enters it every day. Look for signs of infection
and other problems. Instructed patient call your health care provider if you: Have bleeding, redness or swelling at the PICC line or Midline site, have pain near the site or in your arm, have signs
of infection
(fever, chills), are short of breath.
Instructed patient t is very important to prevent infection
,which might require removal of the PICC line. The nurse will show you how to keep your supplies sterile, so no germs will enter the catheter and cause an infection
.
Instructed patient it is very important to prevent infection
, which might require removal of the PICC line. The nurse will show you how to keep your supplies sterile, so no germs will enter the catheter and cause an infection
.
SN instructed patient / caregiver about Methylprednisolone ( Medrol ), it is a corticosteroid used to treat severe allergies, arthritis, asthma, and skin conditions. It may also be used to treat other conditions as determined by your doctor. Possible side effects, that may go away during treatment, include difficulty sleeping, mood changes, nervousness, increased appetite, or indigestion. If they continue or are bothersome, check with your doctor. Check with your doctor as soon as possible if you experience swelling of feet or legs unusual weight gain black, tarry stools vomiting material that looks like coffee grounds severe nausea or vomiting changes in menstrual periods headache muscle weakness or prolonged sore throat, cold or fever. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. DO NOT stop taking this medicine without checking with your doctor. Stopping this medicine suddenly may cause serious side effects. Keep all doctor and laboratory appointments while you are using this medicine. Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using this medicine. This medicine makes you more susceptible to illnesses, especially if you take it for an extended period of time. Prevent infection
by avoiding contact with people who have colds or other infection
s. Report any injuries or signs of infection
(fever, sore throat, pain during urination, or muscle aches) that occur during treatment and within 12 months after stopping this medicine.
SN instructed patient about urinary infection
's Diet. The use of cranberry products seems to decrease the ability of bacteria to
adhere to the lining of the urethra and bladder. As cranberry juice can have a high amount of sugar, cranberry extract can
be taken in capsule or pill form instead. Increasing water intake by one or two glasses per day may help limit the length of
time that you have symptoms and reduce the infection
s.
SN instructed that check the access for signs of infection
or problems with blood flow before each hemodialysis treatment, even if the patient is inserting the needles. Keeping the access clean at all times. Using the access site only for dialysis. Being careful not to bump or cut the access. Checking the thrill in the access every day. The thrill is the rhythmic vibration a person can feel over the vascular access. Watching for and reporting signs of infection
, including redness, tenderness, or pus. Not letting anyone put a blood pressure cuff on the access arm. Not wearing jewelry or tight clothes over the access site. Not sleeping with the access arm under the head or body. Not lifting heavy objects or putting pressure on the access arm.
SN instructed patient about respiratory infection
to drink plenty of fluids ( fever, which may be related to the flu, can cause dehydration ). It is important to maintain hydration. Take acetaminophen ( but do not take aspirin unless your doctor tells ). SN instructed patient to get a flu shot each year and decrease the exposure to the flu.